Patient-Centered Care and Autonomy: Shared Decision-Making in Practice and a Suggestion for Practical Application in the Critically Ill.

Abstract:

:Decision-making for the hospitalized dying and critically ill is often characterized by an understanding of autonomy that leads to clinical care and outcomes that are antithetical to patients' preferences around suffering and quality of life. A better understanding of autonomy will facilitate the ultimate goal of a patient-centered approach and ensure compassionate, high-quality care that respects our patients' values. We reviewed the medical literature and our experiences through the ethics service, palliative care service, and critical care service of a large community teaching hospital. The cumulative experience of a senior intensivist was filtered through the lens of a medical ethicist and the palliative care team. The practical application of patient-centered care was discerned from these interactions. We determined that a clearer understanding of patient-centeredness would improve the experience and outcomes of care for our patients as well as our adherence to ethical practice. The practical applications of autonomy and patient-centered care were evaluated by the authors through clinical interactions on the wards to ascertain problems in understanding their meaning. Clarification of autonomy and patient-centeredness is provided using specific examples to enhance understanding and application of these principles in patient-centered care.

journal_name

J Intensive Care Med

authors

Mapes MV,DePergola PA,McGee WT

doi

10.1177/0885066619870458

subject

Has Abstract

pub_date

2020-11-01 00:00:00

pages

1352-1355

issue

11

eissn

0885-0666

issn

1525-1489

journal_volume

35

pub_type

杂志文章
  • Review of a large clinical series: the value of routinely obtained chest radiographs on admission to a mixed medical--surgical intensive care unit.

    abstract:BACKGROUND AND OBJECTIVES:The efficacy of routinely obtained chest radiographs (CXRs) on admission to the intensive care unit (ICU) is largely unknown. The current study investigated the efficacy of routinely obtained admission CXRs and determined whether the value of this diagnostic test was dependent on patient categ...

    journal_title:Journal of intensive care medicine

    pub_type: 杂志文章

    doi:10.1177/0885066610366925

    authors: Kager LM,Kröner A,Binnekade JM,Gratama JW,Spronk PE,Stoker J,Vroom MB,Schultz MJ

    更新日期:2010-07-01 00:00:00

  • Hypogammaglobulinemia in pediatric ICU patients.

    abstract::The authors retrospectively review their experience with low immunoglobulin G (IgG) levels in a pediatric ICU population over a 12-month period. The total IgG level was below the normal for age in 14 of the 20 patients. The 14 patients with a low IgG level were younger and weighed less when compared with the 6 patient...

    journal_title:Journal of intensive care medicine

    pub_type: 杂志文章

    doi:10.1177/0885066603255905

    authors: Rehman S,Bytnar D,Berkenbosch JW,Tobias JD

    更新日期:2003-09-01 00:00:00

  • Trauma radiology: part II. Diagnostic imaging of thoracic trauma: review and update.

    abstract::Frontal chest radiographs are the principal diagnostic imaging study to detect, verify, or exclude acute thoracic injury after trauma, and they should be obtained as quickly as possible without compromising clinical assessment and resuscitation. Chest radiographs provide important information about potentially life-th...

    journal_title:Journal of intensive care medicine

    pub_type: 杂志文章,评审

    doi:10.1177/088506669400900403

    authors: Mirvis SE,Shanmuganathan K

    更新日期:1994-07-01 00:00:00

  • Comparison of Ketamine- Versus Nonketamine-Based Sedation on Delirium and Coma in the Intensive Care Unit.

    abstract:BACKGROUND:At this time, there are no studies evaluating the risk of delirium or coma with the use of ketamine in mechanically ventilated adult patients, compared to conventional therapies such as propofol or dexmedetomidine. OBJECTIVE:The objective of this study was to evaluate the number of days alive without deliri...

    journal_title:Journal of intensive care medicine

    pub_type: 杂志文章

    doi:10.1177/0885066618767619

    authors: Shurtleff V,Radosevich JJ,Patanwala AE

    更新日期:2020-06-01 00:00:00

  • Predictors of Outcome Post Cardiac Arrest.

    abstract::Early predictors of prognosis in comatose patients post cardiac arrest help inform decisions surrounding continuation or withdrawal of treatment and provide a framework on which to better inform relatives of the likely outcome. Markers defined prior to the widespread use of therapeutic hypothermia post arrest may no l...

