Disclosing Results of Tests for Covert Consciousness: A Framework for Ethical Translation

Young, Michael J.; Kazazian, Karnig; Fischer, David; Lissak, India A.; Bodien, Yelena G.; Edlow, Brian L.

doi:10.1007/s12028-023-01899-8

Neurocrit Care

2024

DOI: 10.1007/s12028-023-01899-8

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Disclosing Results of Tests for Covert Consciousness: A Framework for Ethical Translation

Michael J. Young,

Karnig Kazazian,

David Fischer

et al.

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Cited by 7 publications

References 111 publications

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Ethically Translating Advanced Neurotechnologies for Disorders of Consciousness: A Survey of Clinicians’ Perspectives

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2024

Neurocrit Care

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Ethically Translating Advanced Neurotechnologies for Disorders of Consciousness: A Survey of Clinicians’ Perspectives

Bhardwaj,

Edlow,

Young

2024

Neurocrit Care

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Detecting awareness after acute brain injury

Kazazian,

Edlow,

Owen

2024

The Lancet Neurology

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Altered Mental Status at the Extreme: Behavioral Evaluation of Disorders of Consciousness

Dhadwal,

Cunningham,

Pino

et al. 2024

Semin Neurol

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Disorders of consciousness represent altered mental status at its most severe, comprising a continuum between coma, the vegetative state/unresponsive wakefulness syndrome, the minimally conscious state, and emergence from the minimally conscious state. Patients often transition between these levels throughout their recovery, and determining a patient's current level can be challenging, particularly in the acute care setting. Although healthcare providers have classically relied on a bedside neurological exam or the Glasgow Coma Scale to aid with assessment of consciousness, studies have identified multiple limitations of doing so. Neurobehavioral assessment measures, such as the Coma Recovery Scale-Revised, have been developed to address these shortcomings. Each behavioral metric has strengths as well as weaknesses when applied in the acute care setting. In this review, we appraise common assessment approaches, outline alternative measures for fine-tuning these assessments in the acute care setting, and highlight strategies for implementing these practices in an interdisciplinary manner.

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Disclosing Results of Tests for Covert Consciousness: A Framework for Ethical Translation

Cited by 7 publications

References 111 publications

Ethically Translating Advanced Neurotechnologies for Disorders of Consciousness: A Survey of Clinicians’ Perspectives

Ethically Translating Advanced Neurotechnologies for Disorders of Consciousness: A Survey of Clinicians’ Perspectives

Detecting awareness after acute brain injury

Altered Mental Status at the Extreme: Behavioral Evaluation of Disorders of Consciousness

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