Researchers surveyed 937 patients receiving dialysis at 31 facilities in Nashville and Seattle from 2015 to 2018. Those for whom religious or spiritual beliefs were more important were more likely to favor a shared decision-making role, more likely to favor resuscitation and mechanical ventilation, and less likely to have considered stopping dialysis.
Reproductive health providers use contraceptive counseling techniques largely based on an able-bodied norm, ignoring the needs of people with disabilities. New research suggests that better communication tactics are needed to reduce disparities and remove barriers for people who are deaf or hard of hearing as well as for people with other disabilities.
Many patients find it challenging to speak with their physicians and ask questions. Case managers can serve as a go-between for patients and as an interpreter, teaching patients how to make the most of these doctor-patient encounters.
Make it clear to patients, families, and anyone who reviews the chart later why a CT was not ordered during the initial visit. If the provider takes the time to explain this, the family is less likely to be angry if there is a delayed diagnosis. Without a discussion at the first visit, the family may believe a CT scan was not ordered because the physician did not take the complaint seriously.
Surgeons may be seeing patients who are frail, but those patients may not be recognized as such. Engage in nuanced discussions and shared decision-making with patients. Include information about how even a small operation could lead to death.