Neurocritical Care Review Course-Ethics, Communication, Prognostication and Decision Making

Ethics, Communication, Prognostication and Decision Making

Video Transcription

Video Summary

This video discusses various ethics, communication, prognostication, and decision-making issues in the ICU. It emphasizes the importance of communication with families, determining decision makers, and conflict resolution. Shared decision making is highlighted as a collaborative process between patients, their surrogates, and clinicians, taking into account scientific evidence and patients' values and preferences. The video also explores the principles of family-centered care and the benefits of family involvement and support in the ICU. Prognostication in neurocritical care is addressed, including the challenges of self-fulfilling prophecy and the need for shared decision-making tools and decision aids. The importance of informed consent and capacity assessment is explained, as well as the role of surrogates as decision-makers. Lastly, the video touches on the ethics of donation after cardiac death. Various guidelines and resources are provided for further information on these topics.

Asset Caption

Aarti Sarwal, MD, FAAN, FNCS, FCCM

Keywords

ethics

communication

prognostication

decision-making

ICU

family-centered care

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