Medical futility and end-of-life care
Date
2008-04
Authors
Sidler, D.
Arndt, H. R.
Van Niekerk, A. A.
Journal Title
Journal ISSN
Volume Title
Publisher
Health and Medical Publishing Group (HMPG)
Abstract
Acceptance of the concept of medical futility facilitates a paradigm shift from curative to palliative medicine, accommodating a more humane approach and avoiding unnecessary suffering in the course of the dying process. This should not be looked upon as abandoning the patient but rather as providing the patient and family with an opportunity to come to terms with the dying process. It also does not entail withdrawal or passivity on the part of the health care professional. In addition to medical skills, the treating physician is responsible for guiding this process by demonstrating sensitivity and compassion, respecting the values of patients, their families and the medical staff. The need for training to equip medical staff to take responsibility as empathetic participants in end-of-life decision-making is underscored.
Description
Keywords
Medical decision making, Doctor patient relation, Patient care, Terminal care, End-of-life care
Citation
Sidler, D, Arndt, HR & Van Niekerk, AA 2008, 'Medical futility and end-of-life care', South African Medical Journal, vol. 98, no. 4, pp. 284-286.