Medical futility. Medical search

The absence of a useful purpose or useful result in a diagnostic procedure or therapeutic intervention. The situation of a patient whose condition will not be improved by treatment or instances in which treatment preserves permanent unconsciousness or cannot end dependence on intensive medical care. (From Ann Intern Med 1990 Jun 15;112(12):949)

Withholding or withdrawal of a particular treatment or treatments, often (but not necessarily) life-prolonging treatment, from a patient or from a research subject as part of a research protocol. The concept is differentiated from REFUSAL TO TREAT, where the emphasis is on the health professional's or health facility's refusal to treat a patient or group of patients when the patient or the patient's representative requests treatment. Withholding of life-prolonging treatment is usually indexed only with EUTHANASIA, PASSIVE, unless the distinction between withholding and withdrawing treatment, or the issue of withholding palliative rather than curative treatment, is discussed.

Refusal of the health professional to initiate or continue treatment of a patient or group of patients. The refusal can be based on any reason. The concept is differentiated from PATIENT REFUSAL OF TREATMENT see TREATMENT REFUSAL which originates with the patient and not the health professional.

Differences of opinion or disagreements that may arise, for example, between health professionals and patients or their families, or against a political regime.

Persons trained in philosophical or theological ethics who work in clinical, research, public policy, or other settings where they bring their expertise to bear on the analysis of ethical dilemmas in policies or cases. (Bioethics Thesaurus)

Vegetative state refers to the neurocognitive status of individuals with severe brain damage, in whom physiologic functions (sleep-wake cycles, autonomic control, and breathing) persist, but awareness (including all cognitive function and emotion) is abolished.

Indifference to, or rejection of, RELIGION or religious considerations. (From Merriam-Webster's Collegiate Dictionary, 10th ed)

Care provided patients requiring extraordinary therapeutic measures in order to sustain and prolong life.

The principles of professional conduct concerning the rights and duties of the physician, relations with patients and fellow practitioners, as well as actions of the physician in patient care and interpersonal relations with patient families.

Self-directing freedom and especially moral independence. An ethical principle holds that the autonomy of persons ought to be respected. (Bioethics Thesaurus)

Earlier than planned termination of clinical trials.

Failing to prevent death from natural causes, for reasons of mercy by the withdrawal or withholding of life-prolonging treatment.

The process of making a selective intellectual judgment when presented with several complex alternatives consisting of several variables, and usually defining a course of action or an idea.

The principles of proper professional conduct concerning the rights and duties of nurses themselves, their patients, and their fellow practitioners, as well as their actions in the care of patients and in relations with their families.

Assessment of physician-assisted death by members of the public prosecution in The Netherlands. (1/144)

OBJECTIVES: To identify the factors that influence the assessment of reported cases of physician-assisted death by members of the public prosecution. DESIGN/SETTING: At the beginning of 1996, during verbal interviews, 12 short case-descriptions were presented to a representative group of 47 members of the public prosecution in the Netherlands. RESULTS: Assessment varied considerably between respondents. Some respondents made more "lenient" assessments than others. Characteristics of the respondents, such as function, personal-life philosophy and age, were not related to the assessment. Case characteristics, i.e. the presence of an explicit request, life expectancy and the type of suffering, strongly influenced the assessment. Of these characteristics, the presence or absence of an explicit request was the most important determinant of the decision whether or not to hold an inquest. CONCLUSIONS: Although the presence of an explicit request, life expectancy and the type of suffering each influenced the assessment, each individual assessment was dependent on the assessor. The resulting danger of legal inequality and legal uncertainty, particularly in complicated cases, should be kept to a minimum by the introduction of some form of protocol and consultation in doubtful or boundary cases. The notification procedure already promotes a certain degree of uniformity in the prosecution policy. (+info)

Conditions required for a law on active voluntary euthanasia: a survey of nurses' opinions in the Australian Capital Territory. (2/144)

OBJECTIVES: To ascertain which conditions nurses believe should be in a law allowing active voluntary euthanasia (AVE). DESIGN: Survey questionnaire posted to registered nurses (RNs). SETTING: Australian Capital Territory (ACT) at the end of 1996, when active voluntary euthanasia was legal in the Northern Territory. SURVEY SAMPLE: A random sample of 2,000 RNs, representing 54 per cent of the RN population in the ACT. MAIN MEASURES: Two methods were used to look at nurses' opinions. The first involved four vignettes which varied in terms of critical characteristics of each patient who was requesting help to die. The respondents were asked if the law should be changed to allow any of these requests. There was also a checklist of conditions, most of which have commonly been included in Australian proposed laws on AVE. The respondents chose those which they believed should apply in a law on AVE. RESULTS: The response rate was 61%. Support for a change in the law to allow AVE was 38% for a young man with AIDS, 39% for an elderly man with early stage Alzheimer's disease, 44% for a young woman who had become quadriplegic and 71% for a middle-aged woman with metastases from breast cancer. The conditions most strongly supported in any future AVE law were: "second doctor's opinion", "cooling off period", "unbearable protracted suffering", "patient fully informed about illness and treatment" and "terminally ill". There was only minority support for "not suffering from treatable depression", "administer the fatal dose themselves" and "over a certain age". CONCLUSION: Given the lack of support for some conditions included in proposed AVE laws, there needs to be further debate about the conditions required in any future AVE bills. (+info)

Use of vitamin B12 injections among elderly patients by primary care practitioners in Ontario. (3/144)

BACKGROUND: Excess use of parenteral vitamin B12 has been reported from audits of clinical practices. The authors assessed the use of vitamin B12 injections in patients aged 65 years and over in Ontario. METHODS: A cross-sectional analysis was conducted that included all elderly people covered by the Ontario Health Insurance Plan who received insured services from general practitioners or family physicians (GP/FPs). For each practice the proportion of elderly patients who received regular vitamin B12 injections between July 1996 and June 1997 was calculated. The frequency of injections was determined for each patient receiving regular B12 replacement. RESULTS: Of the 1,196,748 elderly patients (mean age 74.8 [standard deviation 6.8], 58.0% female) treated by 14,177 GP/FPs, 23,651 (2.0%) received regular B12 injections. The rate of B12 injections per patient, standardized for age and sex, varied between practices (range 0%-48.6%). Although no authoritative sources support the practice, 3303 (19.8%) of the 16,707 patients receiving long-term parenteral therapy had, on average, overly frequent injections (more than 1 injection every 4 weeks). For 76 (12.3%) of the 617 practices with 10 or more patients receiving regular vitamin B12 injections, the mean injection frequency was greater than once every 4 weeks. The proportion of patients in these 617 practices who received overly frequent injections varied extensively (0%-100%). INTERPRETATION: Our findings indicate that some primary care physicians in Ontario administer unnecessary vitamin B12 injections to elderly patients. (+info)

Bone marrow transplant patients with life-threatening organ failure: when should treatment stop? (4/144)

PURPOSE: To discuss issues surrounding life support in bone marrow transplant (BMT) patients, issues that may determine how far we go to keep a deteriorating BMT patient alive--and when we stop trying. How can we define survival chance in BMT patients, and when should prolongation of life be deemed inappropriate? Who should make the decision to terminate support? And how should life support be terminated? DESIGN: Prognostic factors that predict for almost certain nonsurvival have been identified in BMT patients with life-threatening organ failure. The concept of futility raises the question of how low the chance of survival must be before termination of life support is justified--but the concept is flawed, and the value judgments involved in decision making must also be considered. Then, once a decision is made, the manner of withholding or withdrawing life support is also open to discussion. CONCLUSION: Despite controversies, there are areas in which improvements to current practice might be considered. More data are required to determine survival chances of BMT patients with life-threatening organ failure. Greater attention might be devoted, in pretransplant counseling, to issues of intensive life support, with the patient's own views being ascertained before transplantation. And, because technologic possibilities are now imposing fewer boundaries, the problem of finite resources may need to be readdressed, with treatment limits being set down before transplantation. (+info)

Delayed bilateral internal carotid artery thrombosis following accidental strangulation. (5/144)

A 24-yr-old male presented after a fishing accident in which he was pulled underwater by a rope attached to a crayfish pot. He was winched out of the water with the rope still around his neck, sustaining serious neck injuries that ultimately led to his death. After initial resuscitation, he remained fully conscious for approximately 8 h, after which there was a rapid and sudden deterioration in his level of consciousness. The presentation, investigation, management and subsequent postmortem findings are presented and discussed. (+info)

Are medical ethicists out of touch? Practitioner attitudes in the US and UK towards decisions at the end of life. (6/144)