    journal_title:Journal of intensive care medicine

    pub_type: 杂志文章,评审

    doi:10.1177/0885066613511045

    authors: Bigham S,Bigham C,Martin D

    更新日期:2018-04-01 00:00:00

  • Effect of Compliance With a Nurse-Led Intensive Care Unit Checklist on Clinical Outcomes in Mechanically and Nonmechanically Ventilated Patients.

    abstract:BACKGROUND:Use of checklists brings about improvements in a variety of patient outcomes. Nevertheless, whether compliance with a nurse-led intensive care unit (ICU) checklist produces the same effect is currently unknown. METHODS:This is a retrospective analysis of data obtained during the implementation of a quality ...

    journal_title:Journal of intensive care medicine

    pub_type: 杂志文章

    doi:10.1177/0885066614533910

    authors: Al Ashry HS,Abuzaid AS,Walters RW,Modrykamien AM

    更新日期:2016-05-01 00:00:00

  • Specificity of radionuclide brain blood flow testing in brain death: case report and review.

    abstract::Brain blood flow tests with diffusible radiopharmaceuticals are often done as an ancillary test in brain death (BD). We report a case of an infant with absent brain blood flow on an anterior planar image despite persistent breathing and extensor posturing. We reviewed the literature from 1980 to 2008 using MEDLINE and...

    journal_title:Journal of intensive care medicine

    pub_type: 杂志文章,评审

    doi:10.1177/0885066609355388

    authors: Joffe AR,Lequier L,Cave D

    更新日期:2010-01-01 00:00:00

  • A Point-Based Risk Calculator Predicting Mortality in Patients That Developed Postoperative Sepsis.

    abstract:BACKGROUND:Predicting the mortality from post-operative sepsis remains a continuing problem. We built a statistical model using national data to predict mortality in patients who developed post-operative sepsis. METHODS:This is a retrospective study using the American College of Surgeons National Quality Surgical Impr...

    journal_title:Journal of intensive care medicine

    pub_type: 杂志文章

    doi:10.1177/0885066620960991

    authors: Gabriel RA,Trivedi S,Schmidt UH

    更新日期:2020-10-12 00:00:00

  • Role of C-reactive protein velocity in the diagnosis of early bacterial infections in children after cardiac surgery.

    abstract::Fever after cardiac surgery in children may be due to bacterial infection or noninfectious origin like systemic inflammatory response syndrome (SIRS) secondary to bypass procedure. A marker to distinguish bacterial from nonbacterial fever in these conditions is clinically important. The purpose of our study was to eva...

    journal_title:Journal of intensive care medicine

    pub_type: 杂志文章

    doi:10.1177/0885066610396642

    authors: Nahum E,Livni G,Schiller O,Bitan S,Ashkenazi S,Dagan O

    更新日期:2012-05-01 00:00:00

  • The changing epidemiology of HIV-infected patients in the intensive care unit.

    abstract::With the introduction of highly active antiretroviral therapy (HAART), HIV has become a chronic disease. As HIV-infected patients are aging, they are at increased risk for comorbid diseases. These non-AIDS related diseases account for a growing proportion of intensive care unit (ICU) admissions in HIV-infected patient...

    journal_title:Journal of intensive care medicine

    pub_type: 杂志文章,评审

    doi:10.1177/0885066610387996

    authors: Akgün KM,Pisani M,Crothers K

    更新日期:2011-05-01 00:00:00

  • B-Lines Scores Derived From Lung Ultrasound Provide Accurate Prediction of Extravascular Lung Water Index: An Observational Study in Critically Ill Patients.

    abstract:INTRODUCTION:Visualization of B-lines via lung ultrasound provides a non-invasive estimation of pulmonary hydration. Extravascular lung water index (EVLWI) and pulmonary vascular permeability index (PVPI) assessed by transpulmonary thermodilution (TPTD) represent the most validated parameters of lung water and alveoloc...

    journal_title:Journal of intensive care medicine

    pub_type: 杂志文章

    doi:10.1177/0885066620967655

    authors: Mayr U,Lukas M,Habenicht L,Wiessner J,Heilmaier M,Ulrich J,Rasch S,Schmid RM,Lahmer T,Huber W,Herner A

