Misjudging needs: A messy spiral of complexity

Journal of Clinical Ethics

Volumn 16, Issue 3, 2005, Pages 206-211

  Ford, Paul J ^a,b  

^a LERNER RESEARCH INSTITUTE   (United States)

^b CLEVELAND CLINIC LERNER COLLEGE OF MEDICINE   (United States)

Author keywords

[No Author keywords available]

Indexed keywords

ARTICLE; CHRONIC KIDNEY FAILURE; COGNITIVE DEFECT; CONGESTIVE HEART FAILURE; DEATH AND EUTHANASIA; ETHICIST; ETHICS; HEALTH CARE AND PUBLIC HEALTH; HEART ARREST; HUMAN; INTENSIVE CARE; LIVER FAILURE; MALE; MEDICAL ETHICS; MIDDLE AGED; RENAL REPLACEMENT THERAPY; STANDARD; TREATMENT OUTCOME; TREATMENT WITHDRAWAL; VERBAL COMMUNICATION;

DEATH AND EUTHANASIA; HEALTH CARE AND PUBLIC HEALTH;

COGNITION DISORDERS; ETHICISTS; ETHICS CONSULTATION; ETHICS, CLINICAL; ETHICS, MEDICAL; HEART ARREST; HEART FAILURE, CONGESTIVE; HUMANS; INTENSIVE CARE; KIDNEY FAILURE, CHRONIC; LIVER FAILURE; MALE; MEDICAL FUTILITY; MIDDLE AGED; NARRATION; RENAL DIALYSIS; WITHHOLDING TREATMENT;

EID: 27644441896     PISSN: 10467890     EISSN: None     Source Type: Journal    
DOI: None     Document Type: Article

References (9)

1. Details have been omitted and changed in this case to protect the confidentiality of the patient.
2. This was partially based on nephrology standards that were related to professional standards that surrounded the provision of dialysis. See A. Moss (for the Renal Physicians Association and the American Society of Nephrology Working Group), "Shared Decision Making in Dialysis: A New Clinical Practice Guideline to Assist with Dialysis-Related Ethics Consultations," The Journal of Clinical Ethics 12, no. 4 (Winter 2001): 406-14.
3. Council on Ethical and Judicial Affairs, American Medical Association, "Guidelines for the Appropriate Use of Do-Not-Resuscitate Orders," Journal of the American Medical Association 265, no. 14 (1991): 1868-71;
4. N.H. Cohen, "Assessing Futility of Medical Interventions - Is It Futile?" Critical Care Medicine 31, no. 2 (2003): 646-8;
5. D.B. Hinshaw et al., "When Do We Stop, and How Do We Do It? Medical Futility and Withdrawal of Care," Journal of the American College of Surgeons 196, no. 4 (2003): 621-51;
6. J.E. Kurent, "Case Presentation: Medical Decision-Making in Hopeless Situations: The Long-Lost Son," Journal of Pain and Symptom Management 25, no. 2 (2003): 191-2.
7. R.M. Zaner, Ethics and the Clinical Encounter (Englewood Cliffs, N.J.: Prentice Hall, 1988).
8. R.B. Miller, "Extramural Ethics Consultation: Reflection on the Mediation/Medical Advisory Panel Model and Further Proposal," The Journal of Clinical Ethics 13, no. 3 (Fall 2002): 203-15.
9. This becomes a gray area when considering needs for education and quality improvement.