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• W2022095963 abstract "The concept of futility and its determination in emergency medicine pose unique challenges to emergency physicians, patients, and society. The term futility, although commonly used, is problematic in its scope, meaning, and interpretation. To bridge this gap in understanding, the authors suggest the construct of clinically nonbeneficial interventions (CNBI), instead of futility. This language better informs discussions of nonbeneficial interventions across the risk spectrum of emergency medical practice, while retaining the focus on the patient's interests. Two cases are presented, which underscore the need for prudence and empathetic communication when addressing issues of CNBI. Determinations of expected benefit should be based on established scientific evidence, and the goals and values of patients, not on individual biases regarding quality of life or other subjective matters. While physicians are under no ethical obligation to provide treatments that they judge have no realistic likelihood of clinical benefit, the context in which these determinations take place is of critical importance. When certain interventions are appropriately withheld, concerted efforts should be made to maintain effective communication, comfort, support, and counseling for patients, friends, and families. In all aspects of clinical decision making, the value of various interventions and therapies must be based on expected risks and benefits to the patients, first and foremost." @default.
• W2022095963 created "2016-06-24" @default.
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• W2022095963 date "2000-10-01" @default.
• W2022095963 modified "2023-09-27" @default.
• W2022095963 title "Ethics Seminars:Case Studies in “Futility”-Challenges for Academic Emergency Medicine" @default.
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• W2022095963 doi "https://doi.org/10.1111/j.1553-2712.2000.tb01266.x" @default.
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