Shared Decision-Making – gemeinsame Entscheidungsfindung

Limits to the appropriateness of intensive care

“…Good communication includes regular team meetings, if necessary together with colleagues from other departments, and structured discussions with relatives [7]. External assistance can be requested in form of an ethics case consultation by clinical ethics committees [4], or palliative care consultation [10].…”

“…First, therefore, the multi-professional treating team should reach a consensus. Subsequently, physician and ICU team must consider carefully together with the patient and/or his legal proxy by weighing up medically feasible treatment options against what is considered appropriate from the patient’s point of view, in order to define individual limitations of therapy [ 7 , 9 , 11 ].…”

“…Over all, good interdisciplinary and interprofessional communication is critical and should also be practiced by the team leaders in order to avoid and resolve conflicts. Good communication includes regular team meetings, if necessary together with colleagues from other departments, and structured discussions with relatives [ 7 ]. External assistance can be requested in form of an ethics case consultation by clinical ethics committees [ 4 ], or palliative care consultation [ 10 ].…”