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Debate: What constitutes 'terminality' and how does it relate to a Living Will?

Overview of attention for article published in Critical Care, November 2000
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Title
Debate: What constitutes 'terminality' and how does it relate to a Living Will?
Published in
Critical Care, November 2000
DOI 10.1186/cc717
Pubmed ID
Authors

David Crippen, Mitchell Levy, Robert Truog, Leslie Whetstine, John Luce

Abstract

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.

Mendeley readers

Mendeley readers

The data shown below were compiled from readership statistics for 54 Mendeley readers of this research output. Click here to see the associated Mendeley record.

Geographical breakdown

Country Count As %
Spain 1 2%
Brazil 1 2%
Unknown 52 96%

Demographic breakdown

Readers by professional status Count As %
Student > Ph. D. Student 12 22%
Researcher 7 13%
Student > Master 7 13%
Other 6 11%
Student > Bachelor 3 6%
Other 12 22%
Unknown 7 13%
Readers by discipline Count As %
Medicine and Dentistry 28 52%
Nursing and Health Professions 8 15%
Psychology 5 9%
Social Sciences 3 6%
Economics, Econometrics and Finance 1 2%
Other 2 4%
Unknown 7 13%