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Related Experiment Videos

Deciding to terminate treatment: a practical guide for physicians

J W Snyder1, M S Swartz

  • 1Department of Surgery, Thomas Jefferson University & Hospital, Philadelphia, PA 19107-4998.

Journal of Critical Care
|September 1, 1993
PubMed
Summary

This report provides physicians with practical guidelines for end-of-life treatment termination decisions. A systematic checklist aids in evaluating patient status, wishes, and legal/ethical factors for informed end-of-life care.

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Area of Science:

  • Medical Ethics
  • Legal Medicine
  • Clinical Decision-Making

Background:

  • Physicians require clear guidance for complex end-of-life treatment termination decisions.
  • Existing literature and legal frameworks offer a basis for developing practical guidelines.

Purpose of the Study:

  • To provide house officers and practicing physicians with annotated, concise, practical guidelines for decisions to terminate treatment.
  • To develop a systematic approach to end-of-life decision-making.

Main Methods:

  • Focused study selection and data extraction on statutes, regulations, court decisions, medicolegal analyses, clinical studies, and position papers.
  • Developed a laminated, pocket-sized card with a series of questions for physicians.

Main Results:

Keywords:
Death and Euthanasia

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  • A systematic checklist was created to guide physicians through critical assessment points.
  • The checklist addresses brain death, impairment assessment, treatment type, futility, patient capacity, patient wishes, surrogate roles, and legal/ethical considerations.

Conclusions:

  • Systematic assessment of key factors enhances efficiency and value in end-of-life decision-making.
  • The developed guidelines and checklist support physicians in navigating termination-of-treatment issues ethically and legally.