Communicating Prognosis

Communicating Prognosis

by Eelco F.M. Wijdicks
     
 

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Prognostication of acute neurologic disease is a major task for neurohospitalists and neurointensivists. The family conference raises the delicate matter of how to decide that outcome is indefinitely poor and how to define disability. This monograph is the first book on how to communicate prognosis in acute neurologic conditions. Communicating Prognosis includes

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Overview

Prognostication of acute neurologic disease is a major task for neurohospitalists and neurointensivists. The family conference raises the delicate matter of how to decide that outcome is indefinitely poor and how to define disability. This monograph is the first book on how to communicate prognosis in acute neurologic conditions. Communicating Prognosis includes useful data on prognosis in all major neurologic conditions and provides practical advice on how to effectively lead such a conference and how to resolve potential conflicts. This book provides straightforward common sense on- the- spot advice and touches on all aspects of support of devastated families.

Editorial Reviews

From the Publisher
"This unique work is provided by an experienced author in the field of neurological critical care. ... Practitioners of all levels of experience will find this book extremely helpful." Weighted Numerical Score: 100 - 5 Stars! —Doody's Health Sciences Book Review

"...inexperienced and experienced ICU care providers alike will benefit from reading Wijdicks' well-targeted book." —Critical Care Medicine

Doody's Review Service
Reviewer: Tenbit Emiru, MD (Regions Hospital)
Description: Part of the Core Principles of Acute Neurology series, this book reviews the assessment of the severity and the prognoses for the most common neurological injuries encountered in intensive care units.
Purpose: This book describes how patients fare after a severe neurological insult beyond the ICU stay and how clinicians can effectively shape family expectations.
Audience: This is most helpful for neurologists, neurointensivists, neurosurgeons, and other healthcare professionals who provide care for acutely and severely devastated neurological patients. This unique work is provided by an experienced author in the field of neurological critical care.
Features: The focus is on a review of the pathophysiological changes and expected outcomes of various types of central nervous system injuries. In addition, the author discusses the use of imaging, other diagnostic modalities, and prior research data to help accurately determine prognosis. Concepts such as bioethics, neuropalliation, treatment limitations, futility, withdrawal of support, and effectively communicating these ideas to distressed families are explained. Prognostic algorithms and factors that determine the risk of poor outcome are provided in tables.
Assessment: This book gives a rapid overview of severe neurological injuries, their expected outcomes, and how to communicate a prognosis to a patient's family. It provides practical information and is well written in a concise fashion. Seldom has a field of medicine expanded as rapidly as neurocritical care has in the past two decades, but there appears to be a lack of material available for clinicians, who continue to struggle in providing an accurate prognosis that is detailed in this book. Practitioners of all levels of experience will find this book extremely helpful.

Product Details

ISBN-13:
9780199928781
Publisher:
Oxford University Press
Publication date:
04/23/2014
Series:
Core Principles of Acute Neurology Series
Pages:
144
Product dimensions:
5.90(w) x 9.10(h) x 0.60(d)

Related Subjects

Meet the Author

Mayo ClinicDepartment of Neurology200 First Street SWRochester, MN 55905

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