The relationship between moral distress and perception of futile care
in the critical care unit.
Theme 4: End-of-life issues: maintaining futile care
or withdrawing treatment
The trouble is that even doctors who hate to administer futile care
must find a way to address the wishes of patients and families.
This is particularly apparent in situations where futile care
is suspected, or when institutional constraints impede the delivery of quality nursing care (Elpern et al., 2005; McClendon & Buckner, 2007; Mobley et al., 2007; Wilkinson, 1987).
Perceptions of "futile care
" among caregivers in intensive care units.
The November issue of the High tower Lowdown, edited by Jim Hightower, reports that one state has a law called the Futile Care
Critical care nurses describe futile care
leading to experiences of moral distress associated with emotional exhaustion and burnout.
* Care in the last year of life accounts for more than one-quarter of Medicare spending, and half of patients die against their wishes in the hospital, receiving futile care
at great cost.
Medical futility could pejoratively be misappropriated when it is referred to as the 'futile care
After her diagnosis, the hunger remained, but it was life and not truth that she was desperate for." With access to the most heroic and most expensive but likely futile care
, Sontag went from research into therapies at Memorial Sloan-Kettering in New York City to an extremely chancy blood marrow transplant in Seattle--which failed.
One example of self-serving altruism is solving the problem of futile care
. The following discussion draws on information and ideas in a presentation on futile care
by Martin Smith, director of clinical ethics in the Department of Bioethics, Cleveland Clinic.
Futility at the bedside: Futile care
versus worth a try.