"Please Keep Mom Alive One More Day"-Clashing Directives of a Dying Patient and Her Surrogate.

J Pain Symptom Manage

Ethics Committee, Memorial Sloan Kettering Cancer Center, New York, New York, USA; Department of Anesthesiology, Pain, and Critical Care Medicine, Memorial Sloan Kettering Cancer Center, New York, New York, USA.

Published: May 2020

All medical care providers are legally and ethically bound to respect their patients' wishes. However, as patients lose decision-making capacity and approach end of life, their families or surrogates, who are confronted with grief, fear, self-doubt, and/or uncertainty, may ask physicians to provide treatment that contradicts the patients' previously stated wishes. Our work discusses the legal and ethical issues surrounding such requests and provides guidance for clinicians to ethically and compassionately respond-without compromising their professional and moral obligations to their patients.

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http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7531567PMC
http://dx.doi.org/10.1016/j.jpainsymman.2020.01.014DOI Listing

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