TY - CHAP M1 - Book, Section TI - Self-Care, Survival, and Communication Skills A1 - Carayannopoulos, Kallirroi Laiya A1 - Skrobik, Yoanna A2 - Schmidt, Gregory A. A2 - Kress, John P. A2 - Douglas, Ivor S. PY - 2023 T2 - Hall, Schmidt and Wood’s Principles of Critical Care, 5th Edition AB - Your personal well-being drives the quality of the clinical critical care you deliver.Physicians lack self-awareness. This jeopardizes their well-being, and thus their capacity to provide the level of excellent care they are capable of.The data and (limited) evidence for ways in which to maintain or recover well-being center on fostering a professional and personal sense of agency. Intensive care unit (ICU) physicians have a limited understanding of how important this is, and little knowledge of which “actionable” changes can increase this sense of agency in their daily lives and ICU practice.Patients and families will probably remember your presence (or lack thereof), what you said (or didn’t), and how, for the rest of their lives.Maladaptive communication is associated with “iatrogenic suffering” in patients and families.Difficult communications (end-of-life [EOL] or prognosis) burden senior ICU trainees and staff. Recent evidence suggests excluding families from the ICU environment burdens physicians significantly in addition to traumatizing patients and families.Two aspects of effective communication are highlighted within a framework of evidence-based patient and family-centered ICU policies. SN - PB - McGraw Hill CY - New York, NY Y2 - 2024/10/13 UR - accesssurgery.mhmedical.com/content.aspx?aid=1201799170 ER -