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    WITHDRAWAL OF LIFE SUSTAINING THERAPY IN NEUROSURGICAL PATIENTS: AN URBAN BIOETHICAL REVIEW

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    Genre
    Thesis/Dissertation
    Date
    2023
    Author
    Cannon, Hershel cc
    Advisor
    Strand, Nicolle K.
    Department
    Urban Bioethics
    Subject
    Medical ethics
    Ethics
    Neurosciences
    Bias
    Decision-making
    Devastating brain injury (DBI)
    Neurosurgery
    Urban bioethics
    Withdrawal of life-sustaining therapy (WLST)
    Permanent link to this record
    http://hdl.handle.net/20.500.12613/8578
    
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    DOI
    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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