    更新日期:2020-11-05 00:00:00

  • Novel Method of Atrial Fibrillation Case Identification and Burden Estimation Using the MIMIC-III Electronic Health Data Set.

    abstract:BACKGROUND:Atrial fibrillation (AF) portends poor prognoses in intensive care unit patients with sepsis. However, AF research is challenging: Previous studies demonstrate that International Classification of Disease (ICD) codes may underestimate the incidence of AF, but chart review is expensive and often not feasible....

    journal_title:Journal of intensive care medicine

    pub_type: 杂志文章

    doi:10.1177/0885066619866172

    authors: Ding EY,Albuquerque D,Winter M,Binici S,Piche J,Bashar SK,Chon K,Walkey AJ,McManus DD

    更新日期:2019-10-01 00:00:00

  • Semiquantitative Power Doppler Ultrasound Score to Predict Acute Kidney Injury in Patients With Sepsis or Cardiac Failure: A Prospective Observational Study.

    abstract:BACKGROUND:Diagnosing acute kidney injury (AKI) stage 3 in critically ill patients may help physicians in making treatment decisions. This diagnosis relies chiefly on urinary output and serum creatinine, which may be of limited value. This study aimed to explore the diagnostic performance of renal resistive index (RRI)...

    journal_title:Journal of intensive care medicine

    pub_type: 杂志文章

    doi:10.1177/0885066619887333

    authors: Zhi HJ,Zhao J,Nie S,Ma YJ,Cui XY,Zhang M,Li Y

    更新日期:2021-01-01 00:00:00

  • Indications, technical considerations, and strategies for renal replacement therapy in the intensive care unit.

    abstract::Renal replacement therapy in the intensive care unit can vary from simple procedures to very complex technologies. I discuss the factors that contribute to the decisions regarding the selection of a specific therapy. These factors include immediate and intermediate therapeutic goals (e.g., solute removal, dehydratio...

    journal_title:Journal of intensive care medicine

    pub_type: 杂志文章,评审

    doi:10.1177/088506669200700604

    authors: Golper TA

    更新日期:1992-11-01 00:00:00

  • Risk of Mortality of Catheter-Related Bloodstream Infections Caused by Acinetobacter Species: Is Early Removal of the Catheters Associated With a Better Survival Outcome?

    abstract:PURPOSE:Bloodstream infections (BSIs) caused by Acinetobacter species have been extensively reported, however, which majorly focused on respiratory tract infections. The risk of mortality and the effect of early catheter removal on survival in catheter-related BSIs (CRBSIs) caused by Acinetobacter spp. remain unclear. ...

    journal_title:Journal of intensive care medicine

    pub_type: 杂志文章,多中心研究

    doi:10.1177/0885066616677710

    authors: Lee Y,Lee YT,Wang YC,Chen CT,Sun JR,Liu CP,Liu YM,Kuo SC,Chiu CH,Yang YS,Lin JC,Chen TL

    更新日期:2018-06-01 00:00:00

  • Effect of Interhospital ICU Relocation on Patient Physiology and Clinical Outcomes.

    abstract::Relocation of large numbers of critically ill patients between hospitals is sometimes necessary and the risks associated with relocation may be high. In the setting of adherence to an interhospital intensive care unit (ICU) relocation protocol, we aimed to determine whether the interhospital relocation of all ICU pati...

    journal_title:Journal of intensive care medicine

    pub_type: 杂志文章

    doi:10.1177/0885066617726754

    authors: Janz DR,Khan YA,Mooney JL,Semler MW,Rice TW,Johnson JL,deBoisblanc BP,ICU MOVE Investigators and the Pragmatic Critical Care Research Group.

