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Challenges in effective communication for end-of-life decision making in clinical practice
1Departments of Neurology, Neurosurgery, and Neurobiology, John Sealy School of Medicine, University of Texas Medical Branch (UTMB), Galveston, TX, USA.
Hospital Practice (1995)
|July 23, 2025
Summary
Navigating end-of-life (EOL) care decisions requires careful consideration of patient wishes, medical factors, and ethical concerns. Effective communication among patients, families, and healthcare providers is crucial for complex EOL care choices.
Area of Science:
- Medical Ethics
- Bioethics
- Healthcare Law
Background:
- End-of-life (EOL) care decisions are multifaceted, involving patients, families, and healthcare providers.
- Numerous factors influence these decisions, including patient/surrogate desires, advance directives, prognosis, beliefs, quality of life, and legal/financial aspects.
Purpose of the Study:
- To highlight the complexity and debates in end-of-life care decision-making.
- To examine the intersection of medicine and legal processes, particularly in cases involving comatose or vegetative patients.
Main Methods:
- Descriptive exposition utilizing three real-life case examples.
- Analysis of factors influencing end-of-life care choices.
Main Results:
- End-of-life decision-making is intricate, involving a wide array of personal, medical, ethical, and legal considerations.
- Case examples illustrate challenges, especially when surrogate decision-making is required for incapacitated patients.
Conclusions:
- Effective and dialogic communication is essential for navigating challenging end-of-life care decisions.
- Improved communication strategies are needed among healthcare providers, patients, and families during critical EOL care planning.
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