OBJECTIVES: To assess whether UK and US health care professionals share the views of medical ethicists about medical futility, withdrawing/withholding treatment, ordinary/extraordinary interventions, and the doctrine of double effect. DESIGN, SUBJECTS AND SETTING: A 138-item attitudinal questionnaire completed by 469 UK nurses studying the Open University course on "Death and Dying" was compared with a similar questionnaire administered to 759 US nurses and 687 US doctors taking the Hastings Center course on "Decisions near the End of Life". RESULTS: Practitioners accept the relevance of concepts widely disparaged by bioethicists: double effect, medical futility, and the distinctions between heroic/ordinary interventions and withholding/withdrawing treatment. Within the UK nurses' group a "rationalist" axis of respondents who describe themselves as having "no religion" are closer to the bioethics consensus on withholding and withdrawing treatment. CONCLUSIONS: Professionals' beliefs differ substantially from the recommendations of their professional bodies and from majority opinion in bioethics. Bioethicists should be cautious about assuming that their opinions will be readily accepted by practitioners. (+info)

Futility has no utility in resuscitation medicine. (7/144)

"Futility" is a word which means the absence of benefit. It has been used to describe an absence of utility in resuscitation endeavours but it fails to do this. Futility does not consider the harms of resuscitation and we should consider the balance of benefit and harm that results from our resuscitation endeavours. If a resuscitation is futile then any harm that ensues will bring about an unfavourable benefit/harm balance. However, even if the endeavour is not futile, by any definition, the benefit/harm balance may still be unfavourable if the harms that ensue are great. It is unlikely that we will ever achieve a consensus definition of futility and certainly not one that is applicable to every patient undergoing resuscitation. In the meantime our use of the term "futile", in the mistaken belief that it tells us whether it is worth resuscitating or not, has no utility as it will never succeed in telling us this. Furthermore we risk causing offence by use of the term and we risk harming the patient's autonomy by using futility as an overriding force. Instead we should consider the utility of our endeavours, for which an assessment of the harms of resuscitation should be added to our considerations of its benefit. This balance of benefit and harm should then be evaluated as best it can be from the patient's perspective. The words futile and futility should be abandoned by resuscitationists. (+info)

Debate: what constitutes 'terminality' and how does it relate to a living will? (8/144)

A moribund and debilitated patient arrives in an emergency department and is placed on life support systems. Subsequently it is determined that she has a 'living will' proscribing aggressive measures should her condition be judged 'terminal' by her physicians. But, as our round table of authorities reveal, the concept of 'terminal' means different things to different people. The patient's surrogates are unable to agree on whether she would desire continuation of mechanical ventilation if there was a real chance of improvement or if she would want to have her living will enforced as soon it's terms were revealed. The problem of the potential ambiguity of a living will is explored. (+info)

Medical futility is a controversial and complex concept that refers to medical treatments or interventions that are highly unlikely to result in achieving a meaningful clinical benefit for the patient. The determination of medical futility often involves a consideration of various factors, including the patient's current medical condition, prognosis, values, and goals of care.

There is no universally accepted definition of medical futility, and its interpretation can vary widely among healthcare providers, patients, and families. In general, medical treatments are considered futile when they have a very low probability of success or when they only prolong the process of dying without improving the patient's quality of life.

The concept of medical futility is important in end-of-life care discussions and decision-making, as it can help healthcare providers and patients make informed decisions about whether to pursue certain treatments or interventions. However, determining medical futility can be challenging, and it requires careful consideration of the patient's individual circumstances and values. Ultimately, the goal of medical futility is to ensure that patients receive care that is both medically appropriate and aligned with their goals and values.

"Withholding treatment" in a medical context refers to the deliberate decision not to provide or initiate certain medical treatments, interventions, or procedures for a patient. This decision is typically made after considering various factors such as the patient's wishes, their overall prognosis, the potential benefits and burdens of the treatment, and the patient's quality of life.

The reasons for withholding treatment can vary widely, but some common reasons include:

* The treatment is unlikely to be effective in improving the patient's condition or extending their life.
* The treatment may cause unnecessary discomfort, pain, or suffering for the patient.
* The patient has expressed a desire not to receive certain treatments, particularly if they are deemed to be burdensome or of little benefit.
* The cost of the treatment is prohibitive and not covered by insurance, and the patient cannot afford to pay out-of-pocket.

It's important to note that withholding treatment does not mean abandoning the patient or providing substandard care. Rather, it involves making thoughtful and informed decisions about the most appropriate course of action for a given situation, taking into account the patient's individual needs and preferences.

"Refusal to treat" is a medical-legal term that refers to the situation where a healthcare professional or institution declines to provide medical care or treatment to a patient. The refusal can be based on various reasons such as:

1. Lack of training or expertise to handle the patient's medical condition.
2. The belief that the treatment requested by the patient is medically inappropriate or unnecessary.
3. Personal or professional disagreements with the patient's choices or lifestyle.
4. Concerns about the safety of the healthcare provider or other patients.
5. Inability to pay for the treatment or lack of insurance coverage.

However, it is important to note that refusing to treat a patient is a serious decision that should only be made after careful consideration and consultation with other healthcare professionals. Healthcare providers have an ethical duty to provide emergency medical care to anyone in need, regardless of their ability to pay or any personal differences. In addition, they must comply with applicable laws and regulations regarding refusal to treat, which may vary depending on the jurisdiction.

"Dissent and disputes" in a medical context generally refer to disagreements or differences of opinion among healthcare professionals, researchers, or patients regarding medical diagnoses, treatments, policies, or ethical issues. These disputes can arise from various factors such as differing clinical experiences, conflicting scientific evidence, differing values and beliefs, or lack of clear guidelines. Dissent and disputes can be resolved through open communication, evidence-based decision making, consensus building, and, when necessary, mediation or arbitration. It is essential to address dissent and disputes in a respectful and constructive manner to ensure the best possible outcomes for patients and to advance medical knowledge and practice.

An ethicist is a person who specializes in the study of ethics, which involves systematizing, defending, and recommending concepts of right and wrong conduct. In medical context, an ethicist is a person who applies ethical theories and principles to address complex issues in healthcare, medicine, and research involving clinical ethics, research ethics, and public health ethics. Medical ethicists may serve as consultants, educators, or researchers to help patients, families, healthcare professionals, and institutions analyze, clarify, and resolve ethical dilemmas related to medical care, treatment decisions, resource allocation, and policy development. They may hold various academic degrees in philosophy, theology, law, medicine, or other relevant fields, and have expertise in bioethics, moral theory, applied ethics, and clinical ethics consultation.

Persistent vegetative state (PVS) is a medical condition characterized by a prolonged disorder of consciousness. It's not the same as a coma. In PVS, a person may open their eyes, appear to be awake and have periods of sleep and wakefulness, but they do not show signs of awareness or cognition. They do not respond to stimuli, cannot communicate, and do not have any purposeful behaviors.

This condition can occur after a severe brain injury, such as from trauma, stroke, or lack of oxygen supply. The chance of recovery from PVS is very low, and if some recovery does occur, it's usually incomplete.

It's important to note that the term "persistent vegetative state" has been replaced in some clinical settings with "unresponsive wakefulness syndrome" due to the negative connotations associated with the term "vegetative".

Secularism is not a medical term, but rather a sociopolitical concept. It refers to the separation of church and state, where government institutions are neutral and do not favor any particular religion or religious perspective. This means that medical practices and healthcare policies should also be based on evidence-based medicine and scientific principles, rather than religious beliefs or doctrine.

However, it is worth noting that cultural and religious factors can influence health behaviors, attitudes towards medical treatment, and access to care. Therefore, healthcare providers must be aware of and sensitive to the cultural and religious backgrounds of their patients while maintaining a commitment to evidence-based medicine and scientific principles.

Life support care, also known as artificial life support or mechanical ventilation, refers to medical interventions that are used to maintain and sustain the essential body functions of a patient who is unable to do so independently. These interventions can include mechanical ventilation to assist with breathing, hemodialysis to filter waste from the blood, intravenous (IV) fluids and medications to maintain circulation, and various other treatments to support organ function.

The goal of life support care is to keep a patient alive while treating their underlying medical condition, allowing time for the body to heal or providing comfort at the end of life. The use of life support can be temporary or long-term, depending on the patient's prognosis and the severity of their illness or injury.

It is important to note that decisions regarding the initiation, continuation, or withdrawal of life support care are complex and multifaceted, often requiring input from medical professionals, patients, and their families. Ethical considerations and advance directives, such as living wills and healthcare proxies, may also play a role in these decisions.

Medical ethics is a branch of ethics that deals with moral issues in medical care, research, and practice. It provides a framework for addressing questions related to patient autonomy, informed consent, confidentiality, distributive justice, beneficentia (doing good), and non-maleficence (not doing harm). Medical ethics also involves the application of ethical principles such as respect for persons, beneficence, non-maleficence, and justice to specific medical cases and situations. It is a crucial component of medical education and practice, helping healthcare professionals make informed decisions that promote patient well-being while respecting their rights and dignity.

"Personal Autonomy" is not a medical term per se, but it is often used in medical ethics and patient care. It refers to the ability of an individual to make informed decisions about their own health and healthcare, based on their own values, beliefs, and preferences, without undue influence or coercion from others. This includes the right to accept or refuse medical treatment, to maintain confidentiality, and to participate in shared decision-making with healthcare providers. Personal autonomy is recognized as a fundamental principle in medical ethics and patient rights, and is protected by laws and regulations in many countries.

