TY - CHAP M1 - Book, Section TI - Decision Making for Patients with Serious Illnesses A1 - Rabow, Michael W. A1 - Pantilat, Steven Z. A1 - Shah, Ann Cai A1 - Poree, Lawrence A1 - Mitra, Raj A2 - Papadakis, Maxine A. A2 - McPhee, Stephen J. A2 - Rabow, Michael W. A2 - McQuaid, Kenneth R. PY - 2023 T2 - Current Medical Diagnosis & Treatment 2023 AB - The idea that patients must choose between quality and quantity of life is an outmoded concept that presents patients with a false choice. Clinicians should discuss with patients that an approach that provides concurrent palliative and disease-focused care is the one most likely to achieve improvements in both quality and quantity of life. Unfortunately, some evidence suggests that end-of-life care for some patients is determined more by local availability of services and physician comfort than by patient wishes. Well-informed, competent adults have a right to refuse life-sustaining interventions, even if this would result in death. In order to promote patient autonomy, clinicians are obligated to inform patients about the risks, benefits, alternatives, and expected outcomes of medical interventions, such as CPR, mechanical ventilation, hospitalization and ICU care, and artificial nutrition and hydration. SN - PB - McGraw-Hill Education CY - New York, NY Y2 - 2024/03/28 UR - accessmedicine.mhmedical.com/content.aspx?aid=1193126307 ER -