Behavioral science

Question 1

What are some common factors that can lead to misunderstanding a diagnosis or prognosis?

Answer 1

Unaware of a diagnosis or doesn't understand it; jargon
Conflicting information
Stress; unprepared
Sleep deprivation
Not smart enough

Question 2

How do you communicate and negotiate to resolve misunderstanding when discussing treatment options?

Answer 2

Choose a primary communicator but provide access to everyone
Give information in small pieces and multiple formats
Understandable language
Repetition

Asses understanding frequently
Encourage writing down questions
Involve other health care professionals

Question 3

What’s the due process approach to futility?

Answer 3

Joint decision making
Negotiation
Involvement of a committee
Transfer to another physician or facility

Question 4

What is the benefit of implementing the best possible process for the patient and family?

Answer 4

Make end of life care less stressful for everyone

Communicate to address gaps between hope and medical reality; measure expectations