A Typical Perplexing Life-Sustaining Therapy Decision At The End Of Life: A Case Report From Sri Lanka With Attributes Potentially Worth Adopting From The Uk Legislature
INDIAN JOURNAL OF PALLIATIVE CARE(2021)
Abstract
In many developing parts of the world, evidence on advance care planning (ACP) is either lacking or fragmented. Lack of streamlined means for ACP is known to lead to inconveniences for the clinicians as well as the patients and their families. This case report focuses on a young male diagnosed with metastatic osteosarcoma, who explicitly verbalised his wishes to be managed conservatively without involving invasive life-sustaining measures. However, the patient faced cardiopulmonary resuscitation before Isis demise against his wishes, which also contradicted with the medical point of view. Sri Lankan doctors face moral, ethical and legal dileimnas as they deal with terminally ill patients at the verge of their death due to the deficiencies in the medical and legislative frameworks in the country.
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Key words
Advance care planning, Clinical ethics, Decision-making, End-of-life care, Legal aspects, Palliative care
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