SCCM Resource Library-Understanding and Implementing Informed Nondissent in the ICU

Understanding and Implementing Informed Nondissent in the ICU

Video Transcription

Video Summary

Alex Kahn, a pediatric intensivist and bioethicist, discusses medical decision-making, emphasizing the lack of consensus on its goals. He highlights the importance of aligning decisions with patient values, informed by evidence, and minimizing decisional regret. Kahn contrasts traditional principalism with the newer concept of relational autonomy, which values relationships and community. He introduces informed non-dissent as a model where clinicians take a more active role in decision-making when surrogates prefer a passive approach. This method respects surrogate preferences and avoids forcing decisions upon them, ensuring support and respect for their choices.

Asset Caption

One-Hour Concurrent Session | Personalized Decision-Making: Techniques to Support Patients and Families Facing Difficult Choices

Meta Tag

Content Type Presentation

Membership Level Professional

Membership Level Select

Year 2024

Keywords

medical decision-making

relational autonomy

informed non-dissent

patient values

bioethics

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