Case Report
No access
Published Online: 25 February 2013

Adaptive Leadership: A Novel Approach for Family Decision Making

Publication: Journal of Palliative Medicine
Volume 16, Issue Number 3

Abstract

Family members of intensive care unit (ICU) patients want to be involved in decision making, but they may not be best served by being placed in the position of having to solve problems for which they lack knowledge and skills. This case report presents an exemplar family meeting in the ICU led by a palliative care specialist, with discussion about the strategies used to improve the capacity of the family to make a decision consistent with the patient's goals. These strategies are presented through the lens of Adaptive Leadership.

Get full access to this article

View all available purchase options and get full access to this article.

References

1.
Billings JABlock SD. The end-of-life family meeting in intensive care Part III: A guide for structured discussionsJ Palliat Med2011141058-1064. 1. Billings JA, Block SD: The end-of-life family meeting in intensive care Part III: A guide for structured discussions. J Palliat Med 2011;14:1058–1064.
2.
Curtis JR. Communicating about end-of-life care with patients and families in the intensive care unitCrit Care Clin200420363-380, viii. 2. Curtis JR: Communicating about end-of-life care with patients and families in the intensive care unit. Crit Care Clin 2004;20:363–380, viii.
3.
White DBBraddock CH 3rdBereknyei SCurtis JR. Toward shared decision making at the end of life in intensive care units: Opportunities for improvementArch Intern Med2007167461-467. 3. White DB, Braddock CH 3rd, Bereknyei S, Curtis JR: Toward shared decision making at the end of life in intensive care units: Opportunities for improvement. Arch Intern Med 2007;167:461–467.
4.
Thygeson MMorrissey LUlstad V. Adaptive leadership and the practice of medicine: A complexity-based approach to reframing the doctor-patient relationshipJ Eval Clin Pract2010161009-1015. 4. Thygeson M, Morrissey L, Ulstad V: Adaptive leadership and the practice of medicine: A complexity-based approach to reframing the doctor-patient relationship. J Eval Clin Pract 2010;16:1009–1015.
5.
Cilliers PComplexity, Postmodernism: Understanding Complex SystemsNew YorkThe Free Press1998. 5. Cilliers P: Complexity and Postmodernism: Understanding Complex Systems. New York: The Free Press, 1998.
6.
Heifetz RGrashow Linsky M. The Practice of Adaptive LeadershipBostonHarvard Business Press2009. 6. Heifetz R, Grashow and Linsky M: The Practice of Adaptive Leadership. Boston: Harvard Business Press, 2009.
7.
Azoulay EPochard FKentish-Barnes NChevret SAboab JAdrie CAnnane DBleichner GBollaert PEDarmon MFassier TGalliot RGarrouste-Orgeas MGoulenok CGoldgran-Toledano DHayon JJourdain MKaidomar MLaplace CLarché JLiotier JPapazian LPoisson CReignier JSaidi FSchlemmer BFAMIREA Study Group. Risk of post-traumatic stress symptoms in family members of intensive care unit patientsAm J Respir Crit Care Med2005171987-994. 7. Azoulay E, Pochard F, Kentish-Barnes N, Chevret S, Aboab J, Adrie C, Annane D, Bleichner G, Bollaert PE, Darmon M, Fassier T, Galliot R, Garrouste-Orgeas M, Goulenok C, Goldgran-Toledano D, Hayon J, Jourdain M, Kaidomar M, Laplace C, Larché J, Liotier J, Papazian L, Poisson C, Reignier J, Saidi F, Schlemmer B; FAMIREA Study Group : Risk of post-traumatic stress symptoms in family members of intensive care unit patients. Am J Respir Crit Care Med 2005;171:987–994.
8.
Pochard FAzouley EChevret SLemaire FHubert PCanoui PGrassin MZittoun Rle Gaul JDhinaut JFSchlemmer B. Symptoms of anxiety and depression in family members of intensive care unit patients: Ethical hypothesis regarding decision-making capacityCrit Care Med2001291893-1897. 8. Pochard F, Azouley E, Chevret S, Lemaire F, Hubert P, Canoui P, Grassin M, Zittoun R, le Gaul J, Dhinaut JF, Schlemmer B: Symptoms of anxiety and depression in family members of intensive care unit patients: Ethical hypothesis regarding decision-making capacity. Crit Care Med 2001;29:1893–1897.
9.
Gries CJEngelberg RAKross EKZatzick DNielsen ELDowney LCurtis JR. Predictors of symptoms of posttraumatic stress and depression in family members after patient death in the ICUChest2010137280-287. 9. Gries CJ, Engelberg RA, Kross EK, Zatzick D, Nielsen EL, Downey L, Curtis JR: Predictors of symptoms of posttraumatic stress and depression in family members after patient death in the ICU. Chest 2010;137:280–287.
10.
Frosch DLKaplan RM. Shared decision making in clinical medicine: Past research and future directionsAm J Prevent Med199917285-294. 10. Frosch DL Kaplan RM: Shared decision making in clinical medicine: Past research and future directions. Am J Prevent Med 1999;17:285–294.

Information & Authors

Information

Published In

cover image Journal of Palliative Medicine
Journal of Palliative Medicine
Volume 16Issue Number 3March 2013
Pages: 326 - 329
PubMed: 22663140

History

Published in print: March 2013
Published online: 25 February 2013
Published ahead of print: 4 June 2012
Accepted: 18 April 2012

Permissions

Request permissions for this article.

Topics

Authors

Affiliations

Judith Adams
School of Nursing, Duke University, Durham, North Carolina.
Donald E. Bailey, Jr.
School of Nursing, Duke University, Durham, North Carolina.
Ruth A. Anderson
School of Nursing, Duke University, Durham, North Carolina.
Anthony N. Galanos
School of Medicine, Duke University, Durham, North Carolina.

Notes

Address correspondence to:Judith Adams, RN, MSNDuke UniversitySchool of Nursing307 Trent DriveDurham, NC 27710E-mail: [email protected]

Author Disclosure Statement

No competing financial interests exist.

Metrics & Citations

Metrics

Citations

Export citation

Select the format you want to export the citations of this publication.

View Options

Get Access

Access content

To read the fulltext, please use one of the options below to sign in or purchase access.

Society Access

If you are a member of a society that has access to this content please log in via your society website and then return to this publication.

Restore your content access

Enter your email address to restore your content access:

Note: This functionality works only for purchases done as a guest. If you already have an account, log in to access the content to which you are entitled.

View options

PDF/EPUB

View PDF/ePub

Full Text

View Full Text

Media

Figures

Other

Tables

Share

Share

Copy the content Link

Share on social media

Back to Top