End-of-life ethical issues.
COPD is a progressive disorder characterized by intermittent episodes of acute exacerbations, each of which has the potential for producing respiratory failure and a need for mechanical ventilation. The decision to intubate a patient with severe underlying COPD requires a blending of the physician's estimation of prognosis with the patient's life goals, values, and self-perceived quality of life. Decisions regarding intubation and life support are aided by initiating a patient-caregiver dialogue during periods of good or stable health before a medical crisis occurs. These discussions can inform patients about the likely outcome of life support and promote meaningful and valid advance directives.
Department of Medicine, Medical University of South Carolina, Charleston, USA.
J E
JE
Heffner
D016223:Advance Directives / Q000331:legislation & jurisprudence; D018450:Disease Progression; D004992:Ethics, Medical; D005066:Euthanasia, Passive; D005260:Female; D006801:Humans; D008020:Life Support Care / Q000331:legislation & jurisprudence; D008173:Lung Diseases, Obstructive; D008297:Male; D010353:Patient Education as Topic; D010817:Physician-Patient Relations; D011788:Quality of Life; D014481:United States