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For patients with good symptom control, instrumental support, and a predictable course of illness, decisions regarding place of care are often based on values and expectations [ 2- 5].
Whatever the nature of the illness, decisions relating to the need for hospital admission relate to the physiological state and the potential for further deterioration where intervention may limit or prevent this.
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The Web of Knowledge database was searched using the terms: measures, decision making, satisfaction, mental illness, shared decision making, mental health care, and decision making involvement.
"His own mental illness and decisions he made are to blame".
Patients, especially those with chronic illness, make decisions about treatments that fit with their own beliefs and personal circumstances.
Short-term (24 h) mortality after MICU transport appears mainly influenced by the natural course of critical illness and decisions to retain further aggressive therapy in individual patients.
This finding seems to mirror findings in a study focused on informed consent in the Czech Republic that reflected "an unquestioning willingness, of a significant proportion of citizens, to accept, in cases of illness, all decisions made by doctors during the course of treatment" [ 19].
The impact of illness on decision-making is difficult to dissociate from the role of medical care received for the illness on decision-making.
In fact, compared with those receiving standard oncologic care alone, ambulatory outpatients with advanced lung cancer who also received consultation from palliative care specialists addressing understanding of the illness, treatment decision-making, and development of care plans had better mood and quality of life along with improved understanding of their prognosis [16].
Conversely, because the disease in different people uniquely affects intellectual functions, some patients in the earliest stages of the illness lack decision-making capacity.
Patients and families can benefit from an extra layer of support to manage complex medical illnesses and decisions, and many wish they had heard about it sooner.
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Justyna Jupowicz-Kozak
CEO of Professional Science Editing for Scientists @ prosciediting.com