Neutral, nondirective counseling of women who are about to give birth to extremely premature infants can undermine their autonomous decision making rather than promoting it.
When evaluating the developments and complications of a marginally viable premature infant, physicians and parents must work together to decide on treatment that is in the infant’s best interest.
Physicians do not have to give therapies or perform procedures that they judge to be futile and Catholic patients have the moral right to determine what is extraordinary or ordinary care.
Bioethicist Bruce Jennings examines the changing role of physicians in end-of-life care, from paternalistic decision maker to advisor-technician and half-way back.
Catherine A. Marco, MD and Raquel M. Schears, MD, MPH
Two physicians offer commentaries about how an ED physician should communicate the decision to withhold CPR to the patient's family, especially in light of often unrealistic beneficial outcomes portrayed by medical dramas and the media.
Physicians should be aware of the level of emotional distress and suffering that a patient is experiencing as a result of his or her illness and incorporate that into the patient's treatment plan.
Increased use of emergency departments for primary care puts undue burden on EDs; however, EMTALA obligates EDs to provide care to patients regardless of their ability to pay.