Foundations of medical decision-making for older adults with cardiovascular disease.
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.
Department of Medicine, Divisions of Geriatrics and Cardiology, Montefiore Medical Center of the Albert Einstein College of Medicine, Bronx, NY, USA.
Hannah I
HI
Lipman
Minneapolis Heart Institute at Abbott Northwestern Hospital; Department of Medicine, Division of Cardiology, Hennepin County Medical Center, Minneapolis, MN, USA.
Ankur
A
Kalra
Cardiovascular Division, Department of Medicine, University of Pennsylvania; Department of Medical Ethics and Health Policy, University of Pennsylvania, Philadelphia, PA, USA.
James N
JN
Kirkpatrick
Cardiovascular disease; Medical decision-making; Older adults