PP217 Lecture 18: PP217 Lecture 18
Document Summary
Rejecting demands for inappropriate treatment revised futility is the concept we reference when . Pp217 lecture 18: no precise definition of futility, no procedures for applying the concept of futility as a grounds for rejecting treatment. Another alternative approach: futility doesn"t even cover the interesting cases, when a patient wants to use an effective treatment for controversial ends, this shouldn"t be conflated with inappropriate treatment , for example Argument for standard of care: futility is controversial, best if we can find some other concept to justify withholding treatments or interventions, thankfully, futility is unnecessary standard of care model can replace it. If the treatment sought by a patient/surrogate is not effective by a standard of care, then it can be refused by a physician/healthcare team. Effective communication; diffused decision-making: most cases where proponents of futility think the concept applies are actually complex, and about the confrontation and weighing of values.
