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Easing the burden of surrogate decision making : the role of a do-not-escalate-treatment order

Jacobsen, Juliet LU and Billings, Andrew (2015) In Journal of Palliative Medicine 18(3). p.9-306
Abstract

We present a case illustrating the common problem of a surrogate decision maker who is psychologically distressed over the medical team's recommendation to withdraw life-sustaining treatment. We suggest how a do-not-escalate-treatment (DNET) order can be helpful in such situations when the usual approaches to withholding or withdrawing care are not acceptable to the surrogate. We define a DNET order, explain when it might be useful, and discuss how it can facilitate a humane, negotiated resolution of differences.

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author
and
publishing date
type
Contribution to journal
publication status
published
keywords
Caregivers/psychology, Decision Making, Female, Humans, Liposarcoma/nursing, Male, Middle Aged, Palliative Care/psychology, Resuscitation Orders/psychology, Stress, Psychological/prevention & control, Third-Party Consent, United States, Withholding Treatment
in
Journal of Palliative Medicine
volume
18
issue
3
pages
9 - 306
publisher
Mary Ann Liebert, Inc.
external identifiers
  • pmid:25671289
  • scopus:84924130355
ISSN
1096-6218
DOI
10.1089/jpm.2014.0295
language
English
LU publication?
no
id
cbd827a7-4251-44ec-bd1a-3bff6baff76d
date added to LUP
2024-11-13 14:13:57
date last changed
2025-01-09 08:46:35
@article{cbd827a7-4251-44ec-bd1a-3bff6baff76d,
  abstract     = {{<p>We present a case illustrating the common problem of a surrogate decision maker who is psychologically distressed over the medical team's recommendation to withdraw life-sustaining treatment. We suggest how a do-not-escalate-treatment (DNET) order can be helpful in such situations when the usual approaches to withholding or withdrawing care are not acceptable to the surrogate. We define a DNET order, explain when it might be useful, and discuss how it can facilitate a humane, negotiated resolution of differences.</p>}},
  author       = {{Jacobsen, Juliet and Billings, Andrew}},
  issn         = {{1096-6218}},
  keywords     = {{Caregivers/psychology; Decision Making; Female; Humans; Liposarcoma/nursing; Male; Middle Aged; Palliative Care/psychology; Resuscitation Orders/psychology; Stress, Psychological/prevention & control; Third-Party Consent; United States; Withholding Treatment}},
  language     = {{eng}},
  number       = {{3}},
  pages        = {{9--306}},
  publisher    = {{Mary Ann Liebert, Inc.}},
  series       = {{Journal of Palliative Medicine}},
  title        = {{Easing the burden of surrogate decision making : the role of a do-not-escalate-treatment order}},
  url          = {{http://dx.doi.org/10.1089/jpm.2014.0295}},
  doi          = {{10.1089/jpm.2014.0295}},
  volume       = {{18}},
  year         = {{2015}},
}