PHI 2396 Lecture 8: Conflict and Appropriate Treatment
11 Sep 2017
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What ethical grounds may thephysician refuse a treatment demand. The harder deicison are within the end of ife inentisvecare unit. Confliects in the intensive care unit are not uncommon for reasons. There (cid:373)a(cid:455) (cid:271)e disagree(cid:373)e(cid:374)t a(cid:373)o(cid:374)g e(cid:454)pert ph(cid:272)isia(cid:374)s as to preferred treat(cid:373)e(cid:374)ts. Se(cid:272)o(cid:374)d, the patei(cid:374)t"s prognosis or likely hodd of recovery may be difflt to assess with accuracy. Third, the consequences of treatment decisions in the intensive care unit are weighty; withdrawing a ventilator or other life- supposrtint treatment. Futility - a medical judgement that is useless to achive the goals of patient care. Lawrence j. scneiderman medical futility: its meaningand ethical implications. Understand futility as treatment that cannot achive the goals of the action. Tae precedence over patient autonomy and permit docts to withhold or withdraw care deemed to be inappropriate without subjecting such a decisioin to patient approval.
