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Continue with ICU care - she is a spiritual being

Nico Nortjé1, Karen N Terrell2

  • 1Section of Integrated Ethics, Department of Critical Care, The University of Texas MD Anderson Cancer Center, Houston, TX, USA and Center for Healthcare Ethics, Lakehead University, Thunder Bay, ON, CANADA.

Indian Journal of Medical Ethics
|June 29, 2022
PubMed

This case study discusses a dispute between the healthcare team and the patient's surrogate decision maker at a cancer centre. While the healthcare team deemed further care to be futile, the patient's husband argued that they should continue to try to reverse his wife's acute decline. This case study illustrates the inertia and moral distress that can result when there are differences between patients/surrogates and the healthcare team in their goals for intensive care. The issues of moral distress and an inability to make decisions were addressed by involving an ethics consultant, and by creating institutional mechanisms to address end-of-life issues at an earlier stage.

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