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Intranuclear Microinjection of DNA into Dissociated Adult Mammalian Neurons
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The Abuse of Futility.

Lawrence J Schneiderman, Nancy S Jecker, Albert R Jonsen

    Perspectives in Biology and Medicine
    |January 30, 2018
    PubMed
    Summary

    The term "medical futility" acknowledges patient mortality and limits of medicine. Replacing it with "inappropriate" is vague and trivializes critical care decisions.

    Area of Science:

    • Medical Ethics
    • Critical Care Medicine

    Background:

    • Recent policy statements question the term "medical futility" due to definitional ambiguity.
    • These statements suggest using "potentially inappropriate" or "inappropriate" in its place.

    Purpose of the Study:

    • To critique the proposed replacement terms for "medical futility" in critical care.
    • To advocate for the continued use of "medical futility" in intensive care unit (ICU) decision-making.

    Main Methods:

    • Conceptual analysis and argumentation.
    • Comparison of terminology in lay versus medical contexts.

    Main Results:

    • The terms "potentially inappropriate" and "inappropriate" are considered vague and misleading in the ICU setting.

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  • "Medical futility" unambiguously affirms human mortality and medicine's limitations.

    • Conclusions:

    • "Medical futility" facilitates deeper reflection on end-of-life care and palliative integration in critical care.
    • The term encourages healthcare providers to confront the limits of medical intervention and the inevitability of death.