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Comment & Response
May 19, 2020

Balancing Past vs Future Values in Decision-Making—Reply

Author Affiliations
  • 1Harborview Medical Center, University of Washington, Seattle
  • 2University of Rochester Medical Center, Rochester, New York
JAMA. 2020;323(19):1976. doi:10.1001/jama.2020.3837

In Reply Dr Shapiro comments on our Viewpoint1 on improving conversations regarding treatment decisions in the intensive care unit. To accomplish truly informed, patient-centered treatment decisions, be it with would-be patients in advance of a crisis (advance care planning) or with the family members of incapacitated patients in the intensive care unit, sensitive, skillful, and honest communication is key.