| Withdrawal of food and fluid. | |
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MedLine Citation:
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PMID: 2113403 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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John S. is a 72-year-old patriarch of a large, extended family. He underwent a mitral and aortic valve replacement, followed by a complicated postoperative course. His recovery was complicated by hemodynamic instability, several cardiac arrests, acute renal failure, and sepsis. He has been in the ICU for 14 weeks and has been unable to wean from mechanical ventilation. After many conferences between the patient's family and the ICU staff, a decision was made to remove ventilator support. This was done 3 days ago. John's condition seems stable now, but it is clear that he will not regain his former state of health. He is very debilitated, may require chronic dialysis, and has suffered some anoxic brain damage during his arrests. The nursing and medical staff are now faced with the question of further withdrawal of treatment and are considering whether or not to discontinue his parenteral nutrition and all IV fluids. |
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Authors:
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B J Daly |
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Publication Detail:
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Type: Case Reports; Journal Article; Review |
Journal Detail:
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Title: AACN clinical issues in critical care nursing Volume: 1 ISSN: 1046-7467 ISO Abbreviation: AACN Clin Issues Crit Care Nurs Publication Date: 1990 May |
Date Detail:
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Created Date: 1990-08-02 Completed Date: 1990-08-02 Revised Date: 2005-11-16 |
Medline Journal Info:
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Nlm Unique ID: 9009969 Medline TA: AACN Clin Issues Crit Care Nurs Country: UNITED STATES |
Other Details:
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Languages: eng Pagination: 187-98 Citation Subset: E; N |
Export Citation:
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APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
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Aged Cardiac Surgical Procedures Decision Making* Education, Nursing, Continuing Ethics, Nursing* Humans Intention Male Parenteral Nutrition* Postoperative Care Respiration, Artificial Risk Assessment* Wedge Argument Withholding Treatment* |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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