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.
Heffner
J E
JE
Department of Medicine, Medical University of South Carolina, Charleston, USA.
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