Jove
Visualize
Contact Us
JoVE
x logofacebook logolinkedin logoyoutube logo
ABOUT JoVE
OverviewLeadershipBlogJoVE Help Center
AUTHORS
Publishing ProcessEditorial BoardScope & PoliciesPeer ReviewFAQSubmit
LIBRARIANS
TestimonialsSubscriptionsAccessResourcesLibrary Advisory BoardFAQ
RESEARCH
JoVE JournalMethods CollectionsJoVE Encyclopedia of ExperimentsArchive
EDUCATION
JoVE CoreJoVE BusinessJoVE Science EducationJoVE Lab ManualFaculty Resource CenterFaculty Site
Terms & Conditions of Use
Privacy Policy
Policies

Related Concept Videos

SBAR II: Application of SBAR01:14

SBAR II: Application of SBAR

6.7K
SBAR is an effective communication tool used by healthcare professionals to communicate patient information accurately. SBAR stands for Situation, Background, Assessment, and Recommendation. For a better understanding, an example is given below.
SBAR Report from a Nurse to a Health Care Provider
S: "Hello, Dr. Smith. This is Jane, RN, from the Med Surg unit. I am calling to tell you about Ms. White in Room 210, who is experiencing increased pain and redness at her incision site. Her recent...
6.7K
Peripheral Artery Disease V: Postoperative Nursing Management01:23

Peripheral Artery Disease V: Postoperative Nursing Management

535
During the postoperative period, it is crucial to focus on maintaining circulation, identifying and managing potential complications, and planning for discharge.Nursing AssessmentVital signs monitoring: Regularly monitor vital signs, including blood pressure, heart rate, respiratory rate, and temperature, to detect early signs of complications such as bleeding and infection.Circulation assessment: Monitor pulses, perform Doppler assessments, and check capillary refill, color, temperature, and...
535
Cardiomyopathy VII: Pre and Post Operative Nursing Management01:28

Cardiomyopathy VII: Pre and Post Operative Nursing Management

416
Patients with hypertrophic cardiomyopathy (HCM) and left ventricular outflow tract (LVOT) obstruction who remain symptomatic despite optimal medical therapy may undergo a septal myectomy (Morrow procedure). This procedure involves excising a portion of the hypertrophied septum below the aortic valve using a heart-lung machine to improve blood flow through the LVOT. Effective preoperative and postoperative nursing management ensures successful patient outcomes, minimizes complications, and...
416
Standards of Care II01:19

Standards of Care II

1.2K
Nurses bear specific legal responsibilities under several federal statutes, including:
1.2K
Methods of Documentation VI: Case Management Model01:15

Methods of Documentation VI: Case Management Model

1.0K
The case management model is a multidisciplinary approach that involves healthcare professionals from diverse disciplines, such as physicians, nurses, therapists, social workers, and pharmacists, working collaboratively to address the various needs of patients. Each healthcare professional brings unique expertise and perspectives, contributing to a more comprehensive understanding of the patient's condition and tailoring treatment plans accordingly.
For example, a patient with a chronic...
1.0K
Standards of Care I01:22

Standards of Care I

1.3K
Federal statutes profoundly impact nursing practice, providing critical guidelines to ensure patient care is equitable, accessible, and of the highest quality. The following laws address distinct aspects of healthcare provision and patient rights:
1.3K

You might also read

Related Articles

Articles linked to this work by shared authors, journal, and citation graph.

Sort by
Same author

Preoperative considerations for nonoperating room anesthesia.

Current opinion in anaesthesiology·2026
Same author

Development of a Preoperative Physical Frailty-associated Screening Process: A Quality Improvement Initiative.

International anesthesiology clinics·2026
Same author

Diversity, Equity, and Inclusion: Scoping Review: Reply.

Anesthesiology·2026
Same author

Perioperative management of patients taking sodium-glucose cotransporter 2 inhibitors: Society for Perioperative Assessment and Quality Improvement (SPAQI) multidisciplinary consensus statement.

British journal of anaesthesia·2026
Same author

One Size Does Not Fit All: A Call for More Personalized Perioperative Metrics.

Anesthesia and analgesia·2026
Same author

Sex differences in surgical patients with preoperative iron deficiency anemia.

Transfusion·2026

Related Experiment Videos

An Agenda for Improving Perioperative Code Status Discussion.

Thomas R Hickey1, Zara Cooper, Richard D Urman

  • 1From the *Yale University School of Medicine, Department of Anesthesiology, VA Connecticut Healthcare System, West Haven, Connecticut; †Department of Surgery, Division of Trauma, Burns, and Surgical Critical Care, and the Center for Surgery and Public Health, Brigham and Women's Hospital, Boston, Massachusetts; ‡Ariadne Labs, Boston, Massachusetts; §Center for Surgery and Public Health, Brigham and Women's Hospital, Boston, Massachusetts; and ‖Harvard Medical School, Department of Anesthesiology, Perioperative and Pain Medicine, Brigham and Women's Hospital, Boston, Massachusetts.

A & a Case Reports
|June 15, 2016
PubMed
Summary

Code status discussions (CSDs) ensure patient-centered care during surgery. Improving physician training in these crucial conversations enhances shared decision-making for end-of-life care.

Related Experiment Videos

Area of Science:

  • Medical Ethics
  • Perioperative Medicine
  • Patient Advocacy

Background:

  • Code status discussions (CSDs) are essential for clarifying patient wishes regarding cardiopulmonary resuscitation (CPR) during cardiac or respiratory arrest.
  • These discussions are a critical element of perioperative care, especially for patients nearing the end of life, emphasizing the need for patient-centered and shared decision-making.
  • Physicians often lack adequate training in performing CSDs, potentially leading to suboptimal patient care, particularly within the perioperative setting.

Observation:

  • Perioperative physicians face unique challenges in conducting patient-centered and shared CSDs.
  • A specific case highlights the complexities of CSDs for a medical professional with a do-not-resuscitate (DNR) order.
  • Current physician training appears insufficient for effectively navigating these sensitive discussions in the perioperative period.

Findings:

  • There is a significant gap in physician training and performance of perioperative code status discussions.
  • Achieving a truly patient-centered and shared CSD is difficult, especially in complex cases involving medical professionals.
  • Existing practices may not adequately support shared decision-making for resuscitation preferences in the perioperative phase.

Implications:

  • Enhanced training programs are needed to improve physicians' skills in conducting perioperative CSDs.
  • Developing standardized protocols for perioperative CSDs can promote patient-centered care and shared decision-making.
  • Addressing CSD challenges can lead to better end-of-life care planning and respect for patient autonomy in surgical settings.