A discussion of futility and chronic wound care

Although futility is commonly referred to when discussing end-of-life issues, theories of futile care are applied to issues of chronic care, particularly chronic wound care, herein. A case study will be used within the context of defining futility, understanding beneficence in healthcare, and discussing the obligation of the clinician to deliver therapeutic intervention that balances burden with benefit. Open and honest communication will be highlighted as one method to facilitate resolution when dilemmas of futility occur.