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AMA J Ethics
September 2023
Head of the Clinical Ethics Unit at the University Hospital Basel, the University Psychiatric Clinics Basel, the University Geriatric Medicine Felix Platter, and the University Children's Hospital Basel in Switzerland.
Mental health professionals' moral intuitions about futility should prompt reevaluation of goals of care and care plans. Mostly, it will suffice to improve the care plan and/or slightly adjust the goal of care (eg, lower expectations), which is standard practice. Sometimes, however, all care plans that seek to reduce core symptoms (ie, that pursue a curative goal) are most likely futile and thus should not be imposed.
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