Decision making palliative care dear patient palliative care specialists are experts in talking about difficult decisions even if youve heard of palliative care before now please read this handout that explains why we recommend a palliative care consultation to help us continue discussing your treatment options in helpful hopeful ways. Ethical decision making with end of life care palliative sedation and withholding or withdrawing life sustaining treatments when facing these decisions palliative medicine physicians often cite the doctrine of double effect in ps practice 192223 ethical decision making in the care of the dying and its applications to clinical . Its okay to ask if they can be included in discussions with the care team once a decision is made once important decisions are made its essential that everyone involved or likely to be involved in your childs care is informed many hospitals and palliative care services have documents where these decisions are recorded. The concept of shared decision making is most commonly defined as the process of integrating both the best available evidence and patients values and preferences in the decision making process 1 while there is consensus that palliative and end of life care decisions are preference sensitive and therefore an appropriate context for the . The organization of care had an impact on decision making conversations the timing and origin of referrals to palliative care shaped whether patients were still able to participate in decision making and the decisions that remained to be made the type of decisions to be made also shaped how conversations were initiated
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