Sean Morrison
speaker
515 appearances
4 recordings
1 series
first heard Apr 2017
last heard Mar 2022
Sean Morrison’s voice in public audio — every appearance, attributed to the second.
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Appearances
So many times when we had a goals of care discussion with somebody who had done a medical order for life-sustaining treatment, and we say, you know, for example, your prior wishes were X. And they say, oh, no, no, no, no, no, no.
Now that you've explained it to me, I want Y. And similar with family members.
I think that we need a better way of having those conversations in real time.
again, do I know what that looks like?
I don't.
But I think that that's an empiric question we can answer.
And that may be where we should be focusing some of our communication research rather than trying to do all this in advance.
Advance is for us.
Advance means that it's easier for us to make decisions in a crisis.
We have a roadmap, we have a plan, we know what to do, and therefore we don't have to make any decisions.
I'm not sure what patients and families want.
You know, it's a very interesting question and one that a lot of people have asked, right?
Which is, does having something in advance take the burden off a proxy maker?
And I suspect it does in some circumstances, right?
And I suspect in some circumstances might make the decision easier.
That being said, I would be really interested in the study that compares that to a healthcare professional who sits down and has a very good goals of care in the moment discussion and guide somebody through a decision that couldn't be predicted in advance and what the outcomes on that family are.
My guess, quite honestly, is that, yeah,
The advance directive may have made the decision-making a little easier, but I suspect that if you compared that to what is a very good-in-the-moment goals of care discussion, the impact would be a lot more favorable to that family member.
And I get it, Anne.
I think there perhaps are some circumstances when that happens, but they're not the majority.
Showing 221–240 of 515 · page 12 of 26
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