Early termination of clinical trials refers to the discontinuation of a medical research study before its planned end date. This can occur for several reasons, including:

1. Safety concerns: If the experimental treatment is found to be harmful or poses significant risks to the participants, the trial may be stopped early to protect their well-being.
2. Efficacy demonstrated: If the experimental treatment shows promising results and is significantly better than the current standard of care, an independent data monitoring committee may recommend stopping the trial early so that the treatment can be made available to all patients as soon as possible.
3. Futility: If it becomes clear that the experimental treatment is unlikely to provide any meaningful benefit compared to the current standard of care, the trial may be stopped early to avoid exposing more participants to unnecessary risks and to allocate resources more efficiently.
4. Insufficient recruitment or funding: If there are not enough participants enrolled in the study or if funding for the trial is withdrawn, it may need to be terminated prematurely.
5. Violation of ethical guidelines or regulations: If the trial is found to be non-compliant with regulatory requirements or ethical standards, it may be stopped early by the sponsor, investigator, or regulatory authorities.

When a clinical trial is terminated early, the data collected up until that point are still analyzed and reported, but the results should be interpreted with caution due to the limited sample size and potential biases introduced by the early termination.

Passive euthanasia is the act of withholding or withdrawing medical treatments that are necessary to maintain life, allowing the natural dying process to occur. This can include stopping artificial nutrition and hydration, mechanical ventilation, or other forms of life-sustaining treatment. The goal of passive euthanasia is to allow a person who is suffering from a terminal illness or irreversible condition to die with dignity and in comfort, sparing them from unnecessary pain and suffering. It is important to note that the decision to engage in passive euthanasia should be made carefully, with the full involvement of the patient, their family, and medical team, and in accordance with applicable laws and ethical guidelines.

Decision-making is the cognitive process of selecting a course of action from among multiple alternatives. In a medical context, decision-making refers to the process by which healthcare professionals and patients make choices about medical tests, treatments, or management options based on a thorough evaluation of available information, including the patient's preferences, values, and circumstances.

The decision-making process in medicine typically involves several steps:

1. Identifying the problem or issue that requires a decision.
2. Gathering relevant information about the patient's medical history, current condition, diagnostic test results, treatment options, and potential outcomes.
3. Considering the benefits, risks, and uncertainties associated with each option.
4. Evaluating the patient's preferences, values, and goals.
5. Selecting the most appropriate course of action based on a careful weighing of the available evidence and the patient's individual needs and circumstances.
6. Communicating the decision to the patient and ensuring that they understand the rationale behind it, as well as any potential risks or benefits.
7. Monitoring the outcomes of the decision and adjusting the course of action as needed based on ongoing evaluation and feedback.

Effective decision-making in medicine requires a thorough understanding of medical evidence, clinical expertise, and patient preferences. It also involves careful consideration of ethical principles, such as respect for autonomy, non-maleficence, beneficence, and justice. Ultimately, the goal of decision-making in healthcare is to promote the best possible outcomes for patients while minimizing harm and respecting their individual needs and values.

Nursing ethics refers to the principles that guide the behavior and decision-making of nurses in their practice. These principles are based on values such as respect for autonomy, non-maleficence (do no harm), beneficence (do good), justice, and veracity (truthfulness). Nursing ethics provides a framework for nurses to make decisions that promote the health and well-being of their patients while also respecting their rights and dignity.

Nurses may encounter ethical dilemmas in their practice, such as when there is conflict between the interests of different patients or between the interests of the patient and those of the nurse or healthcare organization. In these situations, nurses are expected to engage in a process of ethical reasoning and decision-making that involves identifying the ethical issues involved, considering the relevant ethical principles and values, and seeking input from colleagues and other stakeholders as appropriate.

Nursing ethics is an essential component of nursing practice and education, and it is closely linked to broader bioethical considerations related to healthcare and medical research. Nurses are expected to be familiar with relevant ethical guidelines and regulations, such as those established by professional organizations and regulatory bodies, and to engage in ongoing reflection and learning to maintain and develop their ethical competence.

1924). "Futility of Fatness". The Mail. p. 21 Morrice, Andrew A. G. (1994). The Medical Pundits": Doctors and Indirect ... Medical History: 38: 255-280. (Articles with short description, Short description matches Wikidata, Use dmy dates from April ... He was also a medical officer at hospitals in Calcutta, Lucknow and Allahabad. He operated his own private practice in London ... The British Medical Journal 2 (3626): 43. Mennell, Steven. (2014). Indigestion in the Long Nineteenth Century: Aspects of ...

https://en.wikipedia.org/wiki/Cecil_Webb-Johnson

Swetz KM, Burkle CM, Berge KH, Lanier WL (July 2014). "Ten common questions (and their answers) on medical futility". Mayo ... In Victoria, a Refusal of Medical Treatment certificate is a legal means to refuse medical treatments of current medical ... Armstrong (2014). "Medical Futility and Nonbeneficial Interventions". Mayo Clinic Proceedings. 89 (12): 1599-607. doi:10.1016/j ... Rubin E, Courtwright A (November 2013). "Medical futility procedures: what more do we need to know?". Chest. 144 (5): 1707-1711 ...

https://en.wikipedia.org/wiki/Do_not_resuscitate

Medical futility: its meaning and ethical implications. Annals of internal medicine. 1990 Jun 15;112(12):949-54. [9] (open ... Medical futility: response to critiques. Annals of Internal Medicine. 1996 Oct 15;125(8):669-74. [10] (Cited 221 times, ... Her research focuses on individual and societal aging, justice, human dignity, medical futility, and global perspectives in ... Journal of Medical Ethics. 2021 Jan 1;47(1):26-32. [14] (Cited 20 times ) "Nancy S. Jecker, PhD , UW Department of Bioethics & ...

https://en.wikipedia.org/wiki/Nancy_S._Jecker

Clark, SJ, PhD, Peter A. (2007). "Medical Futility: Legal and Ethical Analysis". The Virtual Mentor. 9 (5): 375-83. doi:10.1001 ... Raanan Gillon, Emeritus Professor of medical ethics at Imperial College London, President of the Institute of Medical Ethics, ... Medical controversies in the United Kingdom, Medical lawsuits). ... Some medical ethicists saw the use of social media in this case ... Tertiary care medical centres able to do research and provide care depend on communal investment made by society over decades. ...

https://en.wikipedia.org/wiki/Charlie_Gard_case

The family has received support from a prominent authority on medical futility, Thaddeus Mason Pope, and conservative ... "New Case -- Betancourt v. Trinitas Regional Medical Hospital". Medicalfutility.blogspot.com. Retrieved May 24, 2019. "Defeat ... Among those who had taken the hospital's side are the New Jersey Hospital Association, the Medical Society of New Jersey, and ... "Betancourt v. Trinitas -- Not Dead Yet Amicus Brief". Medicalfutility.blogspot.com. Retrieved April 30, 2018. "Brief and ...

https://en.wikipedia.org/wiki/Betancourt_v._Trinitas_Hospital

v t e (Arthritis, Medical treatments, All stub articles, Medical treatment stubs). ... Felson, David T.; Kim, Young-Jo (2007). "The Futility of Current Approaches to Chondroprotection". Arthritis & Rheumatism. 56 ( ...

https://en.wikipedia.org/wiki/Chondroprotection

As medical care improves and affects more and more chronic conditions, questions of futility have continued to arise. A ... Futile medical care is the continued provision of medical care or treatment to a patient when there is no reasonable hope of a ... Medical Futility Blog (Articles needing additional references from June 2023, All articles needing additional references, ... Council on Ethical; Judicial Affairs, AMA (1999). "Medical Futility in End of Life Care". JAMA. 281 (10): 937-941. doi:10.1001/ ...

https://en.wikipedia.org/wiki/Futile_medical_care

Levin, Bruce (2015). "The futility study-progress over the last decade". Contemporary Clinical Trials. 45 (Pt A): 69-75. doi: ... Lai, T. L.; Levin, Bruce; Robbins, Herbert; Siegmund, David (1980-06-01). "Sequential medical trials". Proceedings of the ... of compulsory schooling on future earnings Effect of corporate board size on firm performance Effect of damage caps on medical ...

https://en.wikipedia.org/wiki/Jurimetrics

"Medical Futility in Asystolic Out-of-Hospital Cardiac Arrest". Survey of Anesthesiology. 52 (5): 261-262. October 2008. doi: ... Medical aspects of death, Medical emergencies, Causes of death, Cardiac arrhythmia). ... Canadian Medical Association Journal. 183 (14): 1589-1595. doi:10.1503/cmaj.100034. PMC 3185075. PMID 21844108. Kempton, Hannah ...

https://en.wikipedia.org/wiki/Asystole

He teaches courses on medical ethics, nursing ethics, and veterinary ethics. Tomlinson has published widely in medical ethics ... "Futility and Hospital Policy," Tom Tomlinson and Diane Czlonka. Hastings Center Report, May-June, 1995. Kurtz, T. Tomlinson, L ... In addition, he authored several articles in journals such as The Journal of Medical Ethics, The Journal of Clinical Ethics, ... "Caring for Risky Patients: Duty or Virtue?" Journal of Medical Ethics, May 2008. Tomlinson, Thomas."Telethics and the Virtual ...

https://en.wikipedia.org/wiki/Thomas_Tomlinson_(philosopher)

Point: The Texas Advance Directives Act Effectively and Ethically Resolves Disputes About Medical Futility. Chest 2009 136(4): ... 974 of which concerned medical futility cases. From those 974 consultations, the hospitals issued 65 letters stating agreement ... Spiro Nikolouzos Terri Schiavo Right to Life Right to die Culture of life/culture of death Futile medical care Euthanasia ... Family members may consult their own medical specialists and legal advisors if they wish. The ethics consultation process must ...

https://en.wikipedia.org/wiki/Texas_Advance_Directives_Act

In 2009, leading bioethics scholar Thaddeus Mason Pope profiled the case on his medical futility website. Child abuse Bioethics ... Andrew Bedner is an American man at the center of a bioethical controversy regarding the rights of parents to make medical ... Appel, Jacob M. Mixed motives, mixed outcomes when accused parents won't agree to withdraw care, Journal of Medical Ethics 2009 ... 25, 2009 (1981 births, Living people, Medical controversies in the United States, Parenting in the United States). ...

https://en.wikipedia.org/wiki/Andrew_Bedner

In some hospitals, medical futility is referred to as treatment that is unable to benefit the patient. An important part of ... JCI MacLean Center for Clinical Medical Ethics Medical Code of Ethics Medical Law International Medical law Medical torture ... One concern regarding the intersection of medical ethics and humanitarian medical aid is how medical assistance can be as ... Percival, Thomas (1849). Medical ethics. John Henry Parker. pp. 49-57 esp section 8 p. 52. medical ethics. Will, Jonathan F. ( ...

https://en.wikipedia.org/wiki/Medical_ethics

Hofmann, B. "Broadening consent and diluting ethics." Journal of Medical Ethics 2009; 35(2): 125-129. Hofmann, B. "Is there a ... medicalization and futility. Reproductive technologies, biobanks and organ transplantation have been his main topics in the ... After his studies, he worked with medical technology at Lillehammer county hospital and with health applications at Telenor ... Additionally, Hofmann has published in research ethics, ethics in health technology assessment (HTA), medical ethics, health ...

https://en.wikipedia.org/wiki/Bjørn_Hofmann

This was due in part to the failure of medical doctors, who were predominantly men, to contain and prevent the illness. Nursing ... A tale of vision, labor, and futility". Nursing History Review. 5: 23-48. doi:10.1891/1062-8061.5.1.23. PMID 8979727. S2CID ... "On the Field of Mercy: Women Medical Volunteers from the Civil War to the First World War." American Nineteenth Century History ... Dorothea Dix, serving as the Commission's Superintendent, was able to convince the medical corps of the value of women working ...

https://en.wikipedia.org/wiki/History_of_nursing_in_the_United_States

Jude Medical, BROADEN depression clinical trial failure, futility analysis, Helen Mayberg, deep brain stimulation (DBS) of Cg25 ... Jude Medical Neuromodulation licensed her intellectual property to develop Subcallosal Cingulate Deep Brain Stimulation for ... She also asserted in publications that DBS patients should have their own words reflected in the medical literature. Neurolaw, ... both at Mount Sinai Medical School, and Professor of Psychiatry, Emory University; Emory University Hospital. Since 2018, she ...

https://en.wikipedia.org/wiki/Helen_S._Mayberg

Medical Futility (blog). National Center for Youth Law. "Minor Consent, Confidentiality, and Child Abuse Reporting". Archived ... Medical neglect: characterized by the lack of providing medical care; Emotional neglect: characterized by a lack of nurturance ... Medical professionals may also become suspicious of child abuse when a caregiver is not able to provide an explanation for an ... JP Medical Ltd. p. 101. ISBN 978-93-5090-449-7. Archived from the original on 23 February 2017. Many do not consider neglect a ...

https://en.wikipedia.org/wiki/Child_abuse

Dictionary of American medical biography. Greenwood Press, Westport CN, vol 2. Page 640. Ramos, Mary Carol. "The Johns Hopkins ... Training School For Nurses: A Tale Of Vision, Labor, And Futility," Nursing History Review (1997), Vol. 5, pp 23-48. Official ... First woman Colonel of the Canadian army and Matron-in-chief of the Canadian Army Medical Corps) Ernestine Wiedenbach (Major ... Johns Hopkins Medical Institutions, Johns Hopkins Hospital, Educational institutions established in 1889, Academic health ...

https://en.wikipedia.org/wiki/Johns_Hopkins_School_of_Nursing

"The Isabel Hampton Robb Collection: Biography". The Alan Mason Chesney Medical Archives. The Johns Hopkins Medical Institutions ... "The Johns Hopkins Training School For Nurses: A Tale Of Vision, Labor, And Futility," Nursing History Review (1997), Vol. 5, pp ... at The Alan Mason Chesney Medical Archives of The Johns Hopkins Medical Institutions (CS1: Julian-Gregorian uncertainty, ... Dictionary of American medical biography. Greenwood Press, Westport CN, vol 2. Page 640. Ramos, Mary Carol. " ...

https://en.wikipedia.org/wiki/Isabel_Hampton_Robb

They may be used in phase I and II clinical trials, but can only be used in phase III trials for early futility analyses. There ... The FDA Modernization Act of 1997 was instituted to improve the regulatory process for medical products. Section 112 of the Act ... Although the act does not specifically mention the use of surrogate end-points for medical devices, section 205 requires that ... As the field of medical imaging developed and expanded to include numerous imaging modalities, imaging biomarkers have grown as ...

https://en.wikipedia.org/wiki/Imaging_biomarker

After numerous injuries forced the end of his career, Swan used the medical knowledge he obtained from his ordeals to invest ... In 1984, while the Mets were finally ending years of futility, Swan managed only ten awful relief appearances before being ...

https://en.wikipedia.org/wiki/Craig_Swan

Foley was awarded a Fulbright grant in spring 2011, conducting research on medical futility at the School of Law at the ...

https://en.wikipedia.org/wiki/Elizabeth_Price_Foley

... all the way to the point of imminent medical futility. Others will forgo heroic and extreme measures, preferring to let nature ... In some nations whole body donations have been encouraged by medical schools to be used in medical education and similar ... In a medical environment, it is normally carried out by oral, intravenous or intramuscular drug administration. Laws around the ...

https://en.wikipedia.org/wiki/Death_and_culture

Refugees and defeated Africans found medical help and shelter at his headquarters at Mtanza. He was decorated with the Order of ... where he learned first hand the horror and futility of war. In 1905, Paasche became commander in chief in the Rufiji-region, ...

https://en.wikipedia.org/wiki/Hans_Paasche

On the Utter Futility of Vivisection as a Means of Promoting Medical Science (1908) A Distinguished Surgeon. Hastings and St ... English medical researchers, English medical writers, English surgeons, Fellows of the Royal College of Surgeons of England, ... 19th-century English medical doctors, 20th-century English medical doctors, 20th-century surgeons, Anti-vivisectionists, ... Snow was chairman of the British Section of the International Medical Anti-Vivisection Association. Clinical Notes on Cancer: ...

https://en.wikipedia.org/wiki/Herbert_Snow

... "frustrated by the futility of contemporary medical treatment and the education provided to the deaf." He developed a compassion ... In 1896, the same year as the birth of his only daughter, he would found one of his lifelong works; a medical journal dubbed ... That same year he would also be appointed to the Chair of Otology at Beaumont Medical College (now known as Saint Louis ... At age 22, he graduated from Missouri Medical College (now Washington University) then served a one-year internship at the St. ...

https://en.wikipedia.org/wiki/Max_A._Goldstein

Declaration of brain death can have profound implications as the declaration, under the principle of medical futility, will be ... Seizures may be assessed using blood tests, EEG and various medical imaging techniques based on the medical history and medical ... The medical history of people with brain injury has provided insight into the function of each part of the brain. Neuroscience ... Also in the fifth century BC in Athens, the unknown author of On the Sacred Disease, a medical treatise which is part of the ...

https://en.wikipedia.org/wiki/Human_brain

Since a score of 6 ("unsurvivable") indicates the futility of further medical care in preserving life, this may mean a ... The Injury Severity Score (ISS) is an established medical score to assess trauma severity. It correlates with mortality, ...

https://en.wikipedia.org/wiki/Injury_Severity_Score

The Supreme Court of the United States has not dealt with "quality of life issues" or "futility issues" and appears to only ... On euthanasia (narrowly defined here as directly causing death), Brody sums up the U.S. medical NGO arena: The debate in the ... An Act to amend the Criminal Code and to make related amendments to other Acts (medical assistance in dying". parl.ca. Archived ... Brody, B. A.; Rothstein, M. A.; McCullough, L. B.; Bobinski, M. A. (2001). Medical Ethics: Analysis of the Issues Raised by the ...

https://en.wikipedia.org/wiki/Legality_of_euthanasia

Clinical Medical Discoveries (1961) Vivisection: The Futility of Experiments on Living Animals (1962) List of vaccine topics ... HomeoInt.org - 'Anaemia and Pernicious Anaemia', M. Beddow Bayly, Medical World (December 15, 1933) HomeoInt.org - 'Some Little ... The Futility of Experiments on Animals (1956) The Story of the Salk Anti-Poliomyelitis Vaccine (1958) More Spotlights on ... With Special Reference to the Work of the Medical Research Council (1938) Inoculation Against Typhoid Fever - A Criticism of ...

https://en.wikipedia.org/wiki/Maurice_Beddow_Bayly

... the authors explore the ethical considerations surrounding medical futility. Who decides when further treatment is futile, and ... Medical futility is not a new problem. Most of our patients will someday face the overwhelming probability that their time to ... Pleasedo not use this form to submit personal or patient medical information or to report adverse drug events. You are ... University of Tennessee Health Science Center, College of Medicine, Memphis, and VA Medical Center, Memphis, Tennessee. ...

https://www.medscape.com/viewarticle/968220

... "medical futility": towards a procedural approach based on the role of the medical profession. S Moratti, Journal of Medical ... Sabr and Shukr: doing justice to medical futility. Sara Riaz, Journal of Medical Ethics, 2023 ... Medical futility at the end of life: the perspectives of intensive care and palliative care clinicians. Ralf J Jox et al., ... Applying futility in psychiatry: a concept whose time has come. Sarah Levitt et al., Journal of Medical Ethics, 2020 ...

https://jme.bmj.com/content/33/2/71.abstract

Pleasedo not use this form to submit personal or patient medical information or to report adverse drug events. You are ... Commenting is limited to medical professionals. To comment please Log-in. Comments on Medscape are moderated and should be ... The study intended to enroll more participants, but was stopped early for futility: There was no difference in outcomes between ... High-Dose Albumin Treatment for Acute Stroke: An Exercise in Futility? - Medscape - Jun 05, 2014. ...

https://www.medscape.com/viewarticle/826065

Medical futility. [No authors listed] [No authors listed] Camb Q Healthc Ethics. 1993 Spring;2(2):225-7. Camb Q Healthc Ethics ... On medical futility: considerations and guidelines. Brannigan MC. Brannigan MC. Mo Med. 2006 Mar-Apr;103(2):113-7. Mo Med. 2006 ... The problem with futility R D Truog et al. N Engl J Med. 1992. . ... The problem with futility R D Truog 1 , A S Brett, J Frader ... "Futility" as a criterion in limiting treatment. Shaw AB. Shaw AB. N Engl J Med. 1992 Oct 22;327(17):1240; author reply 1241. N ...

https://pubmed.ncbi.nlm.nih.gov/1285741

Develop and assess appropriate futility interim monitoring rules. ... medical researchers and clinicians.. This workshop is free ( ... Case Studies for Futility Monitoring. This workshop will bring together distinguished experts from the academia, industry, and ... NHLBI Biostatistics Workshop on Clinical Trial Designs: Innovative Endpoints and Futility Monitoring ... NHLBI Biostatistics Workshop on Clinical Trial Designs: Innovative Endpoints and Futility Monitoring ...

https://www.nhlbi.nih.gov/events/2023/nhlbi-biostatistics-workshop-clinical-trial-designs-innovative-endpoints-and-futility

It is not, nor should it be taken as medical or legal advice. None of the content on this site is intended to substitute for ... Interim Chief Medical Officer. "With the aggressiveness of this disease, the use of single agent VS-6063 as a maintenance ... medical advice, diagnosis or treatment.. Notice: This website and its content are sponsored by Early, Lucarelli, Sweeney, & ...

https://www.mesothelioma.com/blog/verastem-mesothelioma-clinical-trial-stopped-early-for-futility/

... concepts of futility and use of age as a deciding factor in considering medical futility in clinical interventions. Design: ... concepts of futility and use of age as a deciding factor in considering medical futility in clinical interventions. Design: ... concepts of futility and use of age as a deciding factor in considering medical futility in clinical interventions. Design: ... concepts of futility and use of age as a deciding factor in considering medical futility in clinical interventions. Design: ...

https://pure.johnshopkins.edu/en/publications/age-as-a-deciding-factor-in-the-consideration-of-futility-for-a-m

It all cleared up in a couple years and I dont have to worry, but I got to see a flaw in our medical industry that allows ... Well start with one more news item showing the futility of "hiding from elites": The U.S. high court approves a rule change to ... But if I may use a medical analogy:. "Every stress leaves an indelible scar, and the organism pays for its survival after a ... I would have appreciated the kidney monitoring features of an integrated medical system. It was an eye-opening experience to be ...

https://davidbrin.blogspot.com/2016/05/the-futility-of-hiding.html?showComment=1464788598680

Brody H Medical futility: a useful concept? Zucker MBZucker HD Medical Futility and the Evaluation of Life-Sustaining Treatment ... Brody H Medical futility: a useful concept? Zucker MBZucker HD Medical Futility and the Evaluation of Life-Sustaining Treatment ... It is extremely difficult to define the concept of futility in a medical context.12 The term medical futility refers to a ... Council on Ethical and Judicial Affairs, American Medical Association, Medical futility in end-of-life care. JAMA. 1999;281937 ...

https://jamanetwork.com/journals/jamainternalmedicine/fullarticle/757510

Phillip L. Kim, When is Enough Simply Enough - Shining Light on Medical Futility through Bernstein v. Superior Court, 13 SMU ... When is Enough Simply Enough - Shining Light on Medical Futility through Bernstein v. Superior Court ...

https://scholar.smu.edu/scitech/vol13/iss2/8/

https://en.wikipedia.org/wiki/Cecil_Webb-Johnson

Medical Futility Actions. * Search in PubMed * Search in MeSH * Add to Search ... and Futility G Caleb Alexander 1 2 , Scott Emerson 3 , Aaron S Kesselheim 4 ... and Futility G Caleb Alexander et al. JAMA. 2021. . ...

https://www.ncbi.nlm.nih.gov/pubmed/33783469

When do we stop, and how do we do it? Medical futility and withdrawal of care. In: Journal of the American College of Surgeons ... Hinshaw DB, Pawlik T, Mosenthal AC, Civetta JM, Hallenbeck J. When do we stop, and how do we do it? Medical futility and ... When do we stop, and how do we do it? Medical futility and withdrawal of care. / Hinshaw, Daniel B.; Pawlik, Timothy; Mosenthal ... title = "When do we stop, and how do we do it? Medical futility and withdrawal of care", ...

https://pure.johnshopkins.edu/en/publications/when-do-we-stop-and-how-do-we-do-it-medical-futility-and-withdraw-4

Medical Futility: Choosing the Next Intervention * 2001/viewarticle/medical-crowdfunding-neurologic-disorders-soars- ... 2001/viewarticle/medical-treatment-appendicitis-effective-long-term-2023a1000id5. news Medical Treatment for Appendicitis ... news Medical Crowdfunding for Neurologic Disorders Soars * 2020/viewarticle/longest-covid-infection-identified-patient-who- ... Pleasedo not use this form to submit personal or patient medical information or to report adverse drug events. You are ...

https://www.medscape.com/viewarticle/982359

medical futility,. *admission and discharge considerations,. *family communications,. *nutrition and hydration, and ... See T. Gallagher et al., Patients and Physicians Attitudes Regarding Disclosure of Medical Errors, 280 JAMA 101, 107 (2003); ... An article in the January 28, 2008, American Medical News, excerpting information from the February 2007 edition of the ... The informed consent should meet the criteria established by state law for the delivery of or withholding of medical treatments ...

https://www.americanbar.org/groups/crsj/publications/human_rights_magazine_home/human_rights_vol34_2007/fall2007/hr_fall07_caulfi/

Three Definitions of Medical Futility And How to Balance Them Monica Delles November 7, 2023 ... Mentoring Medical Students for Research in the Medical Humanities Monica Delles March 4, 2022 ... Learn about the three definitions of medical futility and how to balance them, having a advance care planning d ... ... MENTORING MEDICAL STUDENTS FOR RESEARCH IN THE MEDICAL HUMANITIES The Clendening-King Summer Research Fellowship The Cl ... ...

https://www.practicalbioethics.org/

Swiss Academy of Medical Sciences (Author). Ineffectiveness and unlikelihood of benefit: dealing with the concept of futility ...

https://smw.ch/index.php/smw/issue/view/512

Case Study: Faith and Futility in the ICU. James, 72, has end-stage dementia and numerous medical problems, including sepsis ... Faith and Futility in the ICU. *SUPPORT and the Ethics of Study Implementation: Lessons for Comparative Effectiveness Research ... and Feudtner directs the Department of Medical Ethics at the Perelman School of Medicine at the University of Pennsylvania and ... director of clinical ethics and an assistant professor of medicine at the University of Tennessee Medical Center in Knoxville, ...

