TITLE

Handling Cases of 'Medical Futility'

AUTHOR(S)
Gallagher, Colleen; Holmes, Ryan
PUB. DATE
June 2012
SOURCE
HEC Forum;Jun2012, Vol. 24 Issue 2, p91
SOURCE TYPE
Academic Journal
DOC. TYPE
Article
ABSTRACT
Medical futility is commonly understood as treatment that would not provide for any meaningful benefit for the patient. While the medical facts will help to determine what is medically appropriate, it is often difficult for patients, families, surrogate decision-makers and healthcare providers to navigate these difficult situations. Often communication breaks down between those involved or reaches an impasse. This paper presents a set of practical strategies for dealing with cases of perceived medical futility at a major cancer center.
ACCESSION #
76401428

 

Related Articles

  • Medizin und Recht: Therapieverzicht am Lebensende durch niedergelassene Ärzte. Rogler, Gerhard; Mausbach, Julian // Praxis (16618157);12/31/2013, Vol. 103 Issue 1, p19 

    The question, how and when an individual decision for and end of medical treatment or abdication of therapy should be made remains difficult. Ethical considerations have to be taken into account with respect to a humane and dignified decease. The goal of our manuscript there for is to achieve...

  • The Mega Issues of Ambulatory Care Nursing. Futch, Catherine; Phillips, Regina // Nursing Economic$;May/Jun2003, Vol. 21 Issue 3, p140 

    Identifies the most outstanding and urgent issues that will directly affect the American Academy of Ambulatory Care Nursing and ambulatory care nursing in the U.S. through 2008 to 2013. Expanded life expectancy; Ethics and integrity; Legislation and regulation.

  • The nutritional risk in oncology: a study of 1,453 cancer outpatients. Bozzetti, Federico; Mariani, Luigi; Lo Vullo, Salvatore; Amerio, Maria; Biffi, Roberto; Caccialanza, Riccardo; Capuano, Giovanni; Correja, Isabel; Cozzaglio, Luca; Di Leo, Angelo; Di Cosmo, Leonardo; Finocchiaro, Concetta; Gavazzi, Cecilia; Giannoni, Antonello; Magnanini, Patrizia; Mantovani, Giovanni; Pellegrini, Manuela; Rovera, Giuseppe; Rovera, Lidia; Sandri, Giancarlo // Supportive Care in Cancer;Aug2012, Vol. 20 Issue 8, p1919 

    Purpose: There is little information about the nutritional status of cancer outpatients because the practice of nutritional screening is rarely performed. This study aims to define the pattern of scores of nutritional risk in 1,453 outpatients and factors associated with a high nutrition risk...

  • Validation of a Pediatric Diabetes Case Definition Using Administrative Health Data in Manitoba, Canada. DART, ALLISON B.; MARTENS, PATRICIA J.; SELLERS, ELIZABETH A.; BROWNELL, MARNI D.; RIGATTO, CLAUDIO; DEAN, HEATHER J. // Diabetes Care;Apr2011, Vol. 34 Issue 4, p898 

    OBJECTIVE--To validate a case definition for diabetes in the pediatric age-group using administrative health data. RESEARCH DESIGN AND METHODS--Population-based administrative data from Manitoba, Canada for the years 2004-2006 were anonymously linked to a clinical registry to evaluate the...

  • The role of the nurse in an ambulatory stroke and cognition clinic. Flogen, BettyAnn R.; Stern, Bianca; Wagner, Laura M. // AXON/ L'AXONE;Spring2006, Vol. 27 Issue 3, p34 

    In this paper we described our approach to the development of the role of a nurse within a stroke and cognition ambulatory clinic at Baycrest. In developing this approach we integrated Baycrest's commitment to clients and family-focused care, our focus on interdisciplinary collaborative...

  • Patients' perception and actual practice of informed consent, privacy and confidentiality in general medical outpatient departments of two tertiary care hospitals of Lahore. Humayun, Ayesha; Fatima, Noor; Naqqash, Shahid; Hussain, Salwa; Rasheed, Almas; Imtiaz, Huma; Imam, Sardar Zakariya // BMC Medical Ethics;2008, Vol. 9, Special section p1 

    Background: The principles of informed consent, confidentiality and privacy are often neglected during patient care in developing countries. We assessed the degree to which doctors in Lahore adhere to these principles during outpatient consultations. Material & Method: The study was conducted at...

  • Supervision of Unlicensed Assistive Workers in Ambulatory Settings. Haas, Sheila; Gold, Carrol // Nursing Economic$;Jan/Feb97, Vol. 15 Issue 1, p57 

    Many of the concerns related to health care reform, downsizing and the implementation of care delivery models employing multiple levels of assistive personnel have been identified and discussed as they relate to inpatient, acute care settings. Yet, the supervision of unlicensed assistive...

  • Health technology assessment of utilization, practice and ethical issues of self-pay services in the German ambulatory health care setting. Hunger, Theresa; Schnell-Inderst, Petra; Hintringer, Katharina; Schwarzer, Ruth; Seifert-Klauss, Vanadin; Gothe, Holger; Wasem, Jürgen; Siebert, Uwe // International Journal of Public Health;Feb2014, Vol. 59 Issue 1, p175 

    Objectives: The provision of self-pay medical services is common across health care systems, but understudied. According to the German Medical Association, such services should be medically necessary, recommended or at least justifiable, and requested by the patient. We investigated the...

  • Potentially inappropriate medication prescribed to elderly outpatients at a general medicine unit. Faustino, Christine Grützmann; de Arruda Martins, Milton; Jacob-Filho, Wilson // Einstein (16794508);Jan-Mar2011, Vol. 9 Issue 1, p18 

    Objective: To establish the prevalence of potentially inappropriate medications prescribed for elderly patients, to identify the most commonly involved drugs, and to investigate whether age, sex and number of medications were related with the prescription of these drugs. Methods: Prescriptions...

Share

Read the Article

Other Topics