2018
DOI: 10.1542/peds.2018-0516h
|View full text |Cite
|
Sign up to set email alerts
|

Supporting Family Decision-making for a Child Who Is Seriously Ill: Creating Synchrony and Connection

Abstract: NIHThe families of children with chronic or serious illness are sometimes faced with difficult decisions never previously imagined. We offer a stepwise approach in building a human connection with these families to support them through the decision-making process. We encourage the clinician to stop talking and to actively listen and find common ground. We suggest that offering open and honest information begins with an invitation. We encourage clinicians to explore concepts with the family, including their fea… Show more

Help me understand this report

Search citation statements

Order By: Relevance

Paper Sections

Select...
2
1
1

Citation Types

1
12
0
2

Year Published

2020
2020
2023
2023

Publication Types

Select...
5
3

Relationship

0
8

Authors

Journals

citations
Cited by 33 publications
(15 citation statements)
references
References 67 publications
1
12
0
2
Order By: Relevance
“…142 Within this regard, it could be interesting to introduce a shared decision horizon that allows families to recalibrate their decisions and expectations. 44 Likewise, the healthcare team should reassure parents that the decision to forego treatment is not the equivalent of "doing nothing. "…”
Section: Loss Of Independencementioning
confidence: 99%
“…142 Within this regard, it could be interesting to introduce a shared decision horizon that allows families to recalibrate their decisions and expectations. 44 Likewise, the healthcare team should reassure parents that the decision to forego treatment is not the equivalent of "doing nothing. "…”
Section: Loss Of Independencementioning
confidence: 99%
“…"A gente ainda tem dificuldade de A qualidade do atendimento depende de uma comunicação clara e objetiva que, quando ignorada, gera conflitos e inseguranças para o familiar 11 . A comunicação de notícias difíceis é, de fato, vista pelos profissionais como a mais delicada nesse processo 28,29,30 .…”
Section: Comunicação Da Notíciaunclassified
“…" Decidir por introduzir uma criança em cuidados paliativos deve acontecer com garantia da compreensão da família sobre essa abordagem, o que pode ser uma dificuldade para a equipe, mas é essencial que a família participe da tomada de decisões 4,29,31 .…”
Section: Comunicação Da Notíciaunclassified
“…Nevertheless, the pervasiveness of life-sustaining technology often interferes with shared decision-making regarding appropriate treatments [ 9 , 10 , 11 , 12 ]. Shared decision-making, broadly construed, can be understood as “an accepted standard of collaborative care processes that involves the patient (and family) and the clinician using the best evidence in consideration of the patient’s (and family’s) values, goals, and preferences related to decisions” [ 13 ] (p. S171). However, technological interference in shared decision-making, coupled with the lack of robust spiritual support, results in disproportionate treatments sometimes being elected out of either desperation—often couched in language of “hoping for a miracle” [ 14 ]—or a false belief that Catholic teaching requires that every means be utilized to sustain life.…”
Section: Introductionmentioning
confidence: 99%