Publications by authors named "Francois Bougerol"

Article Synopsis
  • * Advance care planning is essential for anticipating ICU admissions and ensuring that palliative care options are considered, highlighting that not admitting a patient does not equate to neglect.
  • * Ethical dilemmas arise during an ICU stay regarding treatment decisions and readmission, which should ideally be addressed through structured, multidisciplinary discussions.
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Background: Many critically ill patients are incapable of receiving information or expressing their own opinion on treatment decisions due to the severity of their disease, or because they are under sedation. French legislation requires that when a physician proposes further tests or treatment for a patient, this proposal should be accompanied by clear and honest information that is appropriate in view of the circumstances and the patient's state of health, and the physician must obtain the patient's consent before proceeding. However, this is often impossible in critical care.

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Purpose: In the intensive care unit (ICU), caregivers may find it difficult to identify a suitable person in the patient's entourage to serve as a reference when there is no official surrogate.

Methods: We developed a 12-item questionnaire to identify factors potentially important for caregivers when identifying a reference person. Each criterion was evaluated as regards its importance for the role of reference.

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