How would you counsel an elderly patient requesting aggressive treatment that may cause more suffering than benefit?
Specialty-Specific
Purpose
This question checks your ethical judgment and communication skills in tough situations. Interviewers want to see if you can respect a patient's wishes while also guiding them toward the best care options.
Tips
- Start by acknowledging the patient's feelings and validating their desire for treatment.
- Gently explore the reasons behind their request to understand their fears or hopes.
- Explain the risks and benefits of the treatment clearly, focusing on quality of life.
- Involve family members in the conversation to support the patient.
- Offer alternatives like palliative care as a way to enhance comfort, not as giving up.
- Emphasize shared decision-making to align care with the patient's values.
Common mistakes
- Don't dismiss the patient's wishes or be overly blunt about the futility of treatment.
- Avoid using medical jargon that might confuse the patient.
- Don't forget to explore the emotional aspects of their request; it's not just about the facts.
- Steer clear of making decisions for the patient without involving them in the process.
- Don't rush the conversation; these discussions often take time and patience.