David Bourget (Western Ontario)
David Chalmers (ANU, NYU)
Rafael De Clercq
Ezio Di Nucci
Jack Alan Reynolds
Learn more about PhilPapers
Cambridge Quarterly of Healthcare Ethics 2 (2):219 (1993)
A physician recently asked how to respond in the case of an 87-year-old patient with advanced Alzheimer's disease, who was unable to swallow or tolerate a nasogastric tube, when the family insisted a gastrostomy tube be inserted but the physician believed the intervention futile. That question encompasses some of the crucial issues in the concept of futility of the treatment goals of physician, patient, and family; the rights of patients and families to demand care; physician judgment; family values; and, to the degree that it represents many similar dilemmas, justice. What are professionals saying when they pronounce treatment futile? What are patients' rights if they or their surrogates disagree?The word “futile” implies a precision about outcome probability that we do not have, and it ignores the wide range of treatments for a given diagnosis. Is futile the same as useless or the opposite of hope? Futile for what? Cure? Restora tion of function? Prolongation of life? Relief from pain? Relief from anxiety? Com fort? Reassurance? To satisfy or placate the patient or the family? The word “futile” is so imprecise that, rather than clarifying, it confuses and clutters the discussion
|Keywords||No keywords specified (fix it)|
|Categories||categorize this paper)|
Setup an account with your affiliations in order to access resources via your University's proxy server
Configure custom proxy (use this if your affiliation does not provide a proxy)
|Through your library|
References found in this work BETA
No references found.
Citations of this work BETA
No citations found.
Similar books and articles
Dorothy Rasinski Gregory & Miriam Piven Cotler (1994). Futility: Are Goals the Problem? Part Two. Cambridge Quarterly of Healthcare Ethics 3 (1):125.
Dorothy Rasinski Gregory & Miriam Piven Cotler (1994). The Problem of Futility: III. The Importance of Physician-Patient Communication and a Suggested Guide Through the Minefield. Cambridge Quarterly of Healthcare Ethics 3 (2):257.
Rosemarie Tong (1995). Towards a Just, Courageous, and Honest Resolution of the Futility Debate. Journal of Medicine and Philosophy 20 (2):165-189.
Janina Kotarbinska (1960). On Ostensive Definitions. Philosophy of Science 27 (1):1-22.
Amir Halevy (1995). Is Futility a Futile Concept? Journal of Medicine and Philosophy 20 (2):123-144.
Dorothy Rasinski Gregory (1995). Network News: VA Network Futility Guidelines: A Resource for Decisions About Withholding and Withdrawing Treatment. Cambridge Quarterly of Healthcare Ethics 4 (4):546.
Wayne Shelton (1998). A Broader Look at Medical Futility. Theoretical Medicine and Bioethics 19 (4):383-400.
J. Savulescu (2013). Just Dying: The Futility of Futility. Journal of Medical Ethics 39 (9):583-584.
Ronald Cranford & Lawrence Gostin (1992). Futility: A Concept in Search of a Definition. Journal of Law, Medicine & Ethics 20 (4):307-309.
Joshua Seachris (2011). Death, Futility, and the Proleptic Power of Narrative Ending. Religious Studies 47 (2):141-163.
Glenn G. Griener (1995). The Physician's Authority to Withhold Futile Treatment. Journal of Medicine and Philosophy 20 (2):207-224.
Herbert Heidelberger (1979). The Self-Presenting. Grazer Philosophische Studien 7:59-76.
Cameron Stewart (2011). Futility Determination as a Process: Problems with Medical Sovereignty, Legal Issues and the Strengths and Weakness of the Procedural Approach. [REVIEW] Journal of Bioethical Inquiry 8 (2):155-163.
Lawrence J. Schneiderman, Holly Teetzel & Todd Gilmer (2003). Response to “Reading Futility: Reflections on a Bioethical Concept” by Donald Joralemon , The Rise and Fall of Death: The Plateau of Futility. [REVIEW] Cambridge Quarterly of Healthcare Ethics 12 (3):308-309.
Added to index2010-08-24
Total downloads5 ( #499,344 of 1,793,264 )
Recent downloads (6 months)1 ( #463,804 of 1,793,264 )
How can I increase my downloads?