Investigation of opposition to diagnostic or therapeutic procedures in older people hospitalized in acute geriatric services: the OPTAH pilot study protocol.
Fiche publication
Date publication
décembre 2020
Journal
Pilot and feasibility studies
Auteurs
Membres identifiés du Cancéropôle Est :
Pr AUBRY Régis
Tous les auteurs :
Tannou T, Trimaille H, Mathieu-Nicot F, Koeberle S, Aubry R, Godard-Marceau A
Lien Pubmed
Résumé
Shared decision-making is a process that involves collaborative discussions between a patient and a care team to ensure informed healthcare decisions. This process becomes more complex when the older person's decision-making capacities are affected. In these situations, surrogate decision-making processes are used to define a person-centered care plan. Despite these processes, the implementation of the care plan defined in the best interest of the patient may nevertheless be rejected by the patient, particularly in cases of neurocognitive disorders or delirium. This concept of opposition and/or refusal is frequently used in research. This is not yet well understood in the medical literature, and there is a lack of consensus on its definition. We, therefore, explored this concept by defining opposition to diagnostic or therapeutic proposals.
Mots clés
Decision-making, Epidemiology, Geriatrics, Opposition to treatment, Protocol, Qualitative study
Référence
Pilot Feasibility Stud. 2020 Dec 14;6(1):194