Don't forget shared decision-making in the COVID-19 crisis

Nicholas Simpson; Sharyn Milnes; Daniel Steinfort

doi:10.1111/imj.14862

Don't forget shared decision-making in the COVID-19 crisis

Intern Med J. 2020 Jun;50(6):761-763. doi: 10.1111/imj.14862.

Authors

Nicholas Simpson¹, Sharyn Milnes², Daniel Steinfort^{3

4}

Affiliations

¹ Intensive Care Unit, Barwon Health, Geelong, Victoria, Australia.
² Clinical Education and Training Unit, Barwon Health, Geelong, Victoria, Australia.
³ Department of Respiratory Medicine, Royal Melbourne Hospital, Melbourne, Victoria, Australia.
⁴ Department of Medicine, The University of Melbourne, Melbourne, Victoria, Australia.

Abstract

Mechanical ventilation as a resource is limited and may lead to poor outcomes in at-risk populations. Critical care supports may not be preferred by those at risk of deterioration in the COVID-19 setting. Patient-centred communication and shared decision-making should continue to remain central to clinical practice.

Keywords: COVID; patient-centred care; shared decision-making.

MeSH terms

COVID-19
Communication*
Coronavirus Infections / epidemiology
Coronavirus Infections / psychology*
Coronavirus Infections / therapy*
Decision Making, Shared*
Health Care Rationing / statistics & numerical data*
Humans
Pandemics
Patient Education as Topic
Patient-Centered Care / methods*
Physician-Patient Relations*
Pneumonia, Viral / epidemiology
Pneumonia, Viral / psychology*
Pneumonia, Viral / therapy*
Practice Guidelines as Topic
Ventilators, Mechanical / supply & distribution*