ICU SAQs · Ethics / communication
Conflict over goals of care — the ethics framework and the mediation
A CICM SAQ on the goals-of-care conflict — the bioethics framework, the substitute decision-maker, the best interest, the ethics consultation, and the communication.
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Prompt
A 75-year-old with the severe COPD, the ICU-acquired weakness, and the persistent respiratory failure. The team recommends the withdrawal; the family insists on the full treatment. The patient has no advance directive. Outline the approach.
Question
A 75-year-old with the severe COPD, the ICU-acquired weakness, and the persistent respiratory failure. The team recommends the withdrawal; the family insists on the full treatment. The patient has no advance directive. Outline the approach.[1]
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- [1]Bersten AD, Soni N (eds) Oh's Intensive Care Manual. 8th edition, Elsevier, 2018.