Approaching Patients and Family Members Who Hope for a Miracle
Widera, Eric W
Rosenfeld, Kenneth E
Fromme, Erik K
Sulmasy, Daniel P
Arnold, Robert M
Journal of pain and symptom management 2011 Jul; 42(1): 119-25
A clinical problem may arise when caring for patients or their surrogates who prefer continued aggressive care based on the belief that a miracle will occur, despite a clinician's belief that further medical treatment is unlikely to have any meaningful benefit. An evidence-based approach is provided for the clinician by breaking this complex clinical problem into a series of more focused clinical questions and subsequently answering them through a critical appraisal of the existing medical literature. Belief in miracles is found to be common in the United States and is an important determinant of how decisions are made for those with advanced illness. There is a growing amount of evidence that suggests end-of-life outcomes improve with the provision of spiritual support from medical teams, as well as with a proactive approach to medical decision making that values statements given by patients and family members.
Showing items related by title, author, creator and subject.
Annas, George J.; Armstrong, Paul W.; Arnold, Bob; Asch, Adrienne; Botkin, Jeffrey R.; Boyajian, Jane; Caplan, Arthur; Capron, Alexander M.; Churchill, Larry R.; Derse, Arthur R.; Elias, Sherman; Fleischman, Alan R.; Forrow, Lachlan; Glantz, Leonard; Glick, Shimon; Goodman, Kenneth W.; Greenlaw, Jane L.; Grodin, Michael A.; Harvey, John Collins; Howe, Edmund G.; Jennings, Bruce; Jonsen, Al; Katz, Jay; Khushf, George; King, Nancy M.P.; King, Patricia A.; Larkin, Gregory L.; Lo, Bernard; Mariner, Wendy K.; Mayo, Thomas W.; McGee, Ellen; McGee, Glenn; Miles, Steve; Moreno, Jonathan D.; Nelson, Robert M.; Nixon, Lois LaCivita; Olick, Robert S.; Pentz, Rebecca D.; Peterson, Lynn; Polak, Joseph; Post, Stephen G.; Reich, Warren T.; Rothman, David J.; Sheldon, Mark; Shuster, Evelyne; Sulmasy, Daniel P.; White, W.D.; Wolf, Susan M.; Zoloth- Dorfman, Laurie (1996-11-12)
Nolan, Marie T.; Kub, Joan; Hughes, Mark T.; Terry, Peter B.; Astrow, Alan B.; Carbo, Cynthia A.; Thompson, Richard E.; Clawson, Lora; Texeira, Kenneth; Sulmasy, Daniel P. (2008-09)
The Culture of Faith and Hope: Patients' Justifications for Their High Estimations of Expected Therapeutic Benefit When Enrolling in Early Phase Oncology Trials Sulmasy, Daniel P; Astrow, Alan B; He, M Kai; Seils, Damon M; Meropol, Neal J; Micco, Ellyn; Weinfurt, Kevin P (2010-08-01)BACKGROUND: Patients' estimates of their chances of therapeutic benefit from participation in early phase trials greatly exceed historical data. Ethicists worry that this therapeutic misestimation undermines the validity ...