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Physician Refusal of Requests for Futile or Ineffective Interventions

Published online by Cambridge University Press:  10 December 2009

John J. Paris  and
Frank E. Reardon
John J. Paris
Affiliation:
University of Massachusetts Medical School
Frank E. Reardon
Affiliation:
Brigham & Women's Hospital, Boston.
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Extract

Several recent articles raise an issue long unaddressed in the medical literature: physician compliance with patient or family requests for futile or ineffectice therapy. Although they agree philosophically that such treatment ought not be given, most physicians have followed the course described by Stanley Fiel, in which a young patient dying of cystic fibrosis was accepted “for evaluation” by a transplant center even though he has already passed the threshold of viability as a candidate for a heart-lung transplant. Dr. Fiel reported this action was taken not in the hope of doing the transplant but so that the family could assure themselves they had done “everything possible.” The patient, after a long and stressful cross-country flight, arrived at the hospital in respiratory failure. He died soon thereafter far from home and familiar surroundings.

Type
Articles
Information
Cambridge Quarterly of Healthcare Ethics , Volume 1 , Issue 2 , Spring 1992 , pp. 127 - 134
Copyright
Copyright © Cambridge University Press 1992

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References

Notes

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