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.
A philosophical analysis of how physician actions and treatment goals are defined and interpreted and how understanding this process can affect the success of the clinical encounter.
Physicians have an obligation to consider a patient’s quality of life when making treatment decisions and should consider giving patients the options of withholding or withdrawing aggressive treatment if that treatment will not restore the kind of life the patient finds meaningful.
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.
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.