Minerva

Talking to acutely sick patients . . . and other stories

BMJ 2016; 354 doi: https://doi.org/10.1136/bmj.i4422 (Published 17 August 2016) Cite this as: BMJ 2016;354:i4422

Resuscitating discussion

A Canadian study recorded how 15 resident doctors approached the discussion of goals of care and resuscitation preferences with patients over the age of 65 admitted to an acute medical ward (Postgrad Med J doi:10.1136/postgradmedj-2016-133951). They found that asking patients about their previous experiences with life sustaining treatments was a good way of establishing rapport and understanding. The avoidance of medical jargon was also important. The authors suggest that further direct qualitative studies like this may help to improve communication with acutely sick patients.

Comorbidities in childhood epilepsy

Nearly 80% of children with epilepsy have a comorbid disorder, according to data from the Norwegian Patient Registry (Pediatrics doi:10.1542/peds.2016-0921). All types of disorders were more common in children with epilepsy, with additional medical disorders recorded in 55%, neurological disorders …

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