Withdrawal Life Support Ethics Guidelines | Medical Algorithm

Are you evaluating a patient who has requested the discontinuation of a life-sustaining therapy?

Yes

Is the request from the patient rational and consistent?

Yes

Has depression or any other condition that might distort the patient's judgment been identified and treated?

Yes

Is the patient's condition and clinical course fully understood?

Yes

Have alternatives to discontinuation of therapy been identified and disclosed to the patient?

Yes

Have specific plans been made for care once the therapy has been discontinued?

Yes

Has the patient been given sufficient time to reflect on the decision?

Yes

Have all facts of the case been evaluated by an independent reviewer?

Yes

Results

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Results Interpretation and Description References Next Steps

Data complete?

Evaluation appropriate?

Number of requirements met

Number of requirements that still must be resolved before a decision is made

Can the life-sustaining therapy be discontinued if that is the patient's final wish?

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Interpretation and Description

References

Next Steps in Evaluation

Diagnosis

Risk Factors
Clinical Diagnosis, Including Family History For Genetics
- Findings in a Patient with Heart Disease Indicating a Survival of 6 Months or Less
- Findings Indicating Poor Survival in Patient with Nonmalignant Lung Disease
Criteria For Diagnosis
- End Stage Lung Disease Findings Indicating Survival of 6 Months or Less
Severity, Prognosis, Stage

Therapy

Selection

Monitoring

Disease Progression
- Findings in Patient with AIDS Indicating Survival of 6 Months or Less
- Advanced Heart Failure | Triggers for Supportive & Palliative Care
Complication Detection
- Predictors for Death Within 3 Months in HIV Patient with Neurologic Failure in ICU

Patient Concerns

Quality Of Life
End-of-life, Palliative Care

Evaluation

Results

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Interpretation and Description

References

Next Steps in Evaluation

Diagnosis

Therapy

Monitoring

Patient Concerns

Objective

ICD-10

Proposed Guidelines for Discontinuation of Life-Sustaining Treatment in Competent Patient

Purpose: To evaluate a patient who has requested discontinuation of a life-sustaining therapy based on the guidelines of Quill et al.

Evaluation

Results

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Interpretation and Description

References

Next Steps in Evaluation

Diagnosis

Therapy

Monitoring

Patient Concerns

Objective

ICD-10