Abstract
This paper offers a narrative approach to understanding the process of clinical reasoning in complex cases involving medical uncertainty, moral ambiguity, and futility. We describe a clinical encounter in which the pediatric health care team experienced a great deal of conflict and distrust as a result of an ineffective process of interpretation and communication. We propose a systematic method for analyzing the technical, ethical, behavioral, and existential dimensions of the clinical reasoning process, and introduce the Clinical Reasoning Discussion Tool-a dialogical and interpretive device aimed at improving communication, understanding, empathy, and moral deliberation in the clinical setting.
| Original language | English (US) |
|---|---|
| Pages (from-to) | 173-194 |
| Number of pages | 22 |
| Journal | Journal of Medical Humanities |
| Volume | 22 |
| Issue number | 3 |
| DOIs | |
| State | Published - 2001 |
Keywords
- Critical care
- Decision-making
- Futility
- Moral distress
ASJC Scopus subject areas
- Health(social science)
- Health Policy