tailieunhanh - Báo cáo khoa học: "Ethics roundtable debate: Patients and surrogates want ‘everything done’ – what does ‘everything’ mean"

Tuyển tập các báo cáo nghiên cứu về y học được đăng trên tạp chí y học Critical Care giúp cho các bạn có thêm kiến thức về ngành y học đề tài: Ethics roundtable debate: Patients and surrogates want ‘everything done’ – what does ‘everything’ mean? | Available online http content 10 5 231 Review Ethics roundtable debate Patients and surrogates want everything done - what does everything mean Christopher Doig1 Holt Murray2 Rinaldo Bellomo3 Michael Kuiper4 Rubens Costa5 Elie Azoulay6 and David Crippen7 1 Department of Critical Care Medicine University of Calgary Calgary Alberta Canada 2Department of Critical Care Medicine University of Pittsburgh Pittsburgh PA USA 3Department of Intensive Care Department of Medicine University of Melbourne Melbourne Australia 4Department of Intensive Care Medicine Medical Center Leeuwarden Leeuwarden The Netherlands 5Critical Care Department Hospital Pró Cardíaco Rio de Janeiro Brazil 6Service de Réanimation Médicale Hôpital Saint-Louis et Université Paris 7 Paris France 7Neurovascular ICU Department of Critical Care Medicine University of Pittsburgh Medical Center Pittsburgh Pennsylvania USA Corresponding author David Crippen crippen @ Published 20 September 2006 This article is online at http content 10 5 231 2006 BioMed Central Ltd Critical Care 2006 10 231 doi cc5016 Abstract Highly complex and specialized care plans sometimes overwhelm the comprehension of patients and families. Many optimistic surrogates of critically ill patients err on the side of desiring that everything be done but with a nebulous idea of what everything entails. Physicians must work closely to educate surrogates as to the benefits versus the risks of treatment. Our roundtable experts ponder the question of whether providers possess the authority to interpret unilaterally the nature of requests for everything. Introduction There is always an incentive to use the newest most interesting medication as soon as possible. There is a perception that new drugs are miracle drugs since they are formulated against the cutting edge of new developments in medicine. Frequently patients and their families carry out Internet searches for new developments in the field of their .