Between a rock and a hard place: Anticipating poor surgical outcomes while honoring patient autonomy

Calista M. Harbaugh, Christopher P. Scally, Daniel B. Hinshaw, Pasithorn A. Suwanabol

Research output: Chapter in Book/Report/Conference proceedingChapter

Abstract

This chapter identifies barriers to patient-centered care in those nearing the end of life, explores best practices for addressing surgical expectations in high-risk patients and integrating palliative care into the interdisciplinary perioperative team, and discusses potential adverse effects of current surgical quality metrics and their effect on the surgeon. We propose an enhanced model for palliative care involvement in surgical care for patients at the end of life which includes support for the patient and surgeon to maintain a patient-centered approach and lessen the emotional toll of unexpected outcomes.

Original languageEnglish (US)
Title of host publicationPalliative Skills for Frontline Clinicians
Subtitle of host publicationCase Vignettes in Everyday Hospital Medicine
PublisherSpringer International Publishing
Pages145-152
Number of pages8
ISBN (Electronic)9783030444143
ISBN (Print)9783030444136
DOIs
StatePublished - Jan 1 2020

Keywords

  • Burnout
  • Palliative care
  • Patient-centered
  • Surgery
  • Withdrawal of care

ASJC Scopus subject areas

  • General Medicine

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