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Bioethics at the bedside: considering the adolescent voice in withdrawal of life-sustaining therapy
Aine Lynch1, Andrew Helmers2,3,4, Aamir Jeewa3,5
1Division of Pediatric Cardiology, Columbia University Medical Center, New York Presbyterian Morgan Stanley Children's Hospital, New York, USA.
Abstract:
Durable mechanical circulatory devices are commonly used to support children and adolescents in end-stage heart failure. However, these patients remain at high risk of acute medical complications, which may lead to significant impairment in functional capacity, altered quality of life, or death. We explore the incorporation of adolescent directives into medical decision-making in this scenario through a clinical case vignette.
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