Autonomy versus futility? Barriers to good clinical practice in end-of-life care : a Queensland case

Lawrence, Sean, Willmott, Lindy, Miligan, Eleanor, Winch, Sarah, White, Benjamin P., & Parker, Malcolm (2012) Autonomy versus futility? Barriers to good clinical practice in end-of-life care : a Queensland case. Medical Journal of Australia, 196(6), pp. 404-405.

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Findings from a Queensland coronial inquest highlight the complex clinical, ethical and legal issues that arise in end-of-life care when clinicians and family members disagree about a diagnosis of clinical futility.

The tension between the law and best medical practice is highlighted in this case, as doctors are compelled to seek family consent to not commence a futile intervention.

Good communication between doctors and families, as well as community and professional education, is essential to resolve tensions that can arise when there is disagreement about treatment at the end of life.

Impact and interest:

9 citations in Scopus
8 citations in Web of Science®
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ID Code: 50303
Item Type: Journal Article
Refereed: Yes
Keywords: Medical futility, End of life decision-making, Withholding and withdrawing life-sustaining treatment, Adult guardianship law, Health communication, Medical ethics, Health law
DOI: 10.5694/mja10.10969
ISSN: 0025-729X
Subjects: Australian and New Zealand Standard Research Classification > MEDICAL AND HEALTH SCIENCES (110000) > CLINICAL SCIENCES (110300) > Intensive Care (110310)
Australian and New Zealand Standard Research Classification > LAW AND LEGAL STUDIES (180000) > LAW (180100) > Law and Society (180119)
Divisions: Current > QUT Faculties and Divisions > Faculty of Law
Current > Research Centres > Australian Centre for Health Law Research
Current > Schools > School of Law
Copyright Owner: Copyright 2012 Please consult the authors.
Deposited On: 14 May 2012 22:50
Last Modified: 04 Feb 2015 04:51

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