Treatment FAQ

what is the discontinuing of life-sustaining or extraordinary treatment of the ill

by Nico Bruen Published 3 years ago Updated 2 years ago

The goal of withdrawing life sustaining treatment is to remove treatments that are no longer desired or do not provide comfort to the patient. 2. The withholding of life-sustaining treatments is morally and legally equivalent to their withdrawal.

Full Answer

Is it unethical to discontinue life-sustaining medical treatment of a patient?

The goal of withdrawing life sustaining treatment is to remove treatments that are no longer desired or do not provide comfort to the patient. 2. The withholding of life-sustaining treatments is morally and legally equivalent to their withdrawal. 3. Actions with the sole goal of hastening death are morally and legally problematic. 4.

What does withdrawal of life-sustaining treatment mean?

Withdrawing treatment. There are many different types of treatment that can be used to keep people with serious or terminal illnesses alive. These are called life-sustaining treatments. They include: nutritional support through a feeding tube. dialysis – where a machine takes over the kidneys' functions. ventilators – where a machine takes ...

What is considered life-sustaining treatment?

When seriously ill patients ask to discontinue life-sustaining treatment, depression may be impairing their ability to make decisions. In this case study, a geriatrician discusses how a physician might work through the ethics of this situation. At 80, J.T. lives with his wife in a retirement community.

Are decisions to withhold or withdraw life-sustaining interventions ethically and emotionally challenging?

Withdrawing life-sustaining treatment refers to discontinuing artificial methods of maintaining life Patients have the legal right to 1. refuse treatment. 2. refuse food. 3. refuse fluids active euthanasia 1. intentional killing of the terminally ill person 2. is illegal and violates the medical profession's ethics

What is termination of life sustaining treatment?

When is it justifiable to discontinue life-sustaining treatments? If the patient has the ability to make decisions, fully understands the consequences of their decision, and states they no longer want a treatment, it is justifiable to withdraw the treatment.

When can I withdraw my life sustaining treatment?

When an intervention no longer helps to achieve the patient's goals for care or desired quality of life, it is ethically appropriate for physicians to withdraw it.

What is withholding or withdrawing life sustaining treatment?

Withholding or withdrawing of life-sustaining therapy or life support is a process by which various medical interventions either are not given to or are taken away from patients with the expectation that they will die from their underlying illnesses.

Do patients have the right to refuse life sustaining treatment?

Under federal law, the Patient Self-Determination Act (PSDA) guarantees the right to refuse life sustaining treatment at the end of life.Apr 16, 2015

What means life sustaining?

A life-sustaining treatment, also referred to as a life-sustaining procedure or life-prolonging procedure, is a treatment utilized to prolong or sustain life without reversing the underlying medical condition.

What is withdrawal of treatment?

In general, treatment is withdrawn when death is felt to be inevitable despite continued treatment. This would typically be when dysfunction in three or more organ systems persists or worsens despite active treatment or in cases such as multiple organ failure in patients with failed bone marrow transplantation.

What are examples of life sustaining treatments?

Patients may consider many life-sustaining treatments; in addition to cardiopulmonary resuscitation (CPR), options include elective intubation, mechanical ventilation, surgery, dialysis, blood transfusions, artificial nutrition and hydration, diagnostic tests, antibiotics, other medications and treatments, as well as ...Oct 1, 2000

What are considered life sustaining medications?

The FDA defines life-sustaining drugs as a product that is “essential to, or that yields information that is essential to, the restoration or continuation of a bodily function important to the continuation of human life.”

Can you turn off life support in Australia?

However, in Australia and in almost all countries around the world, it is lawful for doctors to decide to stop or not start life support treatment if that treatment would not benefit the child or would do more harm than good.

What criteria would you use to determine whether to terminate life sustaining treatment?

When is it justifiable to discontinue life-sustaining treatments? If the patient has the ability to make decisions, fully understands the consequences of their decision, and states they no longer want a treatment, it is justifiable to withdraw the treatment.

