How do you approach end-of-life care discussions with patients who have a history of substance abuse in critical care?

Sample interview questions: How do you approach end-of-life care discussions with patients who have a history of substance abuse in critical care?

Sample answer:

Approaching End-of-Life Care Discussions with Patients with Substance Abuse Histories

1. Establish a Safe and Empathetic Environment:

• Respect the patient’s past experiences and acknowledge the potential stigma associated with substance abuse.
• Ensure privacy, confidentiality, and a non-judgmental atmosphere.

2. Assess the Patient’s Understanding and Goals:

• Involve the patient in discussions and determine their understanding of their condition, prognosis, and values.
• Explore their hopes, fears, and preferences regarding end-of-life care.

3. Address Substance Abuse History Sensitively:

• Acknowledge the patient’s history without belittling or stigmatizing them.
• Discuss how substance abuse may have impacted their health and decision-making but avoid focusing solely on their past.

4. Involve Support Systems and Resources:

• Engage family, friends, or substance abuse support groups who can provide emotional and practical support.
• Connect patients with resources for addiction … Read full answer

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