Senior medical student at Washington University School of Medicine in St Louis, Missouri.
Health psychologist and professor of surgery in the Division of Public Health Sciences at Washington University School of Medicine in St Louis, Missouri.
AMA J Ethics. 2020 May 1;22(5):E380-387. doi: 10.1001/amajethics.2020.380.
Illness and injury often entail lasting health and social consequences beyond the acute event. During the immediate and long-term recovery period, consequences of illness or injury can often be mitigated and addressed. As patients and their clinicians discuss care decisions, whether for initial or ongoing management of illness or injury, they must consider patients' personal goals of recovery alongside possible clinical outcomes to choose the best path forward. Understanding the recovery process and patients' and clinicians' decision making requires clarifying the concept of recovery and its significance. This article will describe how shared decision making can support the recovery process using a case example of brachial plexus injury.
疾病和伤害常常会在急性事件之外导致持久的健康和社会后果。在急性事件的即时和长期康复期间,疾病或伤害的后果通常可以减轻和处理。当患者及其临床医生讨论护理决策时,无论是对疾病或伤害的初始还是持续管理,他们都必须考虑到患者的个人康复目标以及可能的临床结果,以选择最佳的前进道路。要理解康复过程以及患者和临床医生的决策制定,就需要阐明康复的概念及其意义。本文将通过臂丛神经损伤的病例示例来描述如何通过共享决策来支持康复过程。