https://www.thehastingscenter.org/for-media/press-releases/press-release-2-2-15-new-in-the-hastings-center-report/

Medical futility (i.e., prolonged CPR, multiorgan failure). *CPR, cardiopulmonary resuscitation; PaO2, partial pressure of ...

https://wwwnc.cdc.gov/eid/article/15/12/09-1434-t1

1. Futility is not a medical determination; it is a value judgment. Treatment is refused based on "quality of life" ... "medical futility.". The case ended up in court. Justifying their desired imposition on the family, the doctors testified in a ... 2. Futility makes patient autonomy a one-way street. For years, we have been told that patients should state in writing what ... 3. Futility strips from patients and families the power to make medicines most important health care decisions and give it to ...

https://dailycaller.com/2012/05/11/futile-care-duty-to-die-may-be-coming-to-a-hospital-near-you/

Medical Futility: Legal and Ethical Analysis Peter A. Clark, SJ, PhD Medical Education ... The Body and Blood of Medical School: One Students Perspective on Jesuit Education Jennifer K. Walter ... Micetich is chair of the institutional review board for the protection of human subjects at Loyola University Medical Center, ... the doctor and the hospital staff need to have a sense of how aggressive to be in the diagnosis and management of other medical ...

https://journalofethics.ama-assn.org/article/artificial-nutrition-and-hydration-extraordinary-care/2007-05

... companies recently shuttered their clinical programs after either their compounds failed clinical trials or interim futility ... Jounces chief medical officer. "Less than 50% of the EMERGE patients had the emergence of ICOS hi CD4 T cells after ipilimumab ... Three Biotechs Shutter Clinical Programs After Futility Analysis or Failed Trials. Published: Nov 03, 2020 By Mark Terry ... companies recently shuttered their clinical programs after either their compounds failed clinical trials or interim futility ...

https://www.biospace.com/article/-three-biotechs-shutter-clinical-programs-after-futility-analysis-or-failed-trials/

Cardiopulmonary resuscitation was stopped after 30 minutes due to medical futility. The patient died at 5.48pm. ... He must not offer or agree to act as a medical practitioner and/or provide medical services for any medical evacuation or ... SINGAPORE: A doctor has been ordered not to provide medical services for evacuations or medical transport for 18 months, after ... "Specifically, his medical licence currently only allows him to prescribe for himself and his family. He wants to go back to ...

https://www.channelnewsasia.com/singapore/covid-patient-batam-singapore-died-failed-monitor-vital-signs-dr-kong-sim-guan-3761691

I think that the medical treatment that he has is futile. The futility of the treatment, its only keeping him alive. And the ... 484 [?Medical procedures to provide nutrition and hydration are more similar to other medical procedures than to typical human ... Three, the medical testimony that life sustaining medical treatment is of no benefit to Christopher. ... Christopher has received heroic medical care in a continuous effort to sustain his life. Future medical treatment will be ...

https://narf.org/nill/documents/icwa/state/california/case/christopheri.html

These include efficacy, futility, toxicity and other outcomes in early phase, single-arm studies. We construct a recursive ... NIEHS Medical Student Research Fellowships. *NIH Summer Internship Program. *Postdoctoral Training Opportunities in ...

https://tools.niehs.nih.gov/portfolio/index.cfm?do=portfolio.publicationDetail&id=4698683

The determination as to futility of medical care is a scientific decision. ... Futility of Treatment • Physician recognizes that effect of treatment will be of no benefit to the patient. • Morally, the ... In re Spring • Patients mental impairment & his or her medical prognosis with or without treatment must be considered prior to ... Withdrawal of treatment is a decision to discontinue treatment or medical interventions for the patient. When death is imminent ...

https://es.slideshare.net/jenwilliams94801/legal-and-ethical-issues-ch03

Closed due to operational futility. Not a high enough event rate. Trial results published in JAMA.. *Clinical Trial Record ... Home » Research & Training » Medical Research Initiatives » ACTIV. Accelerating COVID-19 Therapeutic Interventions and Vaccines ... Enrollment closed due to operational futility. Trial results published in The Journal of Infectious Diseases.. *Clinical Trial ... Enrollment closed due to operational futility. No differences observed between treatment arm and placebo.. *Clinical Trial ...

http://www.nih.gov/research-training/medical-research-initiatives/activ/covid-19-therapeutics-prioritized-testing-clinical-trials

Do-not-resuscitate orders and medical futility.. Cantor MD; Braddock CH; Derse AR; Edwards DM; Logue GL; Nelson W; Prudhomme AM ...

https://pubmedhh.nlm.nih.gov/biomarkers/search.php?id=26399748&mod=related&page=2&proj=

An article in the January 28, 2008, American Medical News , excerpting information from the February 2007 edition of the American Journal of Bioethics , indicates that by the year 2000 over 95 percent of community hospitals had established a clinical ethics committee. (americanbar.org)
As neonatal medicine has progressed in the United States, the presence of clinical ethics (ie, bioethics, medical ethics, healthcare ethics) in the healthcare environment has also increased. (medscape.com)
Lantos teaches pediatrics at the University of Missouri-Kansas City and directs the Children's Mercy Hospital Pediatric Bioethics Center, and Feudtner directs the Department of Medical Ethics at the Perelman School of Medicine at the University of Pennsylvania and is the winner of one of the 2014 Hastings Center Cunniff-Dixon Physician Awards . (thehastingscenter.org)
Moreover, they announced they intended to stop all treatment except for comfort care - regardless of the family's desires or their patient's personal values - an example of what is known in bioethics as "Futile Care Theory" or "medical futility. (dailycaller.com)
At present, the direction to hospitals from Ontario Health, part of the Ford Government, is set out in the March 28, 2020 medical triage protocol that the Bioethics Table wrote last winter and that The Government did not make public. (aoda.ca)
All the disability advocates and experts whom the Bioethics Table consulted voiced the serious concern that as a medical triage assessment tool, the CFS discriminates based on a patient's disability in access to life-saving critical medical care. (aoda.ca)

2023 American Medical Association. (jamanetwork.com)

January 22, 2019 - Notice of Intent to Publish a Funding Opportunity Announcement for Medical Rehabilitation Research Resource. (nih.gov)
As reported by Medscape Medical News, two phase 3 trials evaluating the drug were initially scrapped in March 2019 because of an interim futility analysis. (medscape.com)

Commentaries are by Annette Mendola, director of clinical ethics and an assistant professor of medicine at the University of Tennessee Medical Center in Knoxville, and Gregory L. Bock, associate professor of philosophy at Walters State Community College. (thehastingscenter.org)
Ethics and professionalism in medical practice - Islamic input in medical practice a course aid. (iium.edu.my)
Under the Act, a physician, with the approval of an ethics committee, may override an advance directive or a parent's wishes in so-called futility cases where continued treatment is not deemed medically beneficial. (dissidentvoice.org)

Marik PECraft M An outcomes analysis of in-hospital cardiopulmonary resuscitation: the futility rationale for do-not-resuscitate orders. (jamanetwork.com)
This does not prevent Dr Kong from administering immediate life-saving procedures, such as cardiopulmonary resuscitation if a patient is in cardiac arrest, when he is among the nearest available medical practitioners. (channelnewsasia.com)

The study intended to enroll more participants, but was stopped early for futility: There was no difference in outcomes between the 2 groups, in terms of the primary outcome of Rankin score or National Institutes of Health Stroke Scale score at 90 days. (medscape.com)
These include efficacy, futility, toxicity and other outcomes in early phase, single-arm studies. (nih.gov)
We are particularly interested in supporting infrastructure programs in clinical trial design, engineering and the environment, individualized medical rehabilitation and dynamic reassessment, and applied behavioral supports for rehabilitation research and healthy outcomes. (nih.gov)
However, other areas of expertise may be proposed provided they offer unique research opportunities and have potential for promoting medical rehabilitation research and improving outcomes for people with disabilities. (nih.gov)
Medical outcomes in cancer are often measured in terms of five year survival rates, which are somewhat artificial. (nih.gov)

v The House of Lords in Bland (footnote iii) seems to have applied the Bolam test here (Bolam v Friern Hospital Management Committee [1957] 2 All ER 118), essentially importing medical professional values (effectively both general professional values and the personal professional values of the clinical team responsible). (bmj.com)
This workshop intends to address two main design issues for the randomized clinical trials: (a) selection of clinically meaningful endpoints, and (b) appropriate futility monitoring. (nih.gov)
The conference should be of particular interest to biostatisticians, clinical trialists, medical researchers and clinicians. (nih.gov)
Objectives: This study explores physicians' concepts of futility and use of age as a deciding factor in considering medical futility in clinical interventions. (johnshopkins.edu)
Measurement: Anonymous questionnaire in which respondents were asked to define futility and to rate patient scenarios as futile or not, unaware that these were pairs of patient scenarios with similar clinical severity and treatment, but different age. (johnshopkins.edu)
In patient scenarios with comparable clinical severity of illness, medical interventions were similarly rated as futile in elder and nonelder persons. (johnshopkins.edu)
He worked as clinical assistant at Chelsea Hospital for Women and was an assistant medical officer to Staffordshire County Asylum in 1906. (wikipedia.org)
Three biopharma companies recently shuttered their clinical programs after either their compounds failed clinical trials or interim futility analysis suggested they were unlikely to meet their clinical endpoints. (biospace.com)
Quick Guide in History Taking and Physical Examination helps you to master the art of clinical examination, develop the confidence to take accurate medical histories, and interpret symptoms and signs effectively. (benthamscience.com)
As reported by Medscape Medical News , a Viewpoint written by three of the committee members notes that results from the drug's only large positive clinical trial fell short. (medscape.com)
Islamisation in clinical medicine and medical sciences: a teachers' manual. (iium.edu.my)

