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Related Experiment Videos

Innovative solutions: family conference progress note.

Mary Whitmer1, Brian Hughes, Susan Marie Hurst

  • 1Banner Good Samaritan Medical Center, 10410 N. Cave Creek Road, Phoenix, AZ 85020, USA.

Dimensions of Critical Care Nursing : DCCN
|April 14, 2005
PubMed
Summary

Complex medical illness in the intensive care unit (ICU) causes distress, straining communication. A shift is occurring from paternalistic care to prioritizing patient and family wishes in medical decision-making.

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Area of Science:

  • Medical communication
  • Intensive care medicine
  • Patient-centered care

Background:

  • Complex medical illnesses, particularly in intensive care units (ICUs), induce significant grief and anxiety.
  • High mortality rates in ICUs exacerbate communication challenges between healthcare providers and patients' families.
  • Historically, medical decision-making, especially for non-communicative patients, followed a paternalistic model focused on curative intent.

Purpose of the Study:

  • To examine the evolving communication dynamics between medical staff and families in ICUs.
  • To analyze the paradigm shift in patient care goals and family expectations over the past 15-25 years.
  • To discuss the changing role of physicians in decision-making concerning critically ill patients and their families.

Main Methods:

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  • This article addresses a topic through a review and discussion of existing literature and clinical practices.
  • It analyzes the historical context and recent changes in intensive care unit (ICU) communication and decision-making.
  • The focus is on the shift from physician-centered to family-centered approaches.

Main Results:

  • A significant paradigm shift has occurred in the last 15-25 years regarding care goals in ICUs.
  • Family expectations from physicians have evolved considerably.
  • Physicians' perspectives on the objectives of medical care, especially in ICUs, have also changed.

Conclusions:

  • The traditional paternalistic approach to ICU care is being replaced by a more collaborative model.
  • Modern intensive care medicine increasingly emphasizes incorporating patient and family wishes into decision-making.
  • Effective communication strategies are crucial for navigating the complexities of critical illness and end-of-life care.