Can curative or life-sustaining treatment be withheld or withdrawn? The opinions and views of Indian palliative-care nurses and physicians


Authors
Seema Mishra
A.V.C. College
Abstract
Introduction: Decisions to withdraw or withhold curative or life-sustaining treatment can have a huge impact on the symptoms which the palliative-care team has to control. Palliative-care patients and their relatives may also turn to palliative-care physicians and nurses for advice regarding these treatments. We wanted to assess Indian palliative-care nurses and physicians’ attitudes towards withholding and withdrawal of curative or life-sustaining treatment. Method: From May to September 2008, we interviewed 14 physicians and 13 nurses working in different palliative-care programmes in New Delhi, using a semi-structured questionnaire. For the interviews and analysis of the data we followed Grounded-Theory methodology. Results: Withholding a curative or life-sustaining treatment which may prolong a terminal cancer patient’s life with a few weeks but also has severe side-effects was generally considered acceptable by the interviewees. The majority of the interviewees agreed that life-sustaining treatments can be withdrawn in a patient who is in an irreversible coma. The palliative-care physicians and nurses were of the opinion that a patient has the right to refuse life-saving curative treatment. While reflecting upon the ethical acceptability of withholding or withdrawal of curative or life-sustaining treatment, the physicians and nurses were concerned about the whole patient and other people who may be affected by the decision. They were convinced they can play an important advisory role in the decision-making process. Conclusion: While deciding about the ethical issues, the physicians and nurses do not restrict their considerations to the physical aspects of the disease, but also reflect upon the complex wider consequences of the treatment decisions
Keywords Attitudes  India  Nurses  Palliative care  Physicians  Refusal of treatment  Withdrawal of treatment  Withholding of treatment
Categories (categorize this paper)
DOI 10.1007/s11019-010-9273-0
Options
Edit this record
Mark as duplicate
Export citation
Find it on Scholar
Request removal from index
Revision history

Download options

Our Archive


Upload a copy of this paper     Check publisher's policy     Papers currently archived: 45,727
External links

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

Add more references

Citations of this work BETA

Travelling Bioethics.Henk ten Have & Bert Gordijn - 2011 - Medicine, Health Care and Philosophy 14 (1):1-3.

Add more citations

Similar books and articles

The Concept of Disease in Palliative Medicine.Joachim Widder & Monika Glawischnig-Goschnik - 2002 - Medicine, Health Care and Philosophy 5 (2):191-197.

Analytics

Added to PP index
2013-12-01

Total views
19 ( #477,944 of 2,281,027 )

Recent downloads (6 months)
2 ( #580,139 of 2,281,027 )

How can I increase my downloads?

Downloads

My notes

Sign in to use this feature