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WITHDRAWAL OF LIFE SUSTAINING THERAPY IN NEUROSURGICAL PATIENTS: AN URBAN BIOETHICAL REVIEW
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Thesis/Dissertation
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2023
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Urban Bioethics
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http://dx.doi.org/10.34944/dspace/8542
Abstract
Physicians encounter significant difficulty when faced with decisions related to withdrawal of life-sustaining therapy (WLST) in patients with devastating brain injury (DBI). The complexity of this decision-making process is multifactorial, including practitioner- and patient-specific variables, as well as surrogate decision-maker bias, inaccuracies in scoring systems, and inconsistencies in guidelines endorsed by professional societies; these issues all contribute to the significant uncertainty of these situations and variability in treatment paradigm. Solutions are complex; however, analyzing WLST with an urban bioethical lens — which emphasizes the principles of solidarity, agency, and social justice — can enhance physicians’ ability to navigate this uncertainty and ensure that potential solutions are patient-centered.
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