title: Perioperative Ethical Issues.
abstract: Shared decision-making is a paradigm of patient engagement that is assuming greater importance in the era of value-based health care. The basic tenets include patient engagement on clinical decisions, taking into account multiple factors that influence physician and patient decision-making. Understanding and reconciling diametrically opposed views of care are important tenets of shared decision-making. Because many decisions are made preoperatively, the applicability of these principles may be useful especially in the situation of a higher risk surgical candidate. Many patients with Do-Not-Resuscitate (DNR) orders are undergoing procedures to improve quality of life. This article explores shared decision-making and DNR.
authors.affiliation: Department of Anesthesiology, Institutional Ethics Committee, Stony Brook University Medical Center, HSC Level 4, Room # 060, Stony Brook, NY 11794, USA. Electronic address: Arvind.Chandrakantan@stonybrookmedicine.edu.
authors.forename: Arvind
authors.initials: A
authors.lastname: Chandrakantan
authors.affiliation: Department of Anesthesiology, Institutional Ethics Committee, Stony Brook University Medical Center, HSC Level 4, Room # 060, Stony Brook, NY 11794, USA.
authors.forename: Tracie
authors.initials: T
authors.lastname: Saunders
mesh_terms: D000066491:Clinical Decision-Making; D003657:Decision Making; D006801:Humans; D010361:Patients; D019990:Perioperative Care / Q000941:ethics* / Q000331:legislation & jurisprudence; D012017:Referral and Consultation; D016414:Resuscitation Orders; D018570:Risk Assessment
keywords: Affordable Care Act; Do Not Resuscitate; Medical ethics; Operating room; Shared decision-making