Document Detail

End-of-life ethical issues.
MedLine Citation:
PMID:  9770265     Owner:  NLM     Status:  MEDLINE    
COPD is a progressive disorder characterized by intermittent episodes of acute exacerbations, each of which has the potential for producing respiratory failure and a need for mechanical ventilation. The decision to intubate a patient with severe underlying COPD requires a blending of the physician's estimation of prognosis with the patient's life goals, values, and self-perceived quality of life. Decisions regarding intubation and life support are aided by initiating a patient-caregiver dialogue during periods of good or stable health before a medical crisis occurs. These discussions can inform patients about the likely outcome of life support and promote meaningful and valid advance directives.
J E Heffner
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Publication Detail:
Type:  Journal Article; Review    
Journal Detail:
Title:  Respiratory care clinics of North America     Volume:  4     ISSN:  1078-5337     ISO Abbreviation:  Respir Care Clin N Am     Publication Date:  1998 Sep 
Date Detail:
Created Date:  1998-12-10     Completed Date:  1998-12-10     Revised Date:  2007-11-15    
Medline Journal Info:
Nlm Unique ID:  9612026     Medline TA:  Respir Care Clin N Am     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  541-59, x     Citation Subset:  E; IM    
Department of Medicine, Medical University of South Carolina, Charleston, USA.
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MeSH Terms
Advance Directives* / legislation & jurisprudence
Disease Progression
Ethics, Medical*
Euthanasia, Passive
Life Support Care* / legislation & jurisprudence
Lung Diseases, Obstructive*
Patient Education as Topic
Physician-Patient Relations
Quality of Life
United States

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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