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Expressions of conflict following postoperative complications in older adults having major surgery.
- Source :
-
American journal of surgery [Am J Surg] 2021 Oct; Vol. 222 (4), pp. 670-676. Date of Electronic Publication: 2021 Jun 15. - Publication Year :
- 2021
-
Abstract
- Background: After serious postoperative complications, patients and families may experience conflict about goals of care.<br />Methods: We performed a multisite randomized clinical trial to test the effect of a question prompt list on postoperative conflict. We interviewed family members and patients age ≥60 who experienced serious complications. We used qualitative content analysis to analyze conflict and characterize patient experiences with complications.<br />Results: Fifty-six of 446 patients suffered a serious complication. Participants generally did not report conflict relating to postoperative treatments and expressed support for the care they received. We did not appreciate a difference in conflict between intervention and usual care. Respondents reported feeling unprepared for complications, witnessing heated interactions among team members, and a failure to develop trust for their surgeon preoperatively.<br />Conclusion: Postoperative conflict following serious complications is well described but its incidence may be low. Nonetheless, patient and family observations reveal opportunities for improvement.<br /> (Copyright © 2021 Elsevier Inc. All rights reserved.)
Details
- Language :
- English
- ISSN :
- 1879-1883
- Volume :
- 222
- Issue :
- 4
- Database :
- MEDLINE
- Journal :
- American journal of surgery
- Publication Type :
- Academic Journal
- Accession number :
- 34218931
- Full Text :
- https://doi.org/10.1016/j.amjsurg.2021.06.004