Version May 2024
| Medical indications | Patient and family preferences | Quality of life | Contextual features |
| The principles of beneficence and non-maleficence | The principle of respect for autonomy | The principles of beneficence, non-maleficence, and respect for autonomy | The principles of justice (loyalty and fairness) |
| What is the prognosis including survival, function, and quality of life? How certain or uncertain is the prognosis? What are the treatment options? What are the potential benefits and burdens of disease-focused treatment? What are the potential benefits and burdens of palliative-focused treatment? | How much information does the patient want about prognosis? How involved does the patient want others (friends, family) to be in decision-making? Does the patient have decision-making capacity? If the patient does not have decision-making capacity, who is the appropriate surrogate decision maker? Has the patient previously expressed preferences in an Advance Directive or physician order for life-sustaining treatment (POLST)? | What are the most important things for the patient at this time (eg, survival, pain control, family wellbeing, etc)? What is the patient hoping for? What is the patient fearful of? What is the patient expecting? If tradeoffs between duration and quality of life need to be made, which side should be more heavily weighted? Are there quality-of-life states (eg, permanent coma) where it would not make sense to continue life-sustaining treatment or disease oriented care? | Is significant moral distress among staff members present, and how is this affecting care? Are there important family dynamics that must be considered? Are there financial or economic factors that must be considered, such as access to hospice care? Are there religious or cultural factors? Are there problems related to allocation of resources? How does the law affect treatment decisions? Is there any conflict of interest present? |
آیا می خواهید مدیلیب را به صفحه اصلی خود اضافه کنید؟
