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Medical Futility
Oleh:
Pope, Thaddeus Mason
Jenis:
Article from Books - E-Book
Dalam koleksi:
Guidance for Healthcare Ethics Committees
,
page 88-97.
Topik:
Medical Futility
;
Causes of Futility Disputes
;
Preventative Ethics
;
Dispute Resolution
;
Fulltext:
Medical Futility.pdf
(165.84KB)
Isi artikel
Like Mr. B, hospitalized patients at the end of life frequently lack decision-making capacity. So, decisions regarding their treatment are usually made by surrogate decision-makers (Chapters 8, 9). A futility dispute is typically described as a situation in which a surrogate wants to continue the patient’s non-palliative treatment (usually life-sustaining treatment) but the healthcare provider wants to stop. Providers normally need consent to withhold or withdraw treatment. herefore, to resolve futility disputes, providers must: (1) accede to the surrogate, (2) obtain consent, or (3) ind a legitimate basis to withhold or withdraw treatment without consent. 1 Medical futility is one of the most common reasons for ethics consultation and ethics committee review. his chapter serves as a basic primer to medical futility disputes. It irst provides some essential context and background, including the leading deinitions of “medical futility.” hen it reviews the primary factors that cause medical futility disputes. Ater providing this conceptual and sociological background, this chapter then addresses how medical futility disputes can be avoided and resolved. Included in this discussion is a treatment of preventative ethics, leading mechanisms for resolving futility conlicts, and questions for further discussion to motivate HEC members’ thinking on the issues surrounding medical futility.
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