A systems thinking framework to improve care of the terminally ill: An Australian case study

This paper argues the value of systems thinking to patients, family members and medical practitioners in end-of-life care, particularly as a mechanism for considering when palliative care should be introduced as preferred treatment. It applies a well-established set of tenets in systems thinking ret...

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Autor principal: Elizabeth Summerfield
Formato: article
Lenguaje:EN
Publicado: The Beryl Institute 2020
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Acceso en línea:https://doaj.org/article/41d4c70f13d04833b8bf641ace32d0d3
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Sumario:This paper argues the value of systems thinking to patients, family members and medical practitioners in end-of-life care, particularly as a mechanism for considering when palliative care should be introduced as preferred treatment. It applies a well-established set of tenets in systems thinking retrospectively to a case study of patient care in Australia. This highlights how and where different decisions might have been made, based on a holistic consideration of the patient’s best interests. The case is written from the perspective of a family caregiver. It argues that early, deliberate conversation, framed by systems thinking tenets, can support the call for the more timely intervention of palliative care. As a precursor to effective conversation, the case supports recent calls for increased training in systems thinking in graduate and continuing medical education. A change in medical practice would both facilitate and be enabled by a broader cultural change in public attitudes toward dying, end-of-life care and death. Encouraging the documentation of single case studies, written or co-written by medical practitioners and family carers can contribute to the evidence base of both medical and public education. <strong>Experience Framework</strong> This article is associated with the Culture & Leadership lens of The Beryl Institute Experience Framework. (<a href="http://bit.ly/ExperienceFramework">http://bit.ly/ExperienceFramework</a>) <ul> <li><a href="https://www.theberylinstitute.org/page/PXSEARCH#resource-list-all/?view_28_page=1&view_28_filters=%5B%7B%22field%22%3A%22field_38%22%2C%22operator%22%3A%22in%22%2C%22value%22%3A%5B%22PXJ%20Article%22%5D%7D%2C%7B%22field%22%3A%22field_20%22%2C%22operator%22%3A%22is%22%2C%22value%22%3A%5B%22%22%5D%7D%2C%7B%22field%22%3A%22field_40%22%2C%22operator%22%3A%22is%22%2C%22value%22%3A%5B%22%22%2C%22Culture%20%26%20Leadership%22%5D%7D%2C%7B%22field%22%3A%22field_41%22%2C%22operator%22%3A%22is%22%2C%22value%22%3A%5B%22%22%5D%7D%5D">Access other PXJ articles</a> related to this lens.</li> <li><a href="https://www.theberylinstitute.org/page/Ecosystem-CultureLeadership">Access other resources</a> related to this lens</li> </ul>