November 2018, VOLUME 142 / ISSUE Supplement 3
Table of Contents
- Open AccessShared Decision-making in Pediatric Practice: A Broad ViewAlexander A. Kon, Wynne MorrisonPediatrics Nov 2018, 142 (Supplement 3) S129-S132; DOI: 10.1542/peds.2018-0516B
This is an introduction to the supplement with background and rationale for the issue.
- Open AccessParental Personal Sense of Duty as a Foundation of Pediatric Medical Decision-makingChris Feudtner, Theodore Schall, Douglas HillPediatrics Nov 2018, 142 (Supplement 3) S133-S141; DOI: 10.1542/peds.2018-0516C
We describe a model of surrogate decision-making that includes aspects of decision-making that other models simplify or omit, including problem structuring, sense-making, social relationships, and self-identity.
- Open AccessInvolving Youth With a Chronic Illness in Decision-making: Highlighting the Role of ProvidersVictoria A. MillerPediatrics Nov 2018, 142 (Supplement 3) S142-S148; DOI: 10.1542/peds.2018-0516D
In this article, I describe the role of providers in involving children and adolescents with a chronic illness in medical decision-making.
- Open AccessA 4-Step Framework for Shared Decision-making in PediatricsDouglas J. OpelPediatrics Nov 2018, 142 (Supplement 3) S149-S156; DOI: 10.1542/peds.2018-0516E
There is confusion regarding when and how to apply SDM in pediatric practice; this 4-step framework for SDM in pediatrics can be used to offer clarity.
- Open AccessPragmatic Strategies for Shared Decision-makingJennifer K. Walter, Jennifer Hwang, Alexander G. FiksPediatrics Nov 2018, 142 (Supplement 3) S157-S162; DOI: 10.1542/peds.2018-0516F
Despite growing evidence to support SDM, there are limited examples of practical language for how a pediatric clinician should communicate to achieve it.
- Open AccessCreating the Safety and Respect Necessary for “Shared” Decision-makingJodi HalpernPediatrics Nov 2018, 142 (Supplement 3) S163-S169; DOI: 10.1542/peds.2018-0516G
This article argues that SDM should begin with creating the appropriate conditions for safe emotional communication.
- Open AccessSupporting Family Decision-making for a Child Who Is Seriously Ill: Creating Synchrony and ConnectionVanessa N. Madrigal, Katherine Patterson KellyPediatrics Nov 2018, 142 (Supplement 3) S170-S177; DOI: 10.1542/peds.2018-0516H
When supporting families and children in difficult decisions, clinicians should strive to create a human connection.
- Open AccessTitrating Clinician Directiveness in Serious Pediatric IllnessWynne Morrison, Jonna D. Clark, Mithya Lewis-Newby, Alexander A. KonPediatrics Nov 2018, 142 (Supplement 3) S178-S186; DOI: 10.1542/peds.2018-0516I
We describe a range of clinician directiveness that can be ethically appropriate in caring for children with serious illness and their families.
- Open AccessCross-cultural Interactions and Shared Decision-makingSabrina F. Derrington, Erin Paquette, Khaliah A. JohnsonPediatrics Nov 2018, 142 (Supplement 3) S187-S192; DOI: 10.1542/peds.2018-0516J
We provide a case-based discussion of how cultural differences impact communication and decision-making with recommendations to optimize SDM in cross-cultural encounters.
- Open AccessPractical Wisdom, Rules, and the Parent–Pediatrician ConversationDaniel BrudneyPediatrics Nov 2018, 142 (Supplement 3) S193-S198; DOI: 10.1542/peds.2018-0516K
In this article, I present the standard process of bedside decision-making, discuss rules versus individual judgments, and examine the patient–doctor and parent–doctor conversations.