Devotes several chapters to the differences between palliative care, harm reduction, and futility. (appi.org)
The object of this work is to think over medical futility and it's possible consequences in Brazil, as well as a short survey about palliative care, that comes to modify this process, offering a different kind of treatment. (bvsalud.org)

1 Harvard Medical School, Boston, MA 02115. (nih.gov)

Tulsky JAChesney MALo B How do medical residents discuss resuscitation with patients? (jamanetwork.com)
Curtis JRPark DRKrone MRPearlman RA Use of the medical futility rationale in do-not-attempt-resuscitation orders. (jamanetwork.com)

Abstract This paper examines the evidence base for the use of pre-employment/pre-placement medical examinations. (who.int)

According to Dr Kong, he only brought medical equipment like a stethoscope, a face mask and two oxygen cylinders during the transfer of the patient from Batam to Singapore via ferry on June 7, 2021. (channelnewsasia.com)

Using this tool it demonstrates the idea that a defined medical intervention can only be meaningfully declared futile in relation to a defined goal(s) of treatment. (bmj.com)
Albumin Treatment for Acute Stroke: An Exercise in Futility? (medscape.com)
Futility" as a criterion in limiting treatment. (nih.gov)
Gregory DR VA network futility guidelines: a resource for decisions about withholding and withdrawing treatment. (jamanetwork.com)
That the patient may want the treatment because of deeply held values, a desire to live longer or on the unlikely hope of medical improvement is not decisive. (dailycaller.com)
SINGAPORE: A doctor has been ordered not to provide medical services for evacuations or medical transport for 18 months, after allegedly failing on several fronts in his care for a COVID-19 patient who was transported from Batam to Singapore for treatment. (channelnewsasia.com)
In our earlier opinion, we concluded that the juvenile court was permitted to order continuation of life-sustaining medical treatment pending a court hearing. (narf.org)
In October 2002, the juvenile court held a four-day evidentiary hearing to determine whether removal of life-sustaining medical treatment was in Christopher's best interests. (narf.org)
Future medical treatment will be futile. (narf.org)
The juvenile court determined that it had the authority to consider withdrawal of Christopher's life-sustaining medical treatment pursuant to the Welfare and Institutions Code. (narf.org)
The juvenile court concluded there was clear and convincing evidence that it would be in Christopher's best interests to withdraw life-sustaining medical treatment, except for nutrition, hydration and pain medication. (narf.org)
Instead, Moises argues the juvenile court did not have the authority to order removal of life-sustaining medical treatment from a dependent child. (narf.org)
Explores the perception of futility, which may reflect burnout of the treatment team for these very challenging patients rather than no hope of success. (appi.org)
It was also stated that we would focus more on medical treatment than shooting skills. (swatmag.com)
This chapter discusses children's medical treatment. (oxfordlawtrove.com)
Where parents cannot agree with each other about serious medical treatment, or where the treatment is especially controversial, decisions might also need to go before a court. (oxfordlawtrove.com)
In relation to mature minors, it discusses the concept of Gillick-competence and the difference that has arisen between the child's right to consent to medical treatment and her much more limited right to refuse. (oxfordlawtrove.com)
The situation of a patient whose condition will not be improved by treatment or instances in which treatment preserves permanent unconsciousness or cannot end dependence on intensive medical care. (bvsalud.org)
Thinking on the possibility of stopping a medical treatment because it's not bringing any benefits to the patient, raises a lot of different questions. (bvsalud.org)

i Here, medical intervention means a possible action that may affect the physical or mental state of the patient, which is under consideration by medically qualified people responsible for the care of the patient. (bmj.com)
Halevy ANeal RCBrody BA The low frequency of futility in an adult intensive care unit setting. (jamanetwork.com)
Moreover, the court recognized that it would be "impossibly cumbersome" for the courts to be involved in patient care decision making, especially in light of the limited expertise of most judges in medical matters. (americanbar.org)
Christopher has received heroic medical care in a continuous effort to sustain his life. (narf.org)
Local medical protocols dictated the care in each city. (ems1.com)
Since this was a retrospective study, there was no attempt to standardize medical care provided by the EMS responders in each city. (ems1.com)
Medical futility: a major ethical issue in end of life care: an outlook from medical and Islamic legal rulings. (iium.edu.my)
Unlike other mental health disorders, for which the care of a medical physician is typically unnecessary, patients with eating disorders have many significant medical complications that demand careful oversight by a physician knowledgeable in treating these disorders. (appi.org)
Boston Medical Center is committed to empowering all patients to thrive, through our innovative and equitable care. (bmc.org)
At Boston Medical Center, research efforts are imperative in allowing us to provide our patients with quality care. (bmc.org)
The hope is that creating a streamlined approach for urgent cesareans will lead to more equitable care for all patients and improve communication among labor delivery teams," said lead author Lina Tibavinsky Bernal, MD, an obstetrics & gynecology specialist at Boston Medical Center. (bmc.org)
Boston Medical Center models a new kind of excellence in healthcare, where innovative and equitable care empowers all patients to thrive. (bmc.org)
When the next natural or manmade disaster hits, do you really want to rely on the medical infrastructure being in place to administer care to your loved ones or yourself? (swatmag.com)
In such environments, the medical provider must be able to operate under hostile fire and limited visibility and without such conveniences such as labs, x-rays, care flights, or worrying about IEDs, etc. (swatmag.com)
Also while governor of Texas, Bush signed into law the Advance Directive Act which authorizes physicians to refuse to honor a patient's advance directive, or the wishes of a patient's guardian, and discontinue life-sustaining medical care, including ventilators and feeding tubes. (dissidentvoice.org)
Author Shuho Sato makes a convincing case that billing practices encourage Japanese hospitals to treat patients as cash cows, rather than people in need of medical care. (mangabookshelf.com)
This chapter explores how the law deals with cases involving children receiving medical care. (oxfordlawtrove.com)
If this fall or winter sees a surge of COVID-19 that is so severe that hospitals don't have enough critical care beds and services for all patients who need that medical care, will patients with disabilities face discrimination because of their disability in the medical triage decisions over who will be refused critical medical care that they need? (aoda.ca)

We'll talk about the cyclical nature of alcohol abuse, marijuana toxicity symptoms, the "new methamphetamine," and the medical and behavioral issues with opiates and fentanyl. (stevehargadon.com)

Malignant pleural mesothelioma is among the most aggressive and lethal cancers with only one approved therapy," said Lou Vaickus, MD FACP, Interim Chief Medical Officer. (mesothelioma.com)
We are disappointed that an early look at the EMERGE data indicates that we will not meet our pre-specified interim criteria for continued enrollment," said Beth Trehu, Jounce's chief medical officer. (biospace.com)
These purported lapses by Dr Kong - also known as Sim Heng Guan - were detailed in written grounds of decision released on Monday (Sep 11) by an interim orders committee appointed by the Singapore Medical Council (SMC). (channelnewsasia.com)

The Oncologist's Ethical Dilemma: Can Medical Intervention Ever Be Too Much? (medscape.com)
It argues that a declaration of futility made solely in relation to a defined medical intervention is inchoate. (bmj.com)
It recasts the definition of goal futility as an intervention that cannot alter the probability of the existence of the important outcome states that might flow from a defined intervention. (bmj.com)
Conclusion: Physicians did not use age as a factor in deciding the futility of a medical intervention. (johnshopkins.edu)

This paper introduces the medical factual matrix as a new and potentially valuable tool in medical ethical analysis. (bmj.com)
Schneiderman LJJecker NSJonsen AR Medical futility: its meaning and ethical implications. (jamanetwork.com)
Ethical justification in medical futility and advanced medical directive from the Islamic perspective. (iium.edu.my)

Accordingly, the book addresses the medical consequences of SEEDs and explores that subgroup of patients whose illness appears intractable-people who are no longer seeking a cure but, rather, enough improvement to afford them a reasonable quality of life. (appi.org)

Islamic medical education revisited: conceptual and practical aspects. (iium.edu.my)

