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My Exit.

¹School of Medicine, Stanford University, CA.

The Permanente Journal

|October 22, 2019

Summary

This summary is machine-generated.

An elderly patient with multiple organ failure considers refusing food, fluids, and antibiotics. Her decision reflects personal beliefs and experiences facing medical treatment.

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Area of Science:

Medical Ethics
Geriatric Medicine
Palliative Care

Background:

Elderly patients with multiple organ failure face complex treatment decisions.
The concept of futile medicalization raises ethical questions in end-of-life care.

Purpose of the Study:

To explore the internal deliberations of an elderly patient considering voluntary refusal of medical interventions.
To examine the interplay of personal beliefs, life experiences, and end-of-life choices.

Main Methods:

A narrative approach from the patient's perspective.
Exploration of the patient's thoughts on refusing food, fluid, and antibiotics.

Main Results:

The patient's contemplation of treatment refusal is influenced by her values and past experiences.
The narrative highlights the patient's struggle with the perceived futility of ongoing medical interventions.

Conclusions:

Patient autonomy and personal beliefs are central to end-of-life decision-making.
Ethical considerations in geriatric care must respect individual patient values when facing life-sustaining treatments.