title: DNR versus DNT: clinical implications of a conceptual ambiguity: a case analysis.
abstract: Psychiatrists who practice psychosomatic medicine are routinely called upon to help resolve ethical dilemmas that arise in the care of patients near the end of their lives. Psychosomatic-medicine psychiatrists may be of unique value in these situations because of the clinical insights that we bring to the care of the dying patient. In particular, our subspecialty brings expertise related to the evaluation of decisional capacity of patients who are faced with accepting or declining end-of-life clinical interventions, such as resuscitation and intubation. In this first entry in a new bioethics case series in Psychosomatics, we will lay the groundwork for examining a complex patient case and provide an illustrative analysis of the end-of-life care issues that may be addressed by psychiatrists who practice psychosomatic medicine.
authors.affiliation: Department of Psychiatry, Long Island Jewish Medical Center, Albert Einstein College of Medicine, USA.
authors.forename: Robert D
authors.initials: RD
authors.lastname: Martin
authors.forename: Mary Ann
authors.initials: MA
authors.lastname: Cohen
authors.forename: Laura
authors.initials: L
authors.lastname: Weiss Roberts
authors.forename: Sharon M
authors.initials: SM
authors.lastname: Batista
authors.forename: Dan
authors.initials: D
authors.lastname: Hicks
authors.forename: James
authors.initials: J
authors.lastname: Bourgeois
mesh_terms: D000369:Aged, 80 and over; D005260:Female; D006801:Humans; D008020:Life Support Care / Q000941:ethics* / Q000523:psychology*; D018447:Medical Futility / Q000941:ethics / Q000523:psychology; D016743:Mental Competency / Q000523:psychology*; D011368:Professional-Family Relations / Q000941:ethics; D019727:Proxy / Q000523:psychology; D011570:Psychiatry / Q000941:ethics*; D012017:Referral and Consultation / Q000941:ethