Sample interview questions: How do you approach end-of-life care discussions with patients who have conflicting wishes expressed in their advance directives in critical care?
Sample answer:
- Establish a Relationship of Trust and Open Communication:
- Foster a trusting relationship with the patient and their family, encouraging open and honest conversations about their wishes and concerns.
- Demonstrate empathy, active listening, and respect for the patient’s autonomy and values.
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Ensure that the patient and family understand the purpose and importance of advance directives.
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Gather Relevant Information:
- Review the patient’s advance directives, including any written or verbal statements, and discuss the specific treatment preferences outlined in the documents.
- Obtain information about the patient’s current medical condition, prognosis, and treatment options from the healthcare team.
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Assess the patient’s decision-making capacity and ability to understand and participate in discussions about their care.
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Facilitate a Family Meeting:
- Encourage the involvement of the patient’s family or designated surrogate decision-makers in the discussions.
- Facilitate a family meeting to discuss the patient’s wishes, address any conflicts or differences in perspectives, and reach a consensus on the best course of action.
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Ensure that all family members have a chance to express their views and concerns.
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Address Ethical and Legal Considerations:
- Consider the ethical and legal implications of providing care that conflicts with the patient’s expressed wishes.
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Consult with the healthcare team, legal counsel, or ethics committee to ensure that the patient’s rights are protected and that the decisions align with ethical and legal standards.
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Explore the Underlying Reasons for the Conflict:
- Explore the reaso… Read full answer
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