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BEST CASE/WORST CASE
A framework to help clinicians discuss high-stakes decisions with patients and their families.
BEST CASE/WORST CASE: Nephrology
A framework to help clinicians discuss dialysis treatment options with frail older patients and their families
BEST CASE/WORST CASE: ICU
A framework to help clinicians discuss the trajectory of critical illness with patients, their families, and other care team members.
Best Case/Worst Case
Our research group developed a communication tool called Best Case/Worst Case (BC/WC) intended for face-to-face discussions about treatment options in the context of serious illness. BC/WC is an intervention to support decision making that builds on the conceptual model of shared decision making and uses scenarios to help patients and families imagine what life might look like if they had surgery. BC/WC combines narrative description and a hand written graphic aid to illustrate a choice between treatments and to engage patients and families in deliberation. For each treatment, the surgeon describes a range of possible outcomes in the best case, worst case, and most likely scenarios.
Best Case/Worst Case: Nephrology
Best Case/Worst Case Nephrology uses the original Best Case/Worst Case framework to help clinicians discuss and plan for dialysis treatment options with patients who have chronic kidney disease.
Best Case/Worst Case: ICU
Best Case/Worst Case: ICU helps critical care clinicians discuss uncertainty and the trajectory of illness and injury with patients, their families, and other care providers.
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The PATIENT PREFERENCES PROJECT
Wisconsin Surgical Outcomes Research Program
Department of Surgery
University of Wisconsin School of Medicine and Public Health
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