End-of-life Decision-making in Community-Acquired Pneumonia
Community-Acquired Pneumonia(2002)
Abstract
The care of patients who are dying is a special purview of physicians, but it requires an assessment both of medical needs
and the psychological, spiritual, and social needs of the dying patients and their families. Most situations yield to a comprehensive
assessment of the patient as a person with many needs and expectations, informed by principles that can result in demonstrably
ethical decision-making, and accompanied by techniques that can provide for a peaceful death. The Lancet has published excerpts of interviews with leading physicians and scientists. One question asked of all is how they would
like to die, and invariably the answer accentuates brevity, and an expectation of having led a fulllife. Where both conditions
cannot be met, skilled physicians can provide important leadership in providing the type of care for others that they would
want for themselves.
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Key words
resulting in uncertainty about their diagnoses,we discuss pneumonia in the context of end-of-life decision-making. difficulties in end-of-life decision-making arise broadly from two sources: complexity of pa- tients' problems and uncertainty about patients' wishes. the problems of patients are often com- plex,most importantly,treatment needs,it is regarded as a blessing. in this chapter,their prog- noses. the wishes of patients can be difficult to determine. this is due to their own un,and
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