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The Durban World Congress Ethics Round Table IV: health care professional end-of-life decision making.

Identifieur interne : 002D83 ( PubMed/Curation ); précédent : 002D82; suivant : 002D84

The Durban World Congress Ethics Round Table IV: health care professional end-of-life decision making.

Auteurs : Gavin M. Joynt [Hong Kong] ; Jeffrey Lipman [Australie] ; Christiane Hartog [Allemagne] ; Bertrand Guidet [France] ; Fathima Paruk [Afrique du Sud] ; Charles Feldman [Afrique du Sud] ; Niranjan Kissoon [Canada] ; Charles L. Sprung [Israël]

Source :

RBID : pubmed:25454075

Descripteurs français

English descriptors

Abstract

When terminal illness exists, it is common clinical practice worldwide to withhold (WH) or withdraw (WD) life-sustaining treatments. Systematic documentation of professional opinion and perceived practice similarities and differences may allow recommendations to be developed.

DOI: 10.1016/j.jcrc.2014.10.011
PubMed: 25454075

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<div type="abstract" xml:lang="en">When terminal illness exists, it is common clinical practice worldwide to withhold (WH) or withdraw (WD) life-sustaining treatments. Systematic documentation of professional opinion and perceived practice similarities and differences may allow recommendations to be developed.</div>
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<AbstractText Label="INTRODUCTION" NlmCategory="BACKGROUND">When terminal illness exists, it is common clinical practice worldwide to withhold (WH) or withdraw (WD) life-sustaining treatments. Systematic documentation of professional opinion and perceived practice similarities and differences may allow recommendations to be developed.</AbstractText>
<AbstractText Label="MATERIALS AND METHODS" NlmCategory="METHODS">Speakers from invited faculty of the World Federation of Societies of Intensive and Critical Care Medicine Congress that took place in Durban (2013), with an interest in ethics, were approached to participate in an ethics round table. Key domains of health care professional end-of-life decision making were defined, explored by discussion, and then questions related to current practice and opinion developed and subsequently answered by round-table participants to establish the presence or absence of agreement.</AbstractText>
<AbstractText Label="RESULTS" NlmCategory="RESULTS">Agreement was established for the desirability for early goal-of-care discussions and discussions between health care professionals to establish health care provider consensus and confirmation of the grounds for WH/WD, before holding formal WH/WD discussions with patients/surrogates. Nurse and other health care professional involvement were common in most but not all countries/regions. Principles and practical triggers for initiating discussions on WH/WD, such as multiorgan failure, predicted short-term survival, and predicted poor neurologic outcome, were identified.</AbstractText>
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