Navigation Links
Let's talk: The nature of the health care surrogate-clinician relationship
Date:8/8/2012

INDIANAPOLIS -- A new study from the Regenstrief Institute and Indiana University School of Medicine examines the relationship between family members who make decisions for hospitalized older adults with impaired cognition and the doctors, nurses and other clinicians who care for these patients.

The researchers report that in this era of fragmented care, families rarely get to know even the names of the many clinicians who care for their family members. Even a physician or nurse who was especially supportive or helpful to the family might see the family member only once or twice. Family members usually remembered that the person was a doctor, nurse or social worker but often apologized for being unable to remember the person's name.

"The patient's care is often passed from one doctor or nurse to the next as shifts change. The patient may be getting high-quality medical care, but it is often very fragmented," said Regenstrief Institute investigator Alexia Torke, M.D., M.S., assistant professor of medicine at the IU School of Medicine.

When hospitalized older adults have impaired cognition, family members or other surrogates must communicate with clinicians to make medical decisions as well as to provide information about the patient. In interviews conducted for the study, surrogate decision-makers were clear about the kind of support they needed: frequent communication, detailed information and expressions of emotional support from the health care providers. Surrogates said they appreciated this support even when it was often delivered by clinicians they hardly knew. Surrogates expressed their distress when they had to struggle for information or couldn't get frequent updates from the clinicians.

"Surrogate decision-makers are under a lot of stress from their loved one's illness, and they crave both information and support from those caring for their family member in the hospital," Dr. Torke said.

"Surrogates want regular and coordinated updates from someone -- it doesn't have to be a physician. The health care system will have to change to meet this need, and in future studies we will be looking at how this can be accomplished," she said.

In a 2009 survey of physicians, Dr. Torke found that communication with surrogates is often delayed or infrequent. The 2012 survey of surrogates suggests that delays or lack of frequency may be a cause of distress for surrogates. The new study, "Communicating With Clinicians: The Experiences of Surrogate Decision-Makers for Hospitalized Older Adults" appears in the August 2012 issue of the Journal of the American Geriatrics Society.

The study authors surveyed 35 surrogates who recently made a major medical decision for a hospitalized older adults. Eighty percent of the surrogates were female; 56 percent were African-American and 44 percent were white. Responses did not vary by gender or race.

Surrogates' relationships with clinicians were often fragmented and brief. "Even the presence of hospitalists may not make a real difference. They work in shifts and are unlikely to have had a relationship with the patient or family prior to admission," Dr. Torke said.


'/>"/>
Contact: Cindy Fox Aisen
caisen@iupui.edu
317-843-2276
Indiana University School of Medicine
Source:Eurekalert  

Related medicine news :

1. Mayo Clinic finds switch that lets early lung cancer grow unchecked
2. Mobile App Lets Tinnitus Sufferers Self-Treat Ringing-in-the-Ears
3. Cost of Snakebite Therapy May Squeeze Victims Wallets
4. Playfulness May Be Natures Way of Helping Romance Bloom: Study
5. Healthcare researchers recognized at SingHealth Duke-NUS Scientific Congress 2012
6. Color-coded labels improve healthy food choices in employees from all backgrounds
7. A learning health system moves from idea to action
8. Living Without Lies Might Make You Healthier
9. Defining tomorrows medicine - SingHealth Duke-NUS Scientific Congress 2012
10. Health care organizations quest for reduced costs and improved quality
11. Modest Weight Loss Can Reap Prolonged Health Benefits
Post Your Comments:
*Name:
*Comment:
*Email:
Related Image:
Let's talk: The nature of the health care surrogate-clinician relationship
(Date:6/27/2016)... ... 2016 , ... TherapySites, the leading website and ... Tennessee Counseling Association. This new relationship allows TherapySites to continue to extend ... exclusive benefits and promotional offers. , "TCA is extremely excited about this new ...
(Date:6/27/2016)... , ... June 27, 2016 , ... ... edge technology to revolutionize the emergency ambulance transport experience for the millions of ... of how Uber has disrupted the taxi industry through the use of technology. ...
(Date:6/26/2016)... ... June 27, 2016 , ... Quality metrics are proliferating in cancer care, ... remain in the eye of the beholder, according to experts who offered insights and ... Journal of Managed Care. For the full issue, click here . , For ...
(Date:6/26/2016)... ... ... Pixel Film Studios Released ProSlice Levels, a Media Slicing Effect Plugin ... whole new perspective by using the title layers in ProSlice Levels to split-up ... Levels contains over 30 Different presets to choose from. FCPX users can ...
(Date:6/26/2016)... ... ... legally blind and certified personal trainer is helping to develop a weight loss fitness plan ... fix the two major problems leading the fitness industry today:, , ... They don’t eliminate all the reasons people quit their exercise program ...
Breaking Medicine News(10 mins):
(Date:6/23/2016)... , June 23, 2016 ... CAPR ), a biotechnology company focused on ... today announced that patient enrollment in its ongoing ... Duchenne) has exceeded 50% of its 24-patient target. ... in the third quarter of 2016, and to ...
(Date:6/23/2016)... , June 23, 2016 Bracket , ... launch its next generation clinical outcomes platform, Bracket eCOA (SM) ... held on June 26 – 30, 2016 in ... first electronic Clinical Outcome Assessment product of its kind to ... #715. Bracket eCOA 6.0 is a flexible platform ...
(Date:6/23/2016)... PARK RIDGE, Ill. and INDIANAPOLIS ... caliber of students receiving a Lilly Diabetes Tomorrow,s Leaders ... hands. The 2016 scholarship winners, announced today online at ... refused to let type 1 diabetes stand in the ... Lilly Diabetes has supported the Foundation,s scholarship program since ...
Breaking Medicine Technology: