Document Detail


A practical approach to the family that expects a miracle.
MedLine Citation:
PMID:  19497899     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
When a patient is extremely ill and/or dying, and the family expects a miraculous recovery, this situation can be very challenging to physicians, particularly when there is certainty that the miracle will occur through divine intervention. A practical approach is therefore provided to clinicians for engaging families that anticipate the miraculous healing of a sick patient. This strategy involves exploring the meaning and significance of a miracle, providing a balanced, nonargumentative response and negotiation of patient-centered compromises, while conveying respect for patient spirituality and practicing good medicine. Such an approach, tailored to the specifics of each family, can be effective in helping a family come to a place of acceptance about the impending death of their loved one.
Authors:
Horace M Delisser
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Publication Detail:
Type:  Case Reports; Journal Article; Research Support, N.I.H., Extramural; Research Support, Non-U.S. Gov't    
Journal Detail:
Title:  Chest     Volume:  135     ISSN:  1931-3543     ISO Abbreviation:  Chest     Publication Date:  2009 Jun 
Date Detail:
Created Date:  2009-06-05     Completed Date:  2009-07-07     Revised Date:  2010-09-27    
Medline Journal Info:
Nlm Unique ID:  0231335     Medline TA:  Chest     Country:  United States    
Other Details:
Languages:  eng     Pagination:  1643-7     Citation Subset:  AIM; IM    
Affiliation:
Department of Medicine, Pulmonary, Allergy and Critical Care Division, University of Pennsylvania School of Medicine, USA. delisser@mail.med.upenn.edu
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MeSH Terms
Descriptor/Qualifier:
Aged
Attitude to Death*
Critical Care / methods
Critical Illness / therapy
Decision Making
Family / psychology
Female
Humans
Intensive Care Units
Palliative Care / methods*
Pneumonia, Bacterial / diagnosis,  therapy
Professional-Family Relations
Religion and Psychology*
Respiratory Insufficiency / diagnosis,  therapy
Sensitivity and Specificity
Spirituality*
Grant Support
ID/Acronym/Agency:
K07HL07921/HL/NHLBI NIH HHS
Comments/Corrections

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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