Results: Forty-five percent (n = 159) of physicians used the most accepted definition of futility in the literature: " a therapy that will not benefit the patient in attaining a specific goal. (johnshopkins.edu)
Often, these physicians have medical principles was a static process, modified on occasion championed current practices within the organization for a by the practitioner's experience. (who.int)
BMC physicians are leaders in their fields with the most advanced medical technology at their fingertips and working alongside a highly skilled nursing and professional staff. (bmc.org)

Rating of medical futility did not differ by practice location (59% in Missouri and 59% in Puerto Rico, P = .13). (johnshopkins.edu)
Beyond that, failing to answer these questions perpetuates an inability or unwillingness to responsibly address the value-laden charge that comes with professing to be willing and able to help a newborn who is vulnerable and sick, which is the charge to practice the art of medicine with scientific rigor, technologic skill, and human caring, even in the face of medical uncertainty. (medscape.com)
We have a small town practice feel in the context of a large multispecialty medical group with open access which means that you can see a pediatrician within our medical home the same day 7 days a week. (kiddoc.org)

The current mandate, compelling doctors to document lifestyle education into the medical record, is largely an exercise in futility. (rasmussenreports.com)
It sounds more like appeasing anger over the deplorable state of San Francisco's streets in an exercise of cruel futility at the expense of the city's most vulnerable. (missionlocal.org)

This page discusses voluntary medical male circumcision (VMMC) to curb the transmission of human immunodeficiency virus (HIV) and high-risk human papillomavirus (HPV), the cause of almost all cervical cancer. (givewell.org)
Later in the station, the crew discusses the apparent futility of transporting that patient to the hospital. (ems1.com)

The Medical Pundits": Doctors and Indirect Advertising in the Lay Press 1922-1927. (wikipedia.org)
The controversial new law in California that punishes doctors for giving false information got me thinking about the state of knowledge in medical science. (medscape.com)
Six medical doctors who were familiar with Christopher and his condition testified in detail. (narf.org)
You can go to where the nurses or doctors often no your name in your family, and where we have comprehensive medical records. (kiddoc.org)
These characters are few and far between, however, with many more doctors acting like graduates of the Snidely Whiplash School of Medical Malpractice. (mangabookshelf.com)

Those who are seeking knowledge in this area should consider the Gunsite Emergency Medical Preparedness Class a necessary primer or base upon which to build one's plan to become truly proficient in emergency medicine. (swatmag.com)

Kristen Clifford, chief program officer for the Alzheimer's Association, told Medscape Medical News at the time that approval would be considered a "victory" for patients with AD and for the field overall. (medscape.com)

The assignment and role of medical guardianship for patients deemed incapacitated is described in detail. (appi.org)
Describes the medical complexities and comorbidities inherent in caring for patients with SEEDs, including bone density loss, gastrointestinal complaints, and cardiac irregularities, which can result in death. (appi.org)
We strive to provide a medical home for our patients. (kiddoc.org)
If there were a shortage, how would a decision be made over which patients get those scarce medical services and who would be denied them. (aoda.ca)

Journal of the American Medical Directors Association , 11 (6), 421-427. (johnshopkins.edu)
The British Medical Journal 2 (3626): 43. (wikipedia.org)
An April paper in the Journal of the American Medical Association found that the wanton and continual involuntary displacement of homeless people - jerking people around, in non-scientific terms - may contribute to a mortality spike of between 15.6 percent and 24.4 percent over a 10-year period. (missionlocal.org)

Please do not use this form to submit personal or patient medical information or to report adverse drug events. (medscape.com)
It also examines the source of substantive conflicts which commonly arise within the doctor-patient relationship and the ensuing power relations that operate between doctor and patient when questions of futility arise. (bmj.com)
The officer explains to the wife that their medical protocols require the medics to transport the patient to the hospital. (ems1.com)

The idea of value futility and the extent of physician obligations in futile situations are also addressed. (bmj.com)
In particular, perceived futility may contribute to the increased emergence of physician-assisted death and euthanasia in this population both internationally and in the United States. (appi.org)

To analyse trends over the previous 4 years (2008-2011) we used neonatal mortality data for 2008-2010 from the database of the neonatal unit at the Women's Hospital, annual reports of Hamad Medical Corporation, and published neonatal mortality data for 2010 for comparative analysis. (who.int)

He was also a medical officer at hospitals in Calcutta, Lucknow and Allahabad. (wikipedia.org)

Covers medical malpractice, injury and criminal law. (justia.com)

Who Decides What Is Medical Misinformation? (medscape.com)
Any information about the futility of lock downs and forced medical edicts is censored as "misinformation. (naturalnews.com)

The aim of this FOA is to create a national network of research cores that provide access to collateral expertise in biomedical, behavioral, engineering, and/or psychosocial fields that is particularly relevant to medical rehabilitation research. (nih.gov)

He was previously a psychiatrist and practising doctor at Clinique Suisse, an aesthetic clinic located in Paragon Medical Centre. (channelnewsasia.com)

If EFT is important in your life, as it is in mine, you must surely have imagined what it would be like if EFT were made readily available to people facing emergency medical conditions. (emofree.com)

Brody H Medical futility: a useful concept? (jamanetwork.com)
Brody BAHalevy A Is futility a futile concept? (jamanetwork.com)

What is a police issue versus a medical issue? (stevehargadon.com)

In the case of Terri Schiavo, the Florida state courts have consistently ruled that there is overwhelming medical evidence that she is in a permanent or persistent vegetative state, from which she cannot and will not ever recover. (dissidentvoice.org)
Truly, Terri Schiavo's is a futility case. (dissidentvoice.org)

They murdered people (carefully, to keep the bodies in good condition) and sold corpses to the local medical schools on a no questions asked basis. (sjgames.com)
Nowadays the medical futility is one of the most important questions. (bvsalud.org)

The ORR assessed by BICR, all of which were confirmed responses, more than satisfied the prespecified futility rule and envafolimab monotherapy was generally well tolerated. (fox21news.com)

He must also inform SMC of all the places where he practises or intends to practise, and is also required to inform any organisation or person employing him for medical work that his registration is subject to the conditions. (channelnewsasia.com)

These include ambulance services such as emergency ambulance or medical transport vehicles. (channelnewsasia.com)

It presents seven key topics written by medical experts that explore research on these diseases: Chronic Lung Disease and Osteoporosis An exploration of the intricate link between chronic lung ailments and osteoporosis. (benthamscience.com)

Diseases1

Analytical, Diagnostic and Therapeutic Techniques and Equipment9

Psychiatry and Psychology3

Anthropology, Education, Sociology and Social Phenomena2

Humanities5

Named Groups2

Health Care16

Assessment of physician-assisted death by members of the public prosecution in The Netherlands. (1/144)

Conditions required for a law on active voluntary euthanasia: a survey of nurses' opinions in the Australian Capital Territory. (2/144)

Use of vitamin B12 injections among elderly patients by primary care practitioners in Ontario. (3/144)

Bone marrow transplant patients with life-threatening organ failure: when should treatment stop? (4/144)

Delayed bilateral internal carotid artery thrombosis following accidental strangulation. (5/144)

Are medical ethicists out of touch? Practitioner attitudes in the US and UK towards decisions at the end of life. (6/144)

Futility has no utility in resuscitation medicine. (7/144)

Debate: what constitutes 'terminality' and how does it relate to a living will? (8/144)

Medical Futility

Withholding Treatment

Refusal to Treat

Dissent and Disputes

Ethicists

Persistent Vegetative State

Secularism

Life Support Care

Ethics, Medical

Personal Autonomy

Early Termination of Clinical Trials

Euthanasia, Passive

Decision Making

Ethics, Nursing

Assessment of physician-assisted death by members of the public prosecution in The Netherlands. (1/144)

Conditions required for a law on active voluntary euthanasia: a survey of nurses' opinions in the Australian Capital Territory. (2/144)

Use of vitamin B12 injections among elderly patients by primary care practitioners in Ontario. (3/144)

Bone marrow transplant patients with life-threatening organ failure: when should treatment stop? (4/144)

Delayed bilateral internal carotid artery thrombosis following accidental strangulation. (5/144)

Are medical ethicists out of touch? Practitioner attitudes in the US and UK towards decisions at the end of life. (6/144)

Futility has no utility in resuscitation medicine. (7/144)

Debate: what constitutes 'terminality' and how does it relate to a living will? (8/144)

Cecil Webb-Johnson

Do not resuscitate

Nancy S. Jecker

Charlie Gard case

Betancourt v. Trinitas Hospital

Chondroprotection

Futile medical care

Jurimetrics

Asystole

Thomas Tomlinson (philosopher)

Texas Advance Directives Act

Andrew Bedner

Medical ethics

Bjørn Hofmann

History of nursing in the United States

Helen S. Mayberg

Child abuse

Johns Hopkins School of Nursing

Isabel Hampton Robb

Imaging biomarker

Craig Swan

Elizabeth Price Foley

Death and culture

Hans Paasche

Herbert Snow

Max A. Goldstein

Human brain

Injury Severity Score

Legality of euthanasia

Maurice Beddow Bayly

Medical Futility: Choosing the Next Intervention

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