• Anesthesiology clinics · Mar 2016

    Review

    Perioperative Ethical Issues.

    • Arvind Chandrakantan and Tracie Saunders.
    • Department of Anesthesiology, Institutional Ethics Committee, Stony Brook University Medical Center, HSC Level 4, Room # 060, Stony Brook, NY 11794, USA. Electronic address: Arvind.Chandrakantan@stonybrookmedicine.edu.
    • Anesthesiol Clin. 2016 Mar 1; 34 (1): 35-42.

    AbstractShared decision-making is a paradigm of patient engagement that is assuming greater importance in the era of value-based health care. The basic tenets include patient engagement on clinical decisions, taking into account multiple factors that influence physician and patient decision-making. Understanding and reconciling diametrically opposed views of care are important tenets of shared decision-making. Because many decisions are made preoperatively, the applicability of these principles may be useful especially in the situation of a higher risk surgical candidate. Many patients with Do-Not-Resuscitate (DNR) orders are undergoing procedures to improve quality of life. This article explores shared decision-making and DNR. Copyright © 2016 Elsevier Inc. All rights reserved.

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