Choosing Wisely:

Don’t provide care that is discordant with the patient’s goals and values.

Rationale and Comments: The condition of ICU patients is often uncertain and dynamic, which generates stress for ICU families and the care staff. Accordingly, eliciting and documenting desired care preferences helps ensure the provision of goal-concordant care. Patients, families, and providers may participate as partners in shared decision-making to ensure that goals and values align with care that is offered and provided.
Sponsoring Organizations:
  • Society of Critical Care Medicine
  • Sources:
  • Expert consensus
  • Disciplines:
  • Geriatric Medicine
  • References: • Deptola AZ, et al. (2019). Inpatient goals-of-care conversations reduce ICU transfers in high-risk patients. Am J Hosp Palliat Care. 2019;36(7):583-586.

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