Communication, Leadership, and Decision-Making in the Neuro-ICU

Stephen Trevick*, Minjee Kim, Andrew Naidech

*Corresponding author for this work

Research output: Contribution to journalReview articlepeer-review

1 Scopus citations

Abstract

The Neuro-ICU is a multidisciplinary location that presents peculiar challenges and opportunities for patients with life-threatening neurological disease. Communication skills are essential in supporting caregivers and other embedded providers (e.g., neurosurgeons, advanced practice providers, nurses, pharmacists), through leadership. Limitations to prognostication complicate how decisions are made on behalf of non-communicative patients. Cognitive dysfunction and durable reductions in health-related quality of life are difficult to predict, and the diagnosis of brain death may be challenging and confounded by medications and comorbidities. The Neuro-ICU team, as well as utilization of additional consultants, can be structured to optimize care. Future research should explore how to further improve the composition, communication and interactions of the Neuro-ICU team to maximize outcomes, minimize caregiver burden, and promote collegiality.

Original languageEnglish (US)
Article number99
JournalCurrent neurology and neuroscience reports
Volume16
Issue number11
DOIs
StatePublished - Nov 1 2016

Keywords

  • Communication
  • Leadership
  • Multidisciplinary teams
  • Neuro-ICU
  • Patient decision aids
  • Shared decision-making

ASJC Scopus subject areas

  • Neuroscience(all)
  • Clinical Neurology

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