The Case of Non-Beneficial Care
80-year male with multiple medical problems including dementia, stroke, bedridden and low blood pressure is nonresponsive to medical teams. Patient’s 2010 Advance Directive states, “if only artificially prolonging life and no meaningful interactions with family…withhold treatments.” Medical team believes the clinical situation is at this point, but daughter (DPOA) disagrees.
Daughter is primary caregiver, quit work to care for her father. Siblings disagree with her and think they should move to comfort measures. A second opinion for determination of non-beneficial care had nephrologist disagree with approach by the medical team, but agreed care was non-beneficial.
Question: Do you do another round of dialysis?
Read more about the establishment of trust between patient and provider, a fundamental aspect of quality healthcare, in this Case Study of the Month in our Ethics Dispatch.