FREE ACCS Ethics and Communication Questions and Answers
If a patient who is unable to communicate has an advance directive that conflicts with the current clinical situation, how should the healthcare team proceed?
An advance directive should be considered in the context of the patient’s current condition. It is important to review the directive and discuss it with the family to ensure that the treatment aligns with the patient’s values and preferences, especially if there are uncertainties or conflicts with the current situation.
In the context of informed consent, which aspect is critical for ensuring that the patient or their surrogate understands the treatment plan?
Informed consent requires that the patient or their surrogate fully understands the risks, benefits, and alternatives of the proposed treatment. This ensures that they can make an informed decision based on a comprehensive understanding of the situation, rather than focusing solely on technical details or minimizing risks, which can lead to an incomplete understanding.
What is the most appropriate way to handle a situation where a patient's family insists on a treatment that is deemed medically inappropriate by the healthcare team?
Engaging in a respectful and transparent discussion with the family helps in addressing their concerns and explaining why the requested treatment may not be medically appropriate. It is important to explore alternative options and work collaboratively to find a solution that aligns with the patient’s best interests and values.
How should a healthcare team approach the issue of cultural or religious beliefs that may influence a patient's or family’s healthcare decisions?
Respecting and considering cultural or religious beliefs is essential in providing patient-centered care. The healthcare team should work collaboratively with the patient or family to integrate these beliefs into the care plan while providing evidence-based medical recommendations.
When discussing a poor prognosis with a patient's family, what is the most appropriate approach?
Honesty and compassion are crucial in discussing poor prognoses. It’s important to explain the prognosis clearly and sensitively, addressing the family's concerns while providing all necessary information about the situation and available options.