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[Shared decision-making in acute life-threatening situations: two cases].

Marlieke H Cools1, Armand R J Girbes2, Suzanne Metselaar3

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Summary

Shared decision-making (SDM) is vital for critical care but challenging in emergencies. Effective communication and multidisciplinary collaboration are key to ensuring patient-centered care aligns with values and needs.

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Area of Science:

  • Medical Ethics
  • Emergency Medicine
  • Patient-Centered Care

Background:

  • Shared decision-making (SDM) is crucial for aligning treatment with patient values in critical care.
  • Life-threatening emergencies pose challenges to SDM due to time constraints and coordination issues.
  • Inadequate SDM can lead to inappropriate care and adverse outcomes.

Purpose of the Study:

  • To explore the challenges and importance of SDM in emergency settings.
  • To highlight the impact of SDM on patient outcomes through case examples.
  • To propose strategies for enhancing SDM in acute care environments.

Main Methods:

  • Case study analysis of two patients in critical conditions.
  • Review of SDM processes in emergency treatment scenarios.
  • Examination of multidisciplinary team collaboration in decision-making.

Main Results:

  • Patient A's case demonstrated negative outcomes due to insufficient SDM in acute aortic dissection.
  • Patient B's case illustrated a positive end-of-life experience achieved through thorough SDM and palliative care consultation.
  • Effective communication and collaboration are critical for successful SDM in emergencies.

Conclusions:

  • Implementing SDM in acute settings requires dedicated time and multidisciplinary involvement.
  • Palliative care should be considered a primary treatment option within SDM frameworks.
  • Prioritizing patient-centered communication ensures medical interventions respect patient values and needs.