Document Detail


''In the Beginning . . . '': Tools for Talking About Resuscitation and Goals of Care Early in the Admission.
MedLine Citation:
PMID:  23236089     Owner:  NLM     Status:  Publisher    
Abstract/OtherAbstract:
Quality standards no longer allow physicians to delay discussing goals of care and resuscitation. We propose 2 novel strategies for discussing goals and resuscitation on admission. The first, SPAM (determine Surrogate decision maker, determine resuscitation Preferences, Assume full care, and advise them to expect More discussion especially with clinical changes), helps clinicians discover patient preferences and decision maker during routine admissions. The second, UFO-UFO (Understand what they know, Fill in knowledge gaps, ask about desired Outcomes, Understand their reasoning, discuss the spectrum Feasible Outcomes), helps patients with poor or uncertain prognosis or family-team conflict. Using a challenging case example, this article illustrates how SPAM and UFO-UFO can help clinicians have patient-centered resuscitation and goals of care discussions at the beginning of care.
Authors:
Jocelyn White; Erik K Fromme
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Publication Detail:
Type:  JOURNAL ARTICLE     Date:  2012-12-12
Journal Detail:
Title:  The American journal of hospice & palliative care     Volume:  -     ISSN:  1938-2715     ISO Abbreviation:  Am J Hosp Palliat Care     Publication Date:  2012 Dec 
Date Detail:
Created Date:  2012-12-13     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  9008229     Medline TA:  Am J Hosp Palliat Care     Country:  -    
Other Details:
Languages:  ENG     Pagination:  -     Citation Subset:  -    
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