Book contents
- Guidance for Healthcare Ethics Committees
- Guidance for Healthcare Ethics Committees
- Copyright page
- Dedication
- Contents
- Contributors
- Preface
- Section 1 The Context of Healthcare Ethics Committee Work
- Section 2 Consultation
- Chapter 7 Ethics Consultation Mission, Vision, Goals, and Process
- Chapter 8 A Method of Consultation
- Chapter 9 Informed Consent
- Chapter 10 Confidentiality and Privacy
- Chapter 11 Decision-Making Capacity
- Chapter 12 Discharge Challenges
- Chapter 13 Surrogate Decision Making
- Chapter 14 Advance Care Planning and End-of-Life Decision-Making
- Chapter 15 Potentially Inappropriate Treatment and Medical Futility
- Chapter 16 Cognitive Dissonance and the Care of Patients with Disorders of Consciousness
- Chapter 17 Ethical Issues in Reproduction
- Chapter 18 Ethical Issues in Neonatology
- Chapter 19 Ethical Issues in Pediatrics
- Chapter 20 Neuroethics
- Chapter 21 Ethical Issues in Clinical Genetics
- Chapter 22 Challenging Issues in Surgical Ethics
- Chapter 23 Psychiatric Ethics
- Section 3 Policy Development and Organizational Issues
- Index
- References
Chapter 15 - Potentially Inappropriate Treatment and Medical Futility
from Section 2 - Consultation
Published online by Cambridge University Press: 17 February 2022
- Guidance for Healthcare Ethics Committees
- Guidance for Healthcare Ethics Committees
- Copyright page
- Dedication
- Contents
- Contributors
- Preface
- Section 1 The Context of Healthcare Ethics Committee Work
- Section 2 Consultation
- Chapter 7 Ethics Consultation Mission, Vision, Goals, and Process
- Chapter 8 A Method of Consultation
- Chapter 9 Informed Consent
- Chapter 10 Confidentiality and Privacy
- Chapter 11 Decision-Making Capacity
- Chapter 12 Discharge Challenges
- Chapter 13 Surrogate Decision Making
- Chapter 14 Advance Care Planning and End-of-Life Decision-Making
- Chapter 15 Potentially Inappropriate Treatment and Medical Futility
- Chapter 16 Cognitive Dissonance and the Care of Patients with Disorders of Consciousness
- Chapter 17 Ethical Issues in Reproduction
- Chapter 18 Ethical Issues in Neonatology
- Chapter 19 Ethical Issues in Pediatrics
- Chapter 20 Neuroethics
- Chapter 21 Ethical Issues in Clinical Genetics
- Chapter 22 Challenging Issues in Surgical Ethics
- Chapter 23 Psychiatric Ethics
- Section 3 Policy Development and Organizational Issues
- Index
- References
Summary
Like Mr. B, hospitalized patients at the end of life frequently lack decision-making capacity. So, decisions regarding their treatment are usually made by surrogate decision makers (Chapter 13). A potentially inappropriate treatment (PIT) dispute is typically described as a situation in which a surrogate wants to continue the patient’s nonpalliative treatment (usually life-sustaining treatment) but the healthcare provider wants to stop (Bosslet et al., 2015). Providers normally need consent to withhold or withdraw treatment. Therefore, to resolve PIT disputes, providers must: (1) accede to the surrogate, (2) obtain consent, or (3) find a legitimate basis to withhold or withdraw treatment without consent.
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- Information
- Guidance for Healthcare Ethics Committees , pp. 129 - 139Publisher: Cambridge University PressPrint publication year: 2022