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  • Introduction
  • 1. Advance Care Planning
  • 2. Communicating Bad News
  • 3. Whole Patient Assessment
  • 4. Pain Management
  • 5. Assisted Suicide Debate
  • 6. Anxiety, Delirium
  • 7. Goals of Care
  • 8. Sudden Illness
  • 9. Medical Futility
  • 10. Common Symptoms
  • 11. Withholding Treatment
  • 12. Last Hours of Living
  • 13. Cultural Issues
  • 14. Religion, Spirituality
  • 15. Legal Issues
  • 16. Social and Psychological
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  • Clergy and Faith Communities
  • Additional Links
    Site Index
    Back to Module 9: Medical Futility

    Recommended Literature
    Downloadable Documents and Worksheets

    Recommended Literature

    Much of the above discussion is based on: Goold SD, Williams B, Arnold RM. Conflicts around decisions to limit treatment. (Manuscript in preparation).

    Council on Ethical and Judicial Affairs. Medical futility in end-of-life care. In: Council on Ethical and Judicial Affairs Reports on End-of-Life Care. Chicago, IL: American Medical Association; 1998:46-51.

    Halevy A, Brody B. A multi-institution collaborative policy on medical futility. JAMA. 1996;276:571-574.

    Hudson T. Are futile-care policies the answer? Hosp Health Netw. 1994; 68:26-30, 32.

    Teno JM, Murphy D, Lynn J, et al. Prognosis-based futility guidelines: does anyone win? J Am Geriatr Soc. 1994;42:1202-1207.

    Tomlinson T, Brody H. Ethics and communication in do-not-resuscitate orders. N Engl J Med. 1988;318:43-46.

    Truog R, Brett A, Frader J. Sounding board: the problem with futility. N Engl J Med. 1992;326:1560-1564.

    Youngner S. Futility: saying no is not enough. J Am Geriatr Soc. 1994;42:887-889.


    Downloadable Documents and Worksheets