Literature DB >> 28634768

Futile Treatment-A Review.

Lenko Šarić1, Ivana Prkić2, Marko Jukić2,3.   

Abstract

The main goal of intensive care medicine is helping patients survive acute threats to their lives, while preserving and restoring life quality. Because of medical advancements, it is now possible to sustain life to an extent that would previously have been difficult to imagine. However, the goals of medicine are not to preserve organ function or physiological activity but to treat and improve the health of a person as a whole. When dealing with medical futilities, physicians and other members of the care team should be aware of some ethical principles. Knowing these principles could make decision-making easier, especially in cases where legal guidelines are insufficient or lacking. Understanding of these principles can relieve the pressure that healthcare professionals feel when they have to deal with medical futility. Efforts should be made to promote an ethics of care, which means caring for patients even after further invasive treatment has been deemed to be futile. Treatments that improve patients' comfort and minimize suffering of both patients and their families are equally as important as those aimed at saving patients' lives.

Entities:  

Keywords:  Critical care; Ethics; Medical futility; Palliative care; Quality of life

Mesh:

Year:  2017        PMID: 28634768     DOI: 10.1007/s11673-017-9793-x

Source DB:  PubMed          Journal:  J Bioeth Inq        ISSN: 1176-7529            Impact factor:   1.352


  38 in total

Review 1.  Conditions and consequences of medical futility--from a literature review to a clinical model.

Authors:  R Löfmark; T Nilstun
Journal:  J Med Ethics       Date:  2002-04       Impact factor: 2.903

2.  Why address medical futility now? New guidelines aim to resolve the inevitable differences of opinion that occur when health care providers or family members deem that further medical care is futile.

Authors:  Gay Moldow; Dianne Bartels; Don Brunnquell; Ron Cranford
Journal:  Minn Med       Date:  2004-06

Review 3.  End-of-life care and the intensivist: SIAARTI recommendations on the management of the dying patient.

Authors: 
Journal:  Minerva Anestesiol       Date:  2006-12       Impact factor: 3.051

4.  Perceptions of "futile care" among caregivers in intensive care units.

Authors:  Robert Sibbald; James Downar; Laura Hawryluck
Journal:  CMAJ       Date:  2007-10-31       Impact factor: 8.262

Review 5.  The Terri Schiavo saga: ethical and legal aspects and implications for clinicians.

Authors:  Paul S Mueller
Journal:  Pol Arch Med Wewn       Date:  2009-09

6.  Ten common questions (and their answers) on medical futility.

Authors:  Keith M Swetz; Christopher M Burkle; Keith H Berge; William L Lanier
Journal:  Mayo Clin Proc       Date:  2014-04-13       Impact factor: 7.616

Review 7.  Knowing when to stop: futility in the ICU.

Authors:  Dominic J C Wilkinson; Julian Savulescu
Journal:  Curr Opin Anaesthesiol       Date:  2011-04       Impact factor: 2.706

8.  A costly separation between withdrawing and withholding treatment in intensive care.

Authors:  Dominic Wilkinson; Julian Savulescu
Journal:  Bioethics       Date:  2012-07-05       Impact factor: 1.898

9.  Admission to intensive care unit at the end-of-life: is it an informed decision?

Authors:  Mohamed Y Rady; Daniel J Johnson
Journal:  Palliat Med       Date:  2004-12       Impact factor: 4.762

10.  What does "futility" mean? An empirical study of doctors' perceptions.

Authors:  Ben White; Lindy Willmott; Eliana Close; Nicole Shepherd; Cindy Gallois; Malcolm H Parker; Sarah Winch; Nicholas Graves; Leonie K Callaway
Journal:  Med J Aust       Date:  2016-05-02       Impact factor: 7.738

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  2 in total

1.  A 450 Year Old Turkish Poem, Art as a Qualitative Investigation Tool, Buddhist Deathways, Karma and Eudaimonia in Death and Organ Donation: The Wonders of Truly Diverse Bioethical Inquiry!

Authors:  Michael A Ashby
Journal:  J Bioeth Inq       Date:  2017-08-16       Impact factor: 1.352

2.  Survival predictors after intubation in medical wards: A prospective study in 151 patients.

Authors:  Dimitrios Basoulis; Stavros Liatis; Marina Skouloudi; Konstantinos Makrilakis; Georgios L Daikos; Petros P Sfikakis
Journal:  PLoS One       Date:  2020-06-01       Impact factor: 3.240

  2 in total

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