Resolving family-clinician disputes in the context of contested definitions of futility

Article indépendant

BOSSLET, Gabriel T. | LO, Bernard | WHITE, Douglas B.

The word futile has been a touchstone in debates regarding resolution of disputes regarding life-prolonging treatments since the 1980s. Here, we respond to several criticisms of the Multiorganization Policy Statement, "An Official ATS/AACN/ACCP/ESICM/SCCM Policy Statement: Responding to Requests for Potentially Inappropriate Treatments in Intensive Care Units" (Bosslet et al. 2015). This response highlights the need for a strict definition of the word futile in order to avoid undue treatment differences when end-of-life interventions are contested. We also reply to several criticisms of this policy statement that are formulated upon fundamental misunderstandings of the statement and its assertions.

http://dx.doi.org/10.1353/pbm.2018.0002

Voir la revue «Perspectives in biology and medicine, 60»

Autres numéros de la revue «Perspectives in biology and medicine»

Consulter en ligne

Suggestions

Du même auteur

Resolving family-clinician disputes in the co...

Article | BOSSLET, Gabriel T. | Perspectives in biology and medicine | n°3 | vol.60

The word futile has been a touchstone in debates regarding resolution of disputes regarding life-prolonging treatments since the 1980s. Here, we respond to several criticisms of the Multiorganization Policy Statement, "An Official...

A framework for rationing ventilators and cri...

Article indépendant | WHITE, Douglas B. | JAMA

As the coronavirus disease 2019 (COVID-19) pandemic intensifies, shortages of ventilators have occurred in Italy and are likely imminent in parts of the US. In ordinary clinical circumstances, all patients in need of mechanical ve...

A framework for rationing ventilators and cri...

Article indépendant | WHITE, Douglas B. | JAMA

As the coronavirus disease 2019 (COVID-19) pandemic intensifies, shortages of ventilators have occurred in Italy and are likely imminent in parts of the US. In ordinary clinical circumstances, all patients in need of mechanical ve...

De la même série

Euthanasia and end-of-life decisions : from t...

Article indépendant | SPRANZI, Marta | Perspectives in biology and medicine | n°1 | vol.67

Most medical learned societies have endorsed both "equivalence" between all forms of withholding or withdrawing treatment and the "discontinuity" between euthanasia and practices to withhold or withdraw treatment. While the latter...

Futility and terminal mental illness : the co...

Article indépendant | XU, Yingcheng Elaine | Perspectives in biology and medicine | n°1 | vol.64

Conceptual parity posits that both medical and mental illness are both simply illness, and thus should be considered as fundamentally the same, especially in health services and policy. Recent controversy over medical assistance i...

An essential hospice experience course for pr...

Article indépendant | BECKMAN, Emily S. | Perspectives in biology and medicine | n°4 | vol.63

This article proposes an undergraduate hospice experience course as a new model of experiential learning, one that would provide effective preparation for students entering medical school and that would help them become better doc...

Should the euthanasia act in Belgium include ...

Article indépendant | COHEN-ALMAGOR, Raphael | Perspectives in biology and medicine | n°2 | vol.61

In 2014, Belgium became the first country in the world to legislate euthanasia for children. The decision evoked questions and criticisms in Belgium and in the world at large: should children have the right to ask to die? Are chil...

Futility, the multiorganization policy statem...

Article indépendant | FINE, Robert L. | Perspectives in biology and medicine | n°3 | vol.60

This essay offers a brief history of futility, in both sociocultural and medical contexts, with some personal reflection on the disappearance and reappearance of medical futility during the author's 40-plus years in medicine. It d...

Chargement des enrichissements...