• J Palliat Med · Oct 2022

    Top Ten Tips Palliative Care Clinicians Should Know About Disorders of Consciousness: A Focus on Traumatic and Anoxic Brain Injury.

    • Alexis Steinberg, Christine Hudoba, David Y Hwang, Neha M Kramer, Ambereen K Mehta, Susanne Muehlschlegel, Christopher A Jones, and Jessica Besbris.
    • Department of Critical Care Medicine, University of Pittsburgh School of Medicine, Pittsburgh, Pennsylvania, USA.
    • J Palliat Med. 2022 Oct 1; 25 (10): 1571-1578.

    AbstractPalliative care (PC) teams commonly encounter patients with disorders of consciousness (DOC) following anoxic or traumatic brain injury (TBI). Primary teams may consult PC to help surrogates in making treatment choices for these patients. PC clinicians must understand the complexity of predicting neurologic outcomes, address clinical nihilism, and appropriately guide surrogates in making decisions that are concordant with patients' goals. The purpose of this article was to provide PC providers with a better understanding of caring for patients with DOC, specifically following anoxic or TBI. Many of the tips acknowledge the uncertainty of DOC and provide strategies to help tackle this dilemma.

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