The negotiation of death: Clinical decision making at the end of life

Deferred Decision Making: patients’ reliance on family and physicians for cpr decisions in critical care

“…In this study, even the patients who had clear preferences for future resuscitation answered that they would rely on their family and physicians to make resuscitation decisions for them instead of preferring that their own prior decisions be followed were they to become incapable of making a choice. This finding corroborates the need for the 'process of negotiated decision making', 22 which allows for a critical sharing by patients, families and medical staff of the moral burden of decisions to forgo treatment, which is in sharp contrast to the ideal of pure patient choice. Families and health care providers therefore need to be incorporated into the negotiation process 23 by reflecting the notion of 'optional autonomy' favored by a majority of these patients or the broader view of 'mandatory autonomy' to include the option not to decide.…”

Deferred Decision Making: patients’ reliance on family and physicians for cpr decisions in critical care

“…In this study, even the patients who had clear preferences for future resuscitation answered that they would rely on their family and physicians to make resuscitation decisions for them instead of preferring that their own prior decisions be followed were they to become incapable of making a choice. This finding corroborates the need for the 'process of negotiated decision making', 22 which allows for a critical sharing by patients, families and medical staff of the moral burden of decisions to forgo treatment, which is in sharp contrast to the ideal of pure patient choice. Families and health care providers therefore need to be incorporated into the negotiation process 23 by reflecting the notion of 'optional autonomy' favored by a majority of these patients or the broader view of 'mandatory autonomy' to include the option not to decide.…”

Caring in crisis: Family perspectives on ventilator withdrawal at the end of life.

“…Faber-Langendoen and Ingbar (1998) reported that professionals in the ventilator withdrawal and observation study responded to family assessments of patient comfort, as well as their own assessments. These findings suggest that, in addition to the categories suggested by Slomka (1992), utilization of medical interventions for patient and family comfort are also subjects of negotiation between families and healthcare providers. While physicians take the lead in determining when it is time stop treatment, some families will take the lead in determining when medical interventions to provide comfort are indicated.…”

Descriptions of euthanasia as social representations: comparing the views of Finnish physicians and religious professionals

“…Kaufman () writes about the ways in which death is controlled by technology, by medical ideology and by the complex power relations between doctors and relatives (see also Muller , Seale , Slomka ). This is evident especially in resuscitation incidents.…”

Deferred Decision Making: patients’ reliance on family and physicians for cpr decisions in critical care

“…In this study, even the patients who had clear preferences for future resuscitation answered that they would rely on their family and physicians to make resuscitation decisions for them instead of preferring that their own prior decisions be followed were they to become incapable of making a choice. This finding corroborates the need for the 'process of negotiated decision making', 22 which allows for a critical sharing by patients, families and medical staff of the moral burden of decisions to forgo treatment, which is in sharp contrast to the ideal of pure patient choice. Families and health care providers therefore need to be incorporated into the negotiation process 23 by reflecting the notion of 'optional autonomy' favored by a majority of these patients or the broader view of 'mandatory autonomy' to include the option not to decide.…”

Caring in crisis: Family perspectives on ventilator withdrawal at the end of life.

“…Faber-Langendoen and Ingbar (1998) reported that professionals in the ventilator withdrawal and observation study responded to family assessments of patient comfort, as well as their own assessments. These findings suggest that, in addition to the categories suggested by Slomka (1992), utilization of medical interventions for patient and family comfort are also subjects of negotiation between families and healthcare providers. While physicians take the lead in determining when it is time stop treatment, some families will take the lead in determining when medical interventions to provide comfort are indicated.…”

Descriptions of euthanasia as social representations: comparing the views of Finnish physicians and religious professionals

“…Kaufman () writes about the ways in which death is controlled by technology, by medical ideology and by the complex power relations between doctors and relatives (see also Muller , Seale , Slomka ). This is evident especially in resuscitation incidents.…”

Deferred Decision Making: patients’ reliance on family and physicians for cpr decisions in critical care

“…In this study, even the patients who had clear preferences for future resuscitation answered that they would rely on their family and physicians to make resuscitation decisions for them instead of preferring that their own prior decisions be followed were they to become incapable of making a choice. This finding corroborates the need for the 'process of negotiated decision making', 22 which allows for a critical sharing by patients, families and medical staff of the moral burden of decisions to forgo treatment, which is in sharp contrast to the ideal of pure patient choice. Families and health care providers therefore need to be incorporated into the negotiation process 23 by reflecting the notion of 'optional autonomy' favored by a majority of these patients or the broader view of 'mandatory autonomy' to include the option not to decide.…”

Caring in crisis: Family perspectives on ventilator withdrawal at the end of life.

“…Faber-Langendoen and Ingbar (1998) reported that professionals in the ventilator withdrawal and observation study responded to family assessments of patient comfort, as well as their own assessments. These findings suggest that, in addition to the categories suggested by Slomka (1992), utilization of medical interventions for patient and family comfort are also subjects of negotiation between families and healthcare providers. While physicians take the lead in determining when it is time stop treatment, some families will take the lead in determining when medical interventions to provide comfort are indicated.…”

Descriptions of euthanasia as social representations: comparing the views of Finnish physicians and religious professionals

“…Kaufman () writes about the ways in which death is controlled by technology, by medical ideology and by the complex power relations between doctors and relatives (see also Muller , Seale , Slomka ). This is evident especially in resuscitation incidents.…”