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1Department of Family and Preventive Medicine, University of Utah, Salt Lake City, UT 84108, USA. peter.deschweinitz@utah.edu
Journal of the American Board of Family Medicine : JABFM
|November 9, 2010
Summary
A neurosurgeon navigated a comatose patient
Area of Science:
- Neuroscience
- Medical Ethics
- Patient Care
Background:
- A patient with a hemorrhagic stroke became comatose.
- The patient's family faced difficult treatment decisions.
Purpose of the Study:
- To explore shared decision-making in critical care.
- To examine the role of values and spirituality in medical choices.
Main Methods:
- A narrative case study of a neurosurgeon and a patient's family.
- Analysis of informed consent and decision-making processes.
Main Results:
- The family struggled with indecision despite surgical options.
- The neurosurgeon's communication connected the family to their values.
Conclusions:
- Spiritual engagement can be crucial in patient care.
- Consideration of non-rational elements in medical decision-making is vital.
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