What is it called when a patient refuses treatment?

Informed refusal is where a person has refused a recommended medical treatment based upon an understanding of the facts and implications of not following the treatment. Informed refusal is linked to the informed consent process, as a patient has a right to consent, but also may choose to refuse.

When a patient is clinically unable to give consent to a lifesaving emergency treatment?

-When patient clinically unable to give consent the law implies consent on the presumption that a reasonable person would consent to lifesaving medical intervention.

What is life sustaining treatment?

Life-sustaining treatment is defined as mechanical ventilation, renal dialysis, chemotherapy, antibiotics, and artificial nutrition and hydration.

How long does hemodialysis last?

Many chronic hemodialysis patients have survived for more than 10 years of therapy, some for more than 30 years.1,2 Despite this success in treating the uremic syndrome of end-stage renal disease (ESRD) patients by hemodialysis, knowledge of the toxins retained in the body after the loss of kidney function, so-called uremic toxins, and how much of those toxins to remove during hemodialysis therapy remains incomplete.

Why is communication important in healthcare?

Good communication is essential to increasing patient autonomy.

What is mechanical ventilation?

Mechanical ventilation, a life-sustaining therapy for patients with respiratory failure ( Chapter 104 ), is provided partially or fully by external sources through a variety of mechanical strategies termed modes of ventilation.

Why is good communication important?

Good communication is essential to increasing patient autonomy. Artificial nutrition and hydration, mechanical ventilation, CPR, and dialysis are commonly withheld and withdrawn. It is appropriate clinically, ethically, and legally to withhold or withdraw therapies when the burden to the patient outweighs the benefit.

What is life sustaining treatment?

These are called life-sustaining treatments. They include: dialysis – where a machine takes over the kidneys' functions. Eventually, with terminal illness, there may come a time when it's clear there's no prospect of recovery and that life-sustaining treatments are prolonging the dying process.

What is a ventilator?

ventilators – where a machine takes over breathing. Eventually, with terminal illness, there may come a time when it's clear there's no prospect of recovery and that life-sustaining treatments are prolonging the dying process. Your healthcare team will discuss this with you if you're able to understand and communicate.

What is life sustaining treatment?

Life-sustaining treatment is any treatment that serves to prolong life without reversing the underlying medical condition. Life-sustaining treatment may include, but is not limited to, mechanical ventilation, renal dialysis, chemotherapy, antibiotics, and artificial nutrition and hydration. There is no ethical distinction between withdrawing ...

What is the principle of patient autonomy?

The principle of patient autonomy requires that physicians respect the decision to forgo life-sustaining treatment of a patient who possesses decision-making capacity. Life-sustaining treatment is any treatment that serves to prolong life without reversing the underlying medical condition.

What is the social commitment of a physician?

The social commitment of the physician is to sustain life and relieve suffering. Where the performance of one duty conflicts with the other, the preferences of the patient should prevail. The principle of patient autonomy requires that physicians respect the decision to forgo life-sustaining treatment of a patient who possesses decision-making ...

What is advisory document?

Advisory documents aim to accurately represent a patient’s wishes and are legally binding under law. Statutory documents give physicians immunity from malpractice for following a patient’s wishes. If a form is not available that combines the two, an advisory document should be appended to the state statutory form.

What happened to Mary in the hospital?

She collapsed and became unconscious after a couple of minutes. Larry called 911, and Mary was immediately brought to the hospital. After a series of tests, it was revealed that she had a rare case of a brain aneurysm. She was confined to the ICU and was intubated and attached to a mechanical ventilator.

What does a physician do for a family?

The physician, patient (if able) and family members work closely to determine the illness or pathology, prognosis, benefits, and risks of the proposed treatment, and the financial expense that affects the family and the community at large.

What is a ventilator?

A ventilator is placed as a temporary relief until this person can breathe on his own after a certain period. The ventilator, in this case, is considered as a bridge to recovery. It is like a walker or a cane, which is temporarily used by patients who are not able to walk because of fractures.

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