Palliative Care, Ethics, and the Law in the Intensive Care Unit

Critical Care Nursing Clinics of North America
Caroline M QuillTimothy E Quill

Abstract

Over the course of the last half-century, intensive care units have been the setting for many ethical and legal debates in medicine. This article outlines 3 important domains that lie at the intersection of critical care, palliative care, ethics, and the law: withholding and withdrawal of potentially life-sustaining therapies, making decisions for critically ill patients who lack decision-making capacity, and approaching cases of perceived futility when patients and families still request everything that is medically possible. Important principles and precedents that underlie our understanding of how nurses should approach critically ill patients are reviewed.

References

Jun 4, 1992·The New England Journal of Medicine·R D TruogJ Frader
Sep 1, 1992·Journal of General Internal Medicine·D K MillerT M Hyers
Sep 1, 1991·The Journal of Legal Medicine·L A Albert
Jun 15, 1990·Annals of Internal Medicine·L J SchneidermanA R Jonsen
Oct 14, 1988·JAMA : the Journal of the American Medical Association·S J Youngner
Sep 8, 1983·The New England Journal of Medicine·S E BedellF H Epstein
Jul 1, 1994·The American Journal of Psychiatry·M D Sullivan, S J Youngner
Jan 1, 1997·American Journal of Respiratory and Critical Care Medicine·T J Prendergast, J M Luce
Dec 11, 1997·The New England Journal of Medicine·T E QuillD W Brock
Mar 17, 1999·JAMA : the Journal of the American Medical Association
May 16, 2000·Journal of the American Geriatrics Society·J M TenoF E Harrell
Feb 24, 2001·The New England Journal of Medicine·R L Fine, T W Mayo
Apr 20, 2004·Critical Care Medicine·Derek C AngusUNKNOWN Robert Wood Johnson Foundation ICU End-Of-Life Peer Group
Jul 4, 2007·Annals of Internal Medicine·Douglas B WhiteJohn M Luce
Dec 15, 2007·Chest·Jeffrey P Burns, Robert D Truog
Jun 17, 2008·Critical Care : the Official Journal of the Critical Care Forum·Timothy D GirardE Wesley Ely
Sep 2, 2009·Annals of Internal Medicine·Timothy E QuillAnthony L Back
Oct 6, 2011·JAMA : the Journal of the American Medical Association·Timothy E Quill, Robert Holloway
Oct 26, 2011·PM & R : the Journal of Injury, Function, and Rehabilitation·Kristi L KirschnerElizabeth Bahr
Jan 12, 2012·JAMA : the Journal of the American Medical Association·Douglas B White, Thaddeus M Pope
May 16, 2014·Journal of Palliative Medicine·Caroline M Quill, Timothy E Quill

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