Communicating with Families after Severe Acute Brain Injury.

IF 3.6 3区 医学 Q2 CLINICAL NEUROLOGY
Neurocritical Care Pub Date : 2025-10-01 Epub Date: 2025-04-11 DOI:10.1007/s12028-025-02252-x
Adeline L Goss, Claire J Creutzfeldt
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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.

严重急性脑损伤后与家属沟通。
严重急性脑损伤(SABI)后与患者和家属的沟通通常被认为是一门艺术,但SABI的沟通科学正在进步。最近的研究表明,在SABI中,代理人如何感知各种类型的预后语言,为影响代理人决策者和临床医生之间预后不一致的因素提供了见解,并确定了预后沟通和共同决策中的偏见来源。在这篇文章中,我们回顾了这一最新研究,提供了一些策略来解决缺乏证据的困难沟通任务,以指导实践,并讨论了与这一患者群体决策相关的伦理问题。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
Neurocritical Care
Neurocritical Care 医学-临床神经学
CiteScore
7.40
自引率
8.60%
发文量
221
审稿时长
4-8 weeks
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.
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