Potential VCA Candidates, Caregivers and Providers Motivations, Expectations and Shared Decision Making in VCA

Abstract

Information regarding the medical, surgical, and psychological issues associated with VCA has been gathered from clinicians and patient subjects and analyzed utilizing qualitative research methods and is being curated and incorporated into the conversation aid prototype, paying particular attention to presenting the information in a patient accessible way that facilitates discussion, reflection, and decision making. An oral presentation titled The Application of the Purposeful Shared Decision Making Schema to Hand Transplant Conversations was given at the International Conference on Communication in Healthcare by Ian Hargraves PhD to introduce this concept to the scientific community. We believe that this prototype will serve as a first-in-world structured platform for supporting clinicians, candidates, and caregivers through the hand and face transplant decision-making process. Drawing on Mayo Clinic expertise in transplant medicine and psychiatry, immunosuppressive care, shared decision making, qualitative methods, and human-centered design, we are completing an initial prototype web-based tool that facilitates candidate-clinician hand transplant decision making that addresses the upsides and downsides of VCA, potentially conflicting desires of candidates and other stakeholders, the goals of VCA, the practicalities that need to be problem-solved, and the existential significance of limb-loss and transplant.

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Document Details

Document Type
Technical Report
Publication Date
Dec 01, 2022
Accession Number
AD1201610

Entities

People

  • Sheila Jowsey-gregoire

Organizations

  • Mayo Clinic

Tags

Communities of Interest

  • Biomedical

DTIC Thesaurus Topics

  • Allografts
  • Amputees
  • Biomedical Research
  • Electronic Mail
  • Families (Human)
  • Health Services
  • Human Behavior
  • Institutional Review Board
  • Law
  • Medical Personnel
  • Prostheses And Implants
  • Prosthetics
  • Psychology
  • Quality Of Life
  • Social Psychology
  • Surgical Amputations
  • Teamwork
  • Transplants
  • United States
  • Upper Limb Amputations
  • Upper Limb Amputees

Fields of Study

  • Medicine

Readers

  • Gulf War Illness and Chronic Multisymptom Illness in Veterans.
  • Rehabilitation and Prosthetic Care for Military Service Members and Veterans with Limb Loss or Disability.
  • Systems Analysis and Design

Technology Areas

  • Biotechnology