Decisions to Implement and Withdraw Therapy in the Neurologic Intensive Care Unit
Fulfilling the claims of dignity and humanity during the course of a disease is the challenge of ethics in medicine. In the Neurologic Intensive Care Unit (NICU) this concept is sometimes difficult to maintain. Often the acuteness and severity of the central nervous system (CNS) dysfunction may become so extreme that the patient’s family need a long time and repeated explanations before they appreciate the gravity of the situation and the dismal prognosis. In addition, despite great advances in therapeutic interventions, our ability to predict which patients will respond favorably is limited. Thus, uncertainty regarding prognosis often makes it difficult to define an appropriate care plan.
KeywordsBrain Death Advance Directive Health Care Team Patient Autonomy Legal Consideration
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