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J Pain Symptom Manage · May 2020
"Please Keep Mom Alive One More Day" - Clashing Directives of a Dying Patient and Her Surrogate.
- Sheron Latcha, Camille Lineberry, Nikoletta Lendvai, Christine A Tran, Konstantina Matsoukas, Amy E Scharf, and Louis P Voigt.
- Ethics Committee, Memorial Sloan Kettering Cancer Center, New York, New York, USA; Department of Medicine, Renal Service, Memorial Sloan Kettering Cancer Center, New York, New York, USA. Electronic address: latchas@mskcc.org.
- J Pain Symptom Manage. 2020 May 1; 59 (5): 1147-1152.
AbstractAll medical care providers are legally and ethically bound to respect their patients' wishes. However, as patients lose decision-making capacity and approach end of life, their families or surrogates, who are confronted with grief, fear, self-doubt, and/or uncertainty, may ask physicians to provide treatment that contradicts the patients' previously stated wishes. Our work discusses the legal and ethical issues surrounding such requests and provides guidance for clinicians to ethically and compassionately respond-without compromising their professional and moral obligations to their patients.Copyright © 2020 American Academy of Hospice and Palliative Medicine. Published by Elsevier Inc. All rights reserved.
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