'At least we do not feel guilty': Managing conflict with families over dialysis discontinuation
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Beyond Autonomy: Ethics of Decision Making About Treatments for Kidney Failure at the Extremes of Age
2023, American Journal of Kidney DiseasesWhen enough is enough: The nephrologist's responsibility in ordering dialysis treatments
2011, American Journal of Kidney DiseasesCitation Excerpt :Patients' wishes must be weighed against the possibility of initiating treatment inconsistent with professional integrity, as when the burdens of dialysis substantially outweigh the benefits.23,24 Although most studies using hypothetical vignettes show that most patients would want to forgo dialysis therapy in the context of severe dementia or permanent coma,25-31 there are occasions, such as the case discussed earlier, when the patient and/or family demand dialysis that the clinician believes is inappropriate. The clinician is not obligated to provide dialysis in circumstances that are outside the standard of care, such as those listed in Box 1.22
The end of life decisions - Should physicians aid their patients in dying?
2004, Journal of Clinical Forensic MedicineTo legalize physician-assisted suicide or not? - A dilemma
2003, Journal of Clinical Forensic Medicine'Springing back': Advance care planning in dialysis
1999, American Journal of Kidney DiseasesThe empirical basis for determinations of medical futility
2010, Journal of General Internal Medicine
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