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Physicians should provide all relevant medical information and explain to surrogate decision makers that decisions regarding withholding or withdrawing life-sustaining treatment should be based on substituted judgment (what the patient would have decided) when there is evidence of the patient’s preferences and values.
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- The Appropriate Use of Increasingly Sophisticated Life-Sustaining Technology
When facing decisions about withholding or withdrawing life- sustaining treatment the physician should: Review with the patient the individual’s advance directive, if there is one. Otherwise, elicit the patient’s values, goals for care, and treatment preferences. Include the patient’s surrogate in the conversation if possible, even when ...
If the doctor believes that life-sustaining treatment should be stopped, the doctor must try to resolve disagreements about their proposal with you or your SDM in a timely manner. The doctor can do this by discussing treatment options, clarifying misunderstandings, answering questions, and offering supportive services (for example, palliative care), among other things.
However, patients and their family members are often faced with decisions about when and if these treatments should be used or if the treatments should be withdrawn. 2,9 The terms withholding and withdrawing can be confused with each other. Withdrawing is a term used to mean that a life-sustaining intervention presently being given is stopped.
Withdrawing Life-Sustaining Treatment was published in 1992 and revised in 1995, 1997, 2004 and 2015. The basic principles established in the original document endure; however, decisions to withhold or withdraw life-sustaining treatment involve serious ethical issues in the context of the current healthcare delivery environment.
Sep 20, 2024 · Termination of life support is a crucial aspect of end-of-life care, allowing patients to experience a peaceful and dignified death when curative treatments are no longer effective. Physicians should be well-informed about the critical intervention of terminating life support, particularly for patients at the end-of-life stage who have given ...
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May 5, 2020 · A transition, not an end. “A decision to withhold or withdraw life-sustaining treatment is not a decision to withhold or withdraw care entirely,” the page says. It goes on to quote the Code opinion on “ Withholding or Withdrawing Life-Sustaining Treatment,” which requires that physicians reassure “the patient and/or surrogate that all ...
