Impact of patient incompetence on decisions to use or withhold life-sustaining treatment.
To study the relationship of patient incompetence to decisions to withhold life-sustaining treatments.
DESIGN AND PATIENTS
This prospective cohort study consisted of 31 1 inpatients with end-stage congestive heart failure, chronic obstructive pulmonary disease, cancer, and cirrhosis.
Daily assessments were used to classify patients as incompetent if they had depressed consciousness, major psychiatric disease, or cognitive impairment throughout their hospital stay.
Treatment decisions were assessed by observation and medical record review.
Forty-eight (15%) patients were incompetent : 33 had depressed consciousness, 11 failed cognitive screens, and 4 had major psychoses.
Mots-clés Pascal : Trouble psychiatrique, Prise décision, Malade, Traitement, Classification, Homme, Ethique
Mots-clés Pascal anglais : Mental disorder, Decision making, Patient, Treatment, Classification, Human, Ethics
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 94-0699444
Code Inist : 002B18A. Création : 09/06/1995.