Foundations of medical decision-making for older adults with cardiovascular disease

doi:10.11909/j.issn.1671-5411.2015.04.004

. 2015 Jul;12(4):335-9.

doi: 10.11909/j.issn.1671-5411.2015.04.004.

Foundations of medical decision-making for older adults with cardiovascular disease

Hannah I Lipman¹, Ankur Kalra², James N Kirkpatrick³

Affiliations

¹ Department of Medicine, Divisions of Geriatrics and Cardiology, Montefiore Medical Center of the Albert Einstein College of Medicine, Bronx, NY, USA.
² Minneapolis Heart Institute at Abbott Northwestern Hospital; Department of Medicine, Division of Cardiology, Hennepin County Medical Center, Minneapolis, MN, USA.
³ Cardiovascular Division, Department of Medicine, University of Pennsylvania; Department of Medical Ethics and Health Policy, University of Pennsylvania, Philadelphia, PA, USA.

PMID: 26347213
PMCID: PMC4554783
DOI: 10.11909/j.issn.1671-5411.2015.04.004

Foundations of medical decision-making for older adults with cardiovascular disease

Hannah I Lipman et al. J Geriatr Cardiol. 2015 Jul.

. 2015 Jul;12(4):335-9.

doi: 10.11909/j.issn.1671-5411.2015.04.004.

Authors

Hannah I Lipman¹, Ankur Kalra², James N Kirkpatrick³

Affiliations

¹ Department of Medicine, Divisions of Geriatrics and Cardiology, Montefiore Medical Center of the Albert Einstein College of Medicine, Bronx, NY, USA.
² Minneapolis Heart Institute at Abbott Northwestern Hospital; Department of Medicine, Division of Cardiology, Hennepin County Medical Center, Minneapolis, MN, USA.
³ Cardiovascular Division, Department of Medicine, University of Pennsylvania; Department of Medical Ethics and Health Policy, University of Pennsylvania, Philadelphia, PA, USA.

PMID: 26347213
PMCID: PMC4554783
DOI: 10.11909/j.issn.1671-5411.2015.04.004

Abstract

In order to help older adults with cardiovascular disease navigate complex decisions, clinicians must know tenets of medical ethics and have good communication skills. The elements of decision making capacity and informed consent are reviewed, using relevant clinical examples to illustrate the basic concepts. The shared decision making model, by which clinician and patient work together to determine the plan of care, is described. Useful communication techniques to implement shared decision making are suggested.

Keywords: Cardiovascular disease; Medical decision-making; Older adults.

PubMed Disclaimer

Cited by

Optimization of Drug Prescription and Medication Management in Older Adults with Cardiovascular Disease.
Wenger NK, Doherty CL, Gurwitz JH, Hirsch GA, Holmes HM, Maurer MS, Murray MD. Wenger NK, et al. Drugs Aging. 2017 Nov;34(11):803-810. doi: 10.1007/s40266-017-0494-2. Drugs Aging. 2017. PMID: 29110264
Ethical and Legal Implications of Frailty Screening.
Reid L, Lahey W, Livingstone B, McNally M. Reid L, et al. J Frailty Aging. 2018;7(4):224-232. doi: 10.14283/jfa.2018.31. J Frailty Aging. 2018. PMID: 30298170 Free PMC article.

References

1. Ganzini L, Volicer L, Nelson WA, et al. Ten myths about decision-making capacity. J Am Med Dir Assoc. 2004;5:263–267. - PubMed
1. Sessums LL, Zembrzuska H, Jackson JL. Does this patient have medical decision-making capacity? JAMA. 2011;306:420–427. - PubMed
1. Appelbaum PS. Assessment of patients' competence to consent to treatment. N Engl J Med. 2007;357:1834–1840. - PubMed
1. Chow GV, Czarny MJ, Hughes MT, et al. CURVES: a mnemonic for determining medical decision-making capacity and providing emergency treatment in the acute setting. Chest. 2010;137:421–427. - PubMed
1. Lo B. Assessing decision-making capacity. Law Med Health Care. 1990;18:193–201. - PubMed

LinkOut - more resources

Full Text Sources
- Europe PubMed Central
- PubMed Central

[1] Ganzini L, Volicer L, Nelson WA, et al. Ten myths about decision-making capacity. J Am Med Dir Assoc. 2004;5:263–267. - PubMed

[2] Ganzini L, Volicer L, Nelson WA, et al. Ten myths about decision-making capacity. J Am Med Dir Assoc. 2004;5:263–267. - PubMed

[3] Sessums LL, Zembrzuska H, Jackson JL. Does this patient have medical decision-making capacity? JAMA. 2011;306:420–427. - PubMed

[4] Sessums LL, Zembrzuska H, Jackson JL. Does this patient have medical decision-making capacity? JAMA. 2011;306:420–427. - PubMed

[5] Appelbaum PS. Assessment of patients' competence to consent to treatment. N Engl J Med. 2007;357:1834–1840. - PubMed

[6] Appelbaum PS. Assessment of patients' competence to consent to treatment. N Engl J Med. 2007;357:1834–1840. - PubMed

[7] Chow GV, Czarny MJ, Hughes MT, et al. CURVES: a mnemonic for determining medical decision-making capacity and providing emergency treatment in the acute setting. Chest. 2010;137:421–427. - PubMed

[8] Chow GV, Czarny MJ, Hughes MT, et al. CURVES: a mnemonic for determining medical decision-making capacity and providing emergency treatment in the acute setting. Chest. 2010;137:421–427. - PubMed

[9] Lo B. Assessing decision-making capacity. Law Med Health Care. 1990;18:193–201. - PubMed

[10] Lo B. Assessing decision-making capacity. Law Med Health Care. 1990;18:193–201. - PubMed

Save citation to file

Email citation

Add to Collections

Add to My Bibliography

Your saved search

Create a file for external citation management software

Your RSS Feed

Foundations of medical decision-making for older adults with cardiovascular disease

Affiliations

Foundations of medical decision-making for older adults with cardiovascular disease

Authors

Affiliations

Abstract

Similar articles

Cited by

References

LinkOut - more resources

Full Text Sources