Death determination by neurologic criteria-what do families understand?
Aimee J SartiStephanie SutherlandMaureen MeadeLaura HornbyLindsay C WilsonAngele LandriaultBrandi Vanderspank-WrightSabira ValianiSean KeenanMatthew J WeissKim WerestiukStephen BeedAndreas H KramerJoann KawchukPierre CardinalSonny DhananiKen LotheringtonGiuseppe PagliarelloMichaël ChasséMary GatienKim ParsonsJennifer A ChandlerPeter NickersonSame Shemienull nullPublished in: Canadian journal of anaesthesia = Journal canadien d'anesthesie (2023)
Family members' understanding of brain death and death determination represented a journey that they reported in sequential meeting with health care providers, most notably physicians. Modifiable factors to improve communication and bereavement outcomes during DNC include attention to the state of mind of the family, pacing and repeating discussions according to families' expressed understanding, and preparing and inviting families to be present for the clinical determination including apnea testing. We have provided family-generated recommendations that are pragmatic and can be easily implemented.
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