TY - JOUR
T1 - CURVES
T2 - A mnemonic for determining medical decision-making capacity and providing emergency treatment in the acute setting
AU - Chow, Grant V.
AU - Czarny, Matthew J.
AU - Hughes, Mark T.
AU - Carrese, Joseph A.
N1 - Funding Information:
Funding/Support: Drs Carrese and Hughes are supported by the Morton K. and Jane Blaustein Foundation.
PY - 2010/2/1
Y1 - 2010/2/1
N2 - The evaluation of medical decision-making capacity and provision of emergency treatment in the acute care setting may present a significant challenge for both physicians-in-training and attending physicians. Although absolutely essential to the proper care of patients, recalling criteria for decision-making capacity may prove cumbersome during a medical emergency. Likewise, the requirements for providing emergency treatment must be fulfilled. This article presents a mnemonic (CURVES: Choose and Communicate, Understand, Reason, Value, Emergency, Surrogate) that addresses the abilities a patient must possess in order to have decision-making capacity, as well as the essentials of emergency treatment. It may be used in conjunction with, or in place of, lengthier capacity-assessment tools, particularly when time is of the essence. In addition, the proposed tool assists the practitioner in deciding whether emergency treatment may be administered, and in documenting medical decisions made during an acute event.
AB - The evaluation of medical decision-making capacity and provision of emergency treatment in the acute care setting may present a significant challenge for both physicians-in-training and attending physicians. Although absolutely essential to the proper care of patients, recalling criteria for decision-making capacity may prove cumbersome during a medical emergency. Likewise, the requirements for providing emergency treatment must be fulfilled. This article presents a mnemonic (CURVES: Choose and Communicate, Understand, Reason, Value, Emergency, Surrogate) that addresses the abilities a patient must possess in order to have decision-making capacity, as well as the essentials of emergency treatment. It may be used in conjunction with, or in place of, lengthier capacity-assessment tools, particularly when time is of the essence. In addition, the proposed tool assists the practitioner in deciding whether emergency treatment may be administered, and in documenting medical decisions made during an acute event.
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U2 - 10.1378/chest.09-1133
DO - 10.1378/chest.09-1133
M3 - Article
C2 - 20133288
AN - SCOPUS:76749110257
SN - 0012-3692
VL - 137
SP - 421
EP - 427
JO - CHEST
JF - CHEST
IS - 2
ER -