    更新日期:2019-11-01 00:00:00

  • Early Goal-Directed Therapy in Severe Sepsis and Septic Shock: A Meta-Analysis and Trial Sequential Analysis of Randomized Controlled Trials.

    abstract:INTRODUCTION:The Surviving Sepsis Campaign guidelines recommend early goal-directed therapy (EGDT) for the resuscitation of patients with sepsis; however, the recent evidences quickly evolve and convey conflicting results. We performed a meta-analysis to evaluate the effect of EGDT on mortality in adults with severe se...

    journal_title:Journal of intensive care medicine

    pub_type: 杂志文章,meta分析

    doi:10.1177/0885066616671710

    authors: Lu Y,Zhang H,Teng F,Xia WJ,Sun GX,Wen AQ

    更新日期:2018-05-01 00:00:00

  • Inconsistencies Between the Criterion and Tests for Brain Death.

    abstract::The whole-brain criterion of death provides that a person who has irreversibly lost all clinical functions of the brain is dead. Bedside brain death (BD) tests permit physicians to determine BD by showing that the whole-brain criterion of death has been fulfilled. In a nonsystematic literature review, we identified an...

    journal_title:Journal of intensive care medicine

    pub_type: 杂志文章

    doi:10.1177/0885066618784268

    authors: Dalle Ave AL,Bernat JL

    更新日期:2020-08-01 00:00:00

  • The Effect of an Electronic Checklist on Critical Care Provider Workload, Errors, and Performance.

    abstract:PURPOSE:The strategy used to improve effective checklist use in intensive care unit (ICU) setting is essential for checklist success. This study aimed to test the hypothesis that an electronic checklist could reduce ICU provider workload, errors, and time to checklist completion, as compared to a paper checklist. METH...

    journal_title:Journal of intensive care medicine

    pub_type: 杂志文章

    doi:10.1177/0885066614558015

    authors: Thongprayoon C,Harrison AM,O'Horo JC,Berrios RA,Pickering BW,Herasevich V

    更新日期:2016-03-01 00:00:00

  • Peripherally inserted central catheters in the intensive care unit.

    abstract::We report the success rate and complications of peripherally inserted central catheters (PICCs) in patients hospitalized in an intensive care unit (ICU). We performed a cohort study in the ICU of a large tertiary care, university-affiliated community hospital. All ICU patients for whom their attending physicians reque...

    journal_title:Journal of intensive care medicine

    pub_type: 临床试验,杂志文章

    doi:10.1177/088506669601100107

    authors: Ng PK,Ault MJ,Maldonado LS

    更新日期:1996-01-01 00:00:00

  • Intracerebral hemorrhage in patients receiving oral anticoagulation therapy.

    abstract::Intracerebral hemorrhage (ICH) in patients with oral anticoagulation therapy is an increasingly prevalent problem in large part due to the aging population and the increased use of anticoagulants for patients at high risk of thrombosis. Warfarin has been virtually the only outpatient anticoagulant choice until fairly ...

    journal_title:Journal of intensive care medicine

    pub_type: 杂志文章,评审

    doi:10.1177/0885066613488732

    authors: da Silva IR,Provencio JJ

    更新日期:2015-02-01 00:00:00

  • Respiratory Complications Before and After Liver Transplant.

    abstract::Respiratory complications before and after liver transplant are common, diverse, and potentially have a negative impact on patient outcomes. In this review, we discuss the most frequent respiratory conditions that patients may develop in the perioperative period. Their prevention and/or treatment may help to maximize ...

    journal_title:Journal of intensive care medicine

    pub_type: 杂志文章,评审

    doi:10.1177/0885066618781526

    authors: Cardoso FS,Karvellas CJ

    更新日期:2019-05-01 00:00:00

  • Systemic lupus-induced diffuse alveolar hemorrhage treated with extracorporeal membrane oxygenation: a case report and review of the literature.

    abstract:OBJECTIVES:We report the case of a 28-year-old patient with systemic lupus erythematosus (SLE) with rapid onset of dyspnea and hemoptysis found to have diffuse alveolar hemorrhage (DAH) with refractory hypoxemia successfully treated with venovenous extracorporeal membrane oxygenation (ECMO). The discussion includes cli...

    journal_title:Journal of intensive care medicine

    pub_type: 杂志文章,评审

    doi:10.1177/0885066612464335

    authors: Patel JJ,Lipchik RJ

    更新日期:2014-03-01 00:00:00

  • Pediatric Longitudinal Clivus Fracture: Survival With Minimal Morbidity.

    abstract::Longitudinal clivus fractures are rare in children, with only 5 cases published in the English literature to date. Clivus fractures, particularly longitudinal type, are associated with high mortality and morbidity. We report a case of longitudinal clivus fracture in a teenager with survival and complete neurological r...

    journal_title:Journal of intensive care medicine

    pub_type: 杂志文章

    doi:10.1177/0885066614555481

    authors: Samraj RS,Stalets EL

    更新日期:2015-10-01 00:00:00

  • Patterns of use of prophylaxis for stress-related mucosal disease in patients admitted to the intensive care unit.

    abstract:BACKGROUND:Morbidity associated with stress ulcer-related bleeding, the cost of medications, and the possible complications associated with stress ulcer prophylaxis are important considerations when prescribing prophylaxis. We prospectively studied the prescription patterns for stress ulcer prophylaxis in patients admi...

    journal_title:Journal of intensive care medicine

    pub_type: 杂志文章,多中心研究

    doi:10.1177/0885066612453542

    authors: Frandah W,Colmer-Hamood J,Nugent K,Raj R

    更新日期:2014-03-01 00:00:00

  • Sepsis bundles and compliance with clinical guidelines.

    abstract::Realizing the vast medical benefits of validated protocols, recommendations and practice guidelines requires acceptance and implementation by frontline care providers. Knowledge translation is the science of accelerating the transfer of knowledge to practice by understanding and creatively addressing the barriers that...

    journal_title:Journal of intensive care medicine

    pub_type: 杂志文章,实务指引

    doi:10.1177/0885066610387988

    authors: Stoneking L,Denninghoff K,Deluca L,Keim SM,Munger B

    更新日期:2011-05-01 00:00:00

  • Description of Pharmacogenomic Testing Among Patients Admitted to the Intensive Care Unit After Cardiovascular Surgery.

    abstract:BACKGROUND:Pharmacogenomic (PGx) testing has the potential to provide information on specific drug-metabolizing enzymes that may lead to an absence, reduction, or increase in medication effect in patients. There is a paucity of prospective studies examining PGx testing in the intensive care unit (ICU) setting. RESEARC...

    journal_title:Journal of intensive care medicine

    pub_type: 杂志文章

    doi:10.1177/0885066620946303

    authors: Peterson PE,Nicholson WT,Moyer AM,Arendt CJ,Smischney NJ,Seelhammer TG,Krecke CA,Haney RM,Yaw EJ,Chlan LL

    更新日期:2020-07-31 00:00:00

  • Current concepts in the simultaneous transplantation of kidney and pancreas.

    abstract::Diabetes mellitus (DM) represents an enormous health care concern for the United States and other countries. According to the American Diabetes Association in 2007, there were more than 23 million Americans living with diabetes. This is a 13.5% increase from 2005, likely representing increases in Type II DM (DMII). Di...

    journal_title:Journal of intensive care medicine

    pub_type: 杂志文章,评审

    doi:10.1177/0885066610396813

    authors: Scalea JR,Cooper M

    更新日期:2012-07-01 00:00:00

  • Arterial Oxygenation in Traumatic Brain Injury-Relation to Cerebral Energy Metabolism, Autoregulation, and Clinical Outcome.

    abstract:BACKGROUND:Ischemic and hypoxic secondary brain insults are common and detrimental in traumatic brain injury (TBI). Treatment aims to maintain an adequate cerebral blood flow with sufficient arterial oxygen content. It has been suggested that arterial hyperoxia may be beneficial to the injured brain to compensate for c...

    journal_title:Journal of intensive care medicine

    pub_type: 杂志文章

    doi:10.1177/0885066620944097

    authors: Wettervik TS,Engquist H,Howells T,Lenell S,Rostami E,Hillered L,Enblad P,Lewén A

    更新日期:2020-07-27 00:00:00

  • Hyponatremia: A Review.

    abstract::Hyponatremia is the most frequently occurring electrolyte abnormality and can lead to life-threatening complications. This disorder may be present on admission to the intensive care setting or develop during hospitalization as a result of treatment or multiple comorbidities. Patients with acute hyponatremia or symptom...

    journal_title:Journal of intensive care medicine

    pub_type: 杂志文章,评审

    doi:10.1177/0885066614566794

    authors: Buffington MA,Abreo K

    更新日期:2016-05-01 00:00:00