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VOLUME 22 , ISSUE 6 ( 2018 ) > List of Articles

REVIEW ARTICLE

Is my patient still alive?

Arun Kumar, Tewari Vineeta, Sandhu Megha

Keywords : Alive, death, intensive care, trust, ventilator

Citation Information : Kumar A, Vineeta T, Megha S. Is my patient still alive?. Indian J Crit Care Med 2018; 22 (6):449-453.

DOI: 10.4103/ijccm.IJCCM_529_17

License: CC BY-ND 3.0

Published Online: 00-06-2018

Copyright Statement:  Copyright © 2018; Jaypee Brothers Medical Publishers (P) Ltd.


Abstract

The modern-day health-care firmament is fighting one of its biggest battles of mistrust, the seeds of which have been sown over the years and the roots seem to run deep. There is a substantial misunderstanding about the complexities of intensive care treatments, especially the life support interventions. A critically ill patient on ventilator is often perceived by the families to be dead. Such misconceptions have a huge negative impact on the already friable doctor–patient relationship. The paper presents an overview of the problem and deliberates on the possible theories of such misunderstandings and chariness. An attempt is made to suggest the steps that could be taken to address this complicated issue.


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  1. Blendon RJ, Benson JM, Hero JO. Public trust in physicians – U.S. Medicine in international perspective. N Engl J Med 2014;371:1570-2.
  2. Collier R. Professionalism: The importance of trust. CMAJ 2012;184:1455-6.
  3. Birkhäuer J, Gaab J, Kossowsky J, Hasler S, Krummenacher P, Werner C, et al. Trust in the health care professional and health outcome: A meta-analysis. PLoS One 2017;12:e0170988.
  4. Gerber BS, Eiser AR. The patient physician relationship in the internet age: Future prospects and the research agenda. J Med Internet Res 2001;3:E15.
  5. Tan SS, Goonawardene N. Internet health information seeking and the patient-physician relationship: A systematic review. J Med Internet Res 2017;19:e9.
  6. The Times of India. 'Hospital used Ventilator though Patient had Died; 2016. Available from: https://www.timesofindia.indiatimes.com/city/ahmedabad/Hospital-used-ventilator-though-patient-had-died/articleshow/54437815.cms. [Last accessed on 2017 Dec 25].
  7. Medical sensationalism in the press. Am J Public Health Nations Health 1934;24:561-2.
  8. Hindustan Times. Satyamev Jayate Viewers Support Aamir Khan's Expose; 2012. Available from: http//www.hindustantimes.com/tv/satyamev-jayate-viewers-support-aamir-khan-s-expose/story-k7UhyRkFqUSge30dleMzcN.html. [Last accessed on 2017 Dec 25].
  9. Flores G. Doctors in the movies. Arch Dis Child 2004;89:1084-8.
  10. Flores G. Mad scientists, compassionate healers, and greedy egotists: The portrayal of physicians in the movies. J Natl Med Assoc 2002;94:635-58.
  11. Gabbar is Back. Internet Movie Database. c1990-2017; 2015. Available from: https://www.imdb.com/title/tt2424988/?ref_=nv_sr_2. [Last accessed on 2017 Dec 26].
  12. Waiting. Internet Movie Database. c1990-2017; 2015. Available from: http://www.imdb.com/title/tt4818930/?ref_=nv_sr_7. [Last accessed on 2017 Dec 26].
  13. Velasco C. Jousting – Lighting the malpractice fuse. Minn Med 2007;90:50-1.
  14. McDaniel SH, Morse DS, Reis S, Edwardsen EA, Gurnsey MG, Taupin A, et al. Physicians criticizing physicians to patients. J Gen Intern Med 2013;28:1405-9.
  15. Myatra SN, Salins N, Iyer S, Macaden SC, Divatia JV, Muckaden M, et al. End-of-life care policy: An integrated care plan for the dying: A joint position statement of the Indian Society of Critical Care Medicine (ISCCM) and the Indian Association of Palliative Care (IAPC). Indian J Crit Care Med 2014;18:615-35.
  16. Warrillow S, Farley KJ, Jones D. Ten practical strategies for effective communication with relatives of ICU patients. Intensive Care Med 2015;41:2173-6.
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