Document Detail

Forgoing treatment in an adult with no apparent treatment preferences: a case report.
MedLine Citation:
PMID:  8059433     Owner:  NLM     Status:  MEDLINE    
This article reports in detail an ethics case consultation involving a decision to forgo life-sustaining treatment for a middle-aged man following a "massive" cerebral bleed resulting in profound brain damage, but not unconsciousness. An unusual feature of this case is that, despite normal intelligence, caring family relationships and a history of life-threatening cardiac disease, vigorous and sustained inquiry could not elicit any indications of this patient's values, perceptions or preferences regarding end of life care. Other than a deliberately autobiographical methodological prologue and a few brief comments at the end, the case is presented straightforwardly and without intercurrent analysis.
D M Price
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Theoretical medicine     Volume:  15     ISSN:  0167-9902     ISO Abbreviation:  Theor Med     Publication Date:  1994 Mar 
Date Detail:
Created Date:  1994-09-13     Completed Date:  1994-09-13     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  8405140     Medline TA:  Theor Med     Country:  NETHERLANDS    
Other Details:
Languages:  eng     Pagination:  53-60     Citation Subset:  E; IM    
University of Medicine and Dentistry, Newark, NJ 07103-2714.
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MeSH Terms
Brain Diseases*
Cerebral Hemorrhage / therapy
Decision Making
Ethics Committees
Ethics Consultation
Ethics, Clinical
Ethics, Medical*
Life Support Care*
Middle Aged
Patient Advocacy*
Resuscitation Orders
Treatment Refusal
Withholding Treatment

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

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