Journal
AMERICAN JOURNAL OF RESPIRATORY AND CRITICAL CARE MEDICINE
Volume 175, Issue 11, Pages 1104-1108Publisher
AMER THORACIC SOC
DOI: 10.1164/rccm.200609-1397CP
Keywords
end-of-life care; withholding and withdrawal of life-sustaining therapy; ICU rationing; triage
Categories
Funding
- NICHD NIH HHS [K12 HD049077] Funding Source: Medline
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Physicians and nurses sometimes exert pressure on the families of critically ill patients to withhold or withdraw life-sustaining therapy from them. This pressure may stem from prognostic, professional, social, and economic factors. Although the pressure to limit life support may be appropriate in some circumstances, in others it is not justified. The pressure also may damage communications and cause resentment. If communications cannot be improved, and if the pressure cannot be relieved, a due process approach to conflict resolution that involves other parties may be required.,
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