{"title":"Communicating with Families after Severe Acute Brain Injury.","authors":"Adeline L Goss, Claire J Creutzfeldt","doi":"10.1007/s12028-025-02252-x","DOIUrl":null,"url":null,"abstract":"<p><p>Communicating with patients and families after severe acute brain injury (SABI) is often considered an art, but the science of communication in SABI is advancing. Recent research demonstrates how surrogates perceive various styles of prognostic language in SABI, provides insight on factors that influence prognostic discordance between surrogate decision-makers and clinicians, and identifies sources of bias in prognostic communication and shared decision-making. In this article for Neurocritical Care's topical collection on palliative care, we review this latest research, offer strategies to approach difficult communication tasks with insufficient evidence to guide practice, and discuss ethical issues relevant to decision-making for this patient population.</p>","PeriodicalId":19118,"journal":{"name":"Neurocritical Care","volume":" ","pages":"671-681"},"PeriodicalIF":3.6000,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Neurocritical Care","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1007/s12028-025-02252-x","RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"2025/4/11 0:00:00","PubModel":"Epub","JCR":"Q2","JCRName":"CLINICAL NEUROLOGY","Score":null,"Total":0}
引用次数: 0
Abstract
Communicating with patients and families after severe acute brain injury (SABI) is often considered an art, but the science of communication in SABI is advancing. Recent research demonstrates how surrogates perceive various styles of prognostic language in SABI, provides insight on factors that influence prognostic discordance between surrogate decision-makers and clinicians, and identifies sources of bias in prognostic communication and shared decision-making. In this article for Neurocritical Care's topical collection on palliative care, we review this latest research, offer strategies to approach difficult communication tasks with insufficient evidence to guide practice, and discuss ethical issues relevant to decision-making for this patient population.
期刊介绍:
Neurocritical Care is a peer reviewed scientific publication whose major goal is to disseminate new knowledge on all aspects of acute neurological care. It is directed towards neurosurgeons, neuro-intensivists, neurologists, anesthesiologists, emergency physicians, and critical care nurses treating patients with urgent neurologic disorders. These are conditions that may potentially evolve rapidly and could need immediate medical or surgical intervention. Neurocritical Care provides a comprehensive overview of current developments in intensive care neurology, neurosurgery and neuroanesthesia and includes information about new therapeutic avenues and technological innovations. Neurocritical Care is the official journal of the Neurocritical Care Society.