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Table 2 Narrative Elements of Clinical Ethics Consultation Documentation [21]

From: Clinical ethics consultation documentation in the era of open notes

Narrative Elements

Voice

-Who is telling the tale?

-Whose perspective are we hearing?

-Why is this story being told?

Character

-Who is the center of the tale?

-Whose story is it?

-Are there missing voices/characters?

Plot

-What has been disrupted in the story?

-What has disrupted the integrity of the person and their story?

Resolution

-Movement from dissonance to consonance

-CECs do not end for patients at the conclusion of a consult

-Find least damaging path forward

-Restore integrity/wholeness of patient, family, and providers

-Does the resolution fit in light of the participants’ stories?