Survey looks at barriers to advance care discussions

03/6/2012 | PhysiciansBriefing.com · Medscape (free registration)

A survey of ICU physicians and nurses at two Massachusetts hospitals found the main barriers to advance care discussions about pediatric patients with life-threatening conditions were unrealistic parental expectations, differences in how physicians and parents understand the prognosis, and the readiness of parents to talk about the issues. The report in the journal Pediatrics said other problems included concern about taking away hope, uncertainty about prognosis among clinicians and not knowing the right time to begin the discussion.

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