Box 2 Questions
Which additional disease- or context-related factors would have influenced the decision to admit this patient to the ICU? What pragmatic ways would you use to deal with prognostic uncertainty? How do you assess which treatment path is in the best interest of the patient? When and how would you involve the family/surrogates in the decision-making about continuation of LST? How do you deal with divergent opinions? Would you seek the opinion of colleagues from other specialties, such as geriatric medicine or palliative care? What would be triggers to limit LST by withholding or withdrawing treatment? What is the legal framework for these decisions? Are there ethics guidelines in your country/region? |