SCCM Resource Library-One-Size Advance Directives Do Not Fit All

Video Transcription

Video Summary

The speaker discusses conflicts between clinicians and patients or their surrogates regarding treatment decisions, especially around end-of-life care. Using a case of a four-month-old with anencephaly and a ruptured encephalocele, the speaker highlights the ethical challenges healthcare providers face, focusing on balancing beneficence, non-maleficence, and respect for persons. The talk emphasizes the importance of narrative medicine competencies to clarify goals of care and mitigate conflicts. By understanding patients' stories, remaining humble, and listening actively, clinicians can navigate conflicts more effectively, supporting families' realistic hopes. In the discussed case, extensive ethics consultations and dialogues with the family led to a decision they accepted, without curative options available. The approach respects both the emotional and faith-based perspectives of the family, resulting in a compassionate care plan tailored to the child's needs, ultimately allowing for a peaceful transition to hospice care at home.

Asset Caption

One-Hour Concurrent Session | Using the “F Word" in the ICU: Futility and Its Ethical Conundrums in Critical Care

Meta Tag

Content Type Presentation

Membership Level Professional

Membership Level Select

Year 2024

Keywords

end-of-life care

ethical challenges

narrative medicine

clinician-patient conflict

compassionate care

hospice transition

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