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Denying Death: The Terminally Critically Ill.

Stephanie A Larson1, Patricia A Mayer2

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This summary is machine-generated.

Terminally critically ill cancer patients can be kept alive for extended periods with interventions that may cause suffering and interfere with end-of-life care. This growing subgroup highlights ethical concerns about delaying death.

Keywords:
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Area of Science:

  • Medical Ethics
  • Oncology
  • Critical Care Medicine

Background:

  • A subgroup of Chronically Critically Ill (CCI) patients, termed Terminally Critically Ill (TCI), includes those with terminal cancer.
  • These patients, despite short prognoses, can be sustained by medical interventions for extended durations.
  • Such interventions may lead to suffering, exhaustion, and significant costs.

Purpose of the Study:

  • To describe the Terminally Critically Ill (TCI) subgroup, focusing on terminally ill cancer patients.
  • To discuss the ethical implications of prolonged medical interventions in this population.
  • To highlight the denial and delay of death in critical care.

Main Methods:

  • Presentation of a typical (composite) case study.
  • Discussion of ethical concerns related to TCI patients.
  • Analysis of the growing subgroup of chronically critically ill patients.

Main Results:

  • Terminally ill cancer patients can be kept alive for extended periods through intensive medical interventions.
  • These interventions can be painful, exhausting, and costly.
  • End-of-life concerns may be neglected due to prolonged treatment.

Conclusions:

  • The Terminally Critically Ill (TCI) represent a growing subgroup within the Chronically Critically Ill (CCI) population.
  • Ethical considerations are paramount when medical interventions prolong life in terminally ill patients.
  • There is a need to address the routine denial and delay of death in critical care settings.