The Problem with Futility
This value-free concept states, "If a treatment is clearly futile in achieving its physiological objective, the professional has no obligation to provide it."
What is physiological futility?
Establishing _______ with families is crucial for effective communication and support during the dying process.
What is trust?
When a patient does not wish to receive CPR in a life-threatening cardiac arrest, the patient obtains this order.
What is "Do Not Resuscitate (DNR)"?
What is her first UVA nursing job?
What is NICU bedside?
This principle of medical ethics emphasizes the importance of honoring a patient's wishes regarding their DNR/DNI.
What is the right to autonomy?
This philosopher allegedly advised physicians to refuse to attempt to cure patients whose illness is so advanced that "medicine is powerless" in these cases.
What (who) is Hippocrates?
According to Liaschenko et al., 20% of US deaths occur here (current stats say 30%).
What is the ICU?
This legal document allows a patient to outline their preferences for end-of-life care in advance.
What is an advance directive?
We will accept "living will" also.
What is her dog's name and breed?
What is Ruby and an Irish setter?
This framework considers specific cases and precedents to guide ethical decision-making, rather than applying universal principles.
What is casuistry?
This organization concluded that physicians have no obligation to obtain consent for a DNR order when CPR is deemed futile.
What is the American Medical Association (AMA)?
This woman arrested in the field. The rescuer performed what life-saving intervention?
What is CPR?
This legal document designates another person to make healthcare decisions on behalf of a patient who is unable to do so.
What is Power of Attorney?
What instrument does she play?
What is a Cello @ Albemarle symphony orchestra?
In end-of-life care, this ethical framework prioritizes decisions that aim to reduce suffering for the greatest number of people.
What is utilitarianism?
Helga Wanglie was an 86-year-old patient in this condition, prompting a debate about medical futility.
What is a persistent vegetative state?
In end-of-life care, beneficence supports this type of care, which focuses on comfort and alleviating suffering.
What is palliative care?
This term/phrase refers to a person/individual; may be used interchangeably with such terms as "legal representative" that may appear in other Medical Center policies.
What is "Surrogate Decision Maker"?
How many degrees does Dr. Epstein have? Extra point for each you can name (i.e. Masters in Basket Weaving)
What is FOUR? (Bachelors - Biochemistry, Bachelors - nursing, Masters - pharmacology, PhD - nursing)
This term refers to a healthcare professional’s moral obligation to do no harm when providing or withdrawing treatment.
What is non-maleficence?
The so-called Baby Doe law exempts physicians from providing this type of medical treatment.
What is "virtually futile" treatment?
What entity/organization identified seven domains of quality indicators for palliative care in ICUs, focusing on patient and family-centered care.
What is The Robert Wood Johnson Foundation?
An order form signed by a physician and patient (or surrogate) to withhold CPR in the event of cardiac arrest in any healthcare facility AND outside of a healthcare facility; never expires.
What is a “Durable Do Not Resuscitate Order (DDNR)
How many articles has Dr. Epstein published?
What is 49?
This principle emphasizes relieving pain and other symptoms that impact quality of life at end of life.
What is beneficence?