Advance Care Planning, Shared Decision Making, and Serious Illness Conversations in Onconephrology

IF 2.8 3区 医学 Q2 UROLOGY & NEPHROLOGY Seminars in nephrology Pub Date : 2022-11-01 DOI:10.1016/j.semnephrol.2023.151349
Amanda Jane Reich PhD, MPH , John Adam Reich MD , Paul Mathew MD
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引用次数: 1

Abstract

Advance care planning, shared decision making, and serious illness conversations are communication processes designed to promote patient-centered care. In onconephrology, patients face a series of complex medical decisions regarding their care at the intersection of oncology and nephrology. Clinicians who aim to ensure that patient preferences and values are integrated into treatment planning must work within a similarly complex care team comprising multiple disciplines. In this review, we describe key decision points in a patient's care trajectory, as well as guidance on how and when to engage in advance care planning, shared decision making, and serious illness discussions. Further research on these processes in the complex context of onconephrology is needed.

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在肿瘤学中预先护理计划、共同决策和严重疾病对话
预先制定护理计划、共同决策和重病对话是旨在促进以患者为中心的护理的沟通过程。在肿瘤学中,患者在肿瘤学和肾脏病学交叉领域面临一系列复杂的医疗决策。临床医生的目标是确保患者的偏好和价值观被整合到治疗计划中,他们必须在一个由多学科组成的类似复杂的护理团队中工作。在这篇综述中,我们描述了患者护理轨迹中的关键决策点,以及如何以及何时参与预先护理计划、共同决策和严重疾病讨论的指导。需要在复杂的精神病学背景下对这些过程进行进一步的研究。
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
Seminars in nephrology
Seminars in nephrology 医学-泌尿学与肾脏学
CiteScore
5.60
自引率
0.00%
发文量
27
审稿时长
6-12 weeks
期刊介绍: Seminars in Nephrology is a timely source for the publication of new concepts and research findings relevant to the clinical practice of nephrology. Each issue is an organized compendium of practical information that serves as a lasting reference for nephrologists, internists and physicians in training.
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