Jump to ContentJump to Main Navigation
Supportive Care in Heart Failure$
Users without a subscription are not able to see the full content.

James Beattie and Sarah Goodlin

Print publication date: 2008

Print ISBN-13: 9780198570288

Published to Oxford Scholarship Online: November 2011

DOI: 10.1093/acprof:oso/9780198570288.001.0001

Show Summary Details
Page of

PRINTED FROM OXFORD SCHOLARSHIP ONLINE (www.oxfordscholarship.com). (c) Copyright Oxford University Press, 2019. All Rights Reserved. An individual user may print out a PDF of a single chapter of a monograph in OSO for personal use. date: 20 September 2019

Ethical Dilemmas in Therapy Withdrawal

Ethical Dilemmas in Therapy Withdrawal

Chapter:
(p.443) Chapter 24 Ethical Dilemmas in Therapy Withdrawal
Source:
Supportive Care in Heart Failure
Author(s):

Katrina A. Bramstedt

Publisher:
Oxford University Press
DOI:10.1093/acprof:oso/9780198570288.003.0024

This chapter explores the concept of therapy withdrawal on heart failure and offers guidance for the resolution of ethical dilemmas that can occur in such situations. It introduces burdens, benefits, and futility. It also deals with the patient's treatment preferences. It then covers surrogate decision-making and the termination of implantable interventions, specifically the termination of pacemaker, defibrillators, ventricular assist devices, and total artificial heart. All therapies, whether implantable or not, should be regularly evaluated to ascertain their burdens and the patient's capacity to benefit from them. Patients with decision-making capacity should be routinely invited to comment on their quality of life, as well as their health-care goals. When advance directive documentation exists, it should be reviewed by the health-care team and decision-making surrogates. All treatment decisions should reflect the burdens, benefits, and values of the patient or the patient's best interests when discrete values are unknown.

Keywords:   heart failure, therapy withdrawal, pacemaker, defibrillators, ventricular assist devices, total artificial heart, ethical dilemmas

Oxford Scholarship Online requires a subscription or purchase to access the full text of books within the service. Public users can however freely search the site and view the abstracts and keywords for each book and chapter.

Please, subscribe or login to access full text content.

If you think you should have access to this title, please contact your librarian.

To troubleshoot, please check our FAQs , and if you can't find the answer there, please contact us .