Beyond Autonomy -- Physicians' Refusal to Use Life- Prolonging Extracorporeal Membrane Oxygenation
Paris, John J.
Schreiber, Michael D.
New England Journal of Medicine. 1993 Jul 29; 329(5): 354-357.
Conclusions: If after the physician has listened to the concern of the family members and explored the possibilities with them -- including the transfer of the patient to a willing physician -- the family persists in its demands for continued life-prolonging treatment that the physician believes to be beyond well-established medical criteria, the physician ought not to feel obliged to provide it. The physician's response in such cases should be: "I am sorry, but we don't do that here." This is done not because the patient no longer has any value or because the physician lacks respect for the family's wishes. It is done because the obligation of physicians, as articulated in the Hippocratic Oath, is to act for the benefit of the patient according to their ability and judgment.
Adults; Allowing to Die; Autonomy; Beneficence; Case Studies; Children; Clinical Ethics; Clinical Ethics Committees; Conscience; Consultation; Decision Making; Dissent; Ethics; Ethics Committees; Family Members; Futility; Guidelines; Hospitals; Institutional Policies; Legal Aspects; Life; Parents; Paternalism; Patient Care; Patient Participation; Patients; Physicians; Policy Analysis; Prolongation of Life; Referral and Consultation; Selection for Treatment; Standards; Technical Expertise; Values; Withholding Treatment;
Showing items related by title, author, creator and subject.