Ethics roundtable debate: patients and surrogates want 'everything done'--what does 'everything' mean?
- PMID: 17020595
- PMCID: PMC1751064
- DOI: 10.1186/cc5016
Ethics roundtable debate: patients and surrogates want 'everything done'--what does 'everything' mean?
Abstract
Highly complex and specialized care plans sometimes overwhelm the comprehension of patients and families. Many optimistic surrogates of critically ill patients err on the side of desiring that everything be done but with a nebulous idea of what 'everything' entails. Physicians must work closely to educate surrogates as to the benefits versus the risks of treatment. Our roundtable experts ponder the question of whether providers possess the authority to interpret unilaterally the nature of requests for everything.
Similar articles
-
Patient and surrogate disagreement in end-of-life decisions: can surrogates accurately predict patients' preferences?Med Decis Making. 2008 Jul-Aug;28(4):524-31. doi: 10.1177/0272989X08315244. Epub 2008 Jun 19. Med Decis Making. 2008. PMID: 18566485
-
DNR versus DNT: clinical implications of a conceptual ambiguity: a case analysis.Psychosomatics. 2007 Jan-Feb;48(1):10-5. doi: 10.1176/appi.psy.48.1.10. Psychosomatics. 2007. PMID: 17209144
-
Ethics roundtable debate: should a sedated dying patient be wakened to say goodbye to family?Crit Care. 2003 Oct;7(5):335-8. doi: 10.1186/cc2329. Epub 2003 Jun 9. Crit Care. 2003. PMID: 12974961 Free PMC article.
-
Changing aspects of care in critically ill neurologic patients.Rev Neurol Dis. 2008 Summer;5(3):134-9. Rev Neurol Dis. 2008. PMID: 18838953 Review.
-
[Cardiopulmonary resuscitation and do not resuscitate orders].Rev Med Chil. 2007 May;135(5):669-79. Epub 2007 Jul 9. Rev Med Chil. 2007. PMID: 17657338 Review. Spanish.
Cited by
-
Islamic perspectives on clinical intervention near the end-of-life: We can but must we?Med Health Care Philos. 2017 Dec;20(4):545-559. doi: 10.1007/s11019-016-9729-y. Med Health Care Philos. 2017. PMID: 27613411
-
Estimating the Impact of Words Used by Physicians in Advance Care Planning Discussions: The "Do You Want Everything Done?" Effect.Crit Care Explor. 2019 Oct 14;1(10):e0052. doi: 10.1097/CCE.0000000000000052. eCollection 2019 Oct. Crit Care Explor. 2019. PMID: 32166233 Free PMC article.
-
Ethics roundtable: 'Open-ended ICU care: can we afford it?'.Crit Care. 2010;14(3):222. doi: 10.1186/cc8962. Epub 2010 Jun 21. Crit Care. 2010. PMID: 20587008 Free PMC article.
References
-
- Canadian Medical Association . Code of Ethics. Ottawa: The Canadian Medical Association; 1996.
-
- Baylis F. Expert testimony by persons trained in ethical reasoning: the case of Andrew Sawatzky. J Law Med Ethics. 2000;28:224–231. - PubMed
-
- Picard EI, Robertson GB. Legal Liability of Doctors andHospitals in Canada. 3. Toronto: Carswell; 1996. p. 265.
Publication types
MeSH terms
LinkOut - more resources
Full Text Sources