Hope - Holy Cross Hospital

More documents

Recommendations

Info

CognitiveDiagnosis/PredictabilityPrognosisSunk CostFuture RegretHopeMajor Influences onDecision-Makingin ICUGoalsandDecisionsEmotionalFearPrior ExperienceAngerDenialValues/Religion/SpiritualHopeChapman GB et al. Cognitive processes and biasesin medical decision making. Decision Making inHealthcare: Theory, Psychology, and Application.Cambridge Univ. Press 2000, 183-210.
Impact of Hope on Decision-Making inthe ICU“Titrating Guidance”• Clinician’s role in decision-making adapts over time to changes inthe patients state of health based on likelihood of recovery.• Five steps:1) Determine where (predictability of outcome/acceptable QOL)the patient is in the ICU.2) Identify the cognitive and emotional factors and preferences foroutcomes that affect the decision-making process of thepatient/family.3) Reflect on your own cognitive and emotional reaction todecisions.4) Acknowledge how these factors can be addressed inconversation.5) GUIDE the patient/family in creating a plan.Goldstein NE, Back AL, Morrison RS,Titrating Guidance: A Model to Guide Physicians in Assisting Patients and Family MembersWho are Facing Complex Decisions. Arch Intern Med (2008); 168(16): 1733-1739
Page 2 and 3: “Hoping for Hope”:Translating H
Page 4 and 5: Objectives1Discuss Nature and Defin
Page 6 and 7: “Hope is a mystery…..a human st
Page 8 and 9: Hope TheoryAn Interdisciplinary App
Page 10 and 11: “There appear to be no well-devel
Page 12 and 13: Hope Theory• Currently:- No unive
Page 14 and 15: Hope TheoryParticularizedSpecific,
Page 16: Hope Theory Frameworks1) Snyder 2)
Page 19 and 20: Hope Theory: Snyder Framework• Go
Page 21 and 22: Hope Theory: Nekolaichuk Framework
Page 23 and 24: UniversalUniversalityUniqueOne-dime
Page 25 and 26: Hope Theory: Scioli Framework• Ma
Page 27 and 28: Translating Hope Theory intoHope En
Page 29 and 30: Strategies for Healthcare Providers
Page 31 and 32: Pursuitof Chosen GoalsDx of Life-th
Page 33 and 34: Case Study 2When “Unreasonable”
Page 35: Impact of Hope on Decision-Making i
Page 39 and 40: Back to Case Study 2
Page 41 and 42: The New Clinical Decision -MakingPr

Hope - Holy Cross Hospital

You also want an ePaper? Increase the reach of your titles

Delete template?

Save as template?