title: Controversial decisions regarding treatment and DNR: an algorithmic Guide for the Uncertain in Decision-Making Ethics (GUIDE).
abstract: We describe an algorithm to aid clinicians in making ethical decisions regarding interventions. Logically sequenced questions about competency, advance directives, treatment benefit, and patient and family preferences guide the decision maker to nine specific scenarios. Each scenario includes guidelines for action based on legal and ethical consensus.
authors.affiliation: Medical College of Virginia/Virginia Commonwealth University, Richmond.
authors.forename: J L
authors.initials: JL
authors.lastname: Levenson
authors.forename: L
authors.initials: L
authors.lastname: Pettrey
mesh_terms: D000465:Algorithms; D032882:Comprehension; D003659:Decision Making, Organizational; D003661:Decision Support Techniques; D034462:Dissent and Disputes; D028741:Ethics Committees, Clinical; D004991:Ethics, Institutional; D006126:Group Processes; D017408:Guidelines as Topic; D006761:Hospitals; D006801:Humans; D010344:Patient Advocacy; D010348:Patient Care Team; D016414:Resuscitation Orders; D035501:Uncertainty; D014768:Virginia