TY - JOUR
T1 - Serious Illness Communication in Cirrhosis Care
T2 - Tools to Improve Illness Understanding, Prognostic Understanding, and Care Planning
AU - Kaplan, Alyson
AU - Ladin, Keren
AU - Junna, Shilpa
AU - Lindenberger, Elizabeth
AU - Ufere, Nneka N.
N1 - Publisher Copyright:
© 2024 The Authors
PY - 2024/1
Y1 - 2024/1
N2 - Patients with cirrhosis frequently experience an unpredictable illness trajectory, with frequent hospitalizations and complications. Along with the uncertain nature of the disease, the possibility of a lifesaving and curative transplant often makes prognostic discussions and future care decisions challenging. Serious illness communication (SIC) refers to supportive communication whereby clinicians assess patients’ illness understanding, share prognostic information according to patients’ preferences, explore patients’ goals, and make recommendations for care that align with these goals. SIC includes 3 key components: (1) illness understanding; (2) prognostic understanding; and (3) care planning. In this piece, we explore current barriers to early implementation of SIC in cirrhosis care and share possible solutions, including adopting a multidisciplinary approach, delivering culturally competent care, and training clinicians in SIC core skills. By use of a case example, we aim to demonstrate SIC in action and to provide clinicians with tools and skills that can be used in practice.
AB - Patients with cirrhosis frequently experience an unpredictable illness trajectory, with frequent hospitalizations and complications. Along with the uncertain nature of the disease, the possibility of a lifesaving and curative transplant often makes prognostic discussions and future care decisions challenging. Serious illness communication (SIC) refers to supportive communication whereby clinicians assess patients’ illness understanding, share prognostic information according to patients’ preferences, explore patients’ goals, and make recommendations for care that align with these goals. SIC includes 3 key components: (1) illness understanding; (2) prognostic understanding; and (3) care planning. In this piece, we explore current barriers to early implementation of SIC in cirrhosis care and share possible solutions, including adopting a multidisciplinary approach, delivering culturally competent care, and training clinicians in SIC core skills. By use of a case example, we aim to demonstrate SIC in action and to provide clinicians with tools and skills that can be used in practice.
KW - Care Planning
KW - Illness Understanding
KW - Prognostic Understanding
KW - Serious Illness Communication
UR - http://www.scopus.com/inward/record.url?scp=85195023228&partnerID=8YFLogxK
U2 - 10.1016/j.gastha.2024.04.003
DO - 10.1016/j.gastha.2024.04.003
M3 - Review article
AN - SCOPUS:85195023228
SN - 2772-5723
VL - 3
SP - 634
EP - 645
JO - Gastro Hep Advances
JF - Gastro Hep Advances
IS - 5
ER -