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- Curative intent should give way to appropriateness such that curative and palliative interventions are valued equally. Goals of treatment should be shaped by illness trajectory, the risk of harms as well as potential benefits and patient preferences.
academic.oup.com/pmj/article/94/1110/238/6984596Futility and appropriateness: challenging words, important ...
Feb 24, 2018 · Medical interventions in seriously ill patients should not be shaped by a binary choice—curative treatment or palliative care—but by appropriateness. This is an alternative word to ‘futile’ or ‘non-beneficial’.
Dec 21, 2001 · The approach to management of patients with advanced disease and serious illness has been strongly influenced by advances in science and technology, the increasing role of ethics in clinical practice, and the recognition of new rights and social changes.
- Pauline Lesage, Russell K. Portenoy
- 2001
Jul 1, 2017 · The first major challenge to understanding and respecting seriously ill patients’ preferences is the recognition by patients and providers that a significant decision needs to be made.
- Amber E. Barnato
- 2017
Apr 4, 2002 · For a low-burden treatment with the restoration of current health, 98.7 percent of participants said they would choose to receive the treatment (rather than not receive it and die), but 11.2...
- Terri R Fried, Elizabeth H Bradley, Virginia R Towle, Heather Allore
- 2002
Dec 12, 2012 · Sometimes, doing nothing at first—“watchful waiting”—may be a completely reasonable option. In order to ensure that each patient gets the treatment that is right for him or her, the choice should be a shared decision, involving both the patient and the clinician.
- 2012/12/12
Jul 9, 2024 · Palliative care practices aim to improve quality of life for patients with serious illness through pain and symptom management, while also providing support for difficult medical decisions near the end of life [2].
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Aug 20, 2018 · To address these challenges, we propose a practical framework to guide the Decision Making Process (DMP) during the care of a seriously ill patient, aiming to align Evidence-Based Practice (EBP) and Person-Centered Care using a bioethical referential.
