Communication and Well-Being Considerations in Disorders of Consciousness

Insufficient attention has been devoted to the nature of deliberations that lead to decisions to withdraw LST and the kinds of factors that influence them [2]. Since WOLST for brain injured patients is often undertaken in order to avoid chronic DOC, long-term dependency, severe neurologic disability...

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Bibliographic Details
Published in:Neurocritical care 2021-04, Vol.34 (2), p.701-703
Main Authors: Lazaridis, Christos, Desai, Masoom, Johnson, L. Syd M.
Format: Article
Language:English
Subjects:
Biomarkers
Brain research
Caregivers
Clinical trials
Coma
Communication
Consciousness
Critical Care Medicine
Decision making
Disability
Intensive
Internal Medicine
Letters to the Editor
Medical prognosis
Medicine
Medicine & Public Health
Neurology
Neurosurgery
Patients
Quality of life
Taxonomy
Traumatic brain injury
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Summary:Insufficient attention has been devoted to the nature of deliberations that lead to decisions to withdraw LST and the kinds of factors that influence them [2]. Since WOLST for brain injured patients is often undertaken in order to avoid chronic DOC, long-term dependency, severe neurologic disability, or a prolonged death, communication about quality of survival or “what matters in survival after brain injury” is important. Differences between intended and interpreted meanings contribute to miscommunication about prognosis, quality of life, and treatment options. Communication about quality of life with DOCs is frequently vague, focusing primarily on losses of ability and function and assuming that those losses inevitably diminish quality of life. The CA has been used in various contexts, including quality of life assessment in disability [11–13].
ISSN:1541-6933
1556-0961
DOI:10.1007/s12028-020-01175-z