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- Title
Distinction between good palliative care and intending death.
- Authors
Ely, E. Wesley; Azoulay, Elie; Sprung, Charlie L.
- Abstract
When a patient or family judges that any intervention (e.g., tracheostomy) is not justifiable or not in the "best interests" of the patient (i.e., its risks and harms clearly outweigh benefit), then it should either be limited or not performed at all. When practicing good end-of-life care, we are accompanying patients as they die naturally of their diseases and, when patients or families decide against life-sustaining treatment, we are avoiding the artificial prolongation of their dying process. We may wonder how many of the 1043 patients from Flanders Belgium, reported in NEJM [[9]] to have received "hastening of death without explicit request of from patient", may have been in such a scenario.
- Subjects
PALLIATIVE treatment; EUTHANASIA laws; TERMINAL care; PHYSICIAN-patient relations
- Publication
Intensive Care Medicine, 2020, Vol 46, Issue 1, p147
- ISSN
0342-4642
- Publication type
letter
- DOI
10.1007/s00134-019-05827-3