How do you handle end-of-life care discussions with patients and their families in the ICU?

Sample interview questions: How do you handle end-of-life care discussions with patients and their families in the ICU?

Sample answer:

1. Initiate the Conversation:
2. Begin the discussion with sensitivity and empathy, expressing your understanding of the patient’s condition and the difficult decisions that lie ahead.

3. Normalize and legitimize their feelings, allowing them to express emotions such as fear, sadness, and anger.

4. Establish a Communication Plan:

5. Ask patients and families about their preferred method of communication (in-person, video call, or phone).
6. Respect their wishes regarding the frequency and timing of conversations.

7. Ensure open and honest communication among the patient, family, healthcare team, and other relevant parties.

8. Assess Patient’s Understanding and Goals:

9. Encourage patients to share their understanding of their condition, prognosis, and treatment options.

10. Explore their values, preferences, and goals for end-of-life care, including their desired level of intervention and involvement in decision-making.

11. Provide Clear and Honest Information:

12. Use simple, concise language to explain the medical situation, treatment options, and potential outcomes.
13. Avoid medical jargon and technical terms to ensure patient and family members understand the information.

14. Be honest about the prognosis and realistic about the likelihood of recovery.

15. Respect Cultural and Religious Beliefs:

16. Acknowledge and respect patients’ and families’ cultural, religious, and spiritual beliefs regarding end-of-life care.
17. Provide culturally sensitive care that aligns with their values and beliefs.

18. Offer resources, such as spiritual counselors or religious leaders, to support their spiritual needs.

19. Involve I… Read full answer

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