Easing the burden of surrogate decision making : the role of a do-not-escalate-treatment order
(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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https://lup.lub.lu.se/record/cbd827a7-4251-44ec-bd1a-3bff6baff76d
- author
- Jacobsen, Juliet LU and Billings, Andrew
- publishing date
- 2015-03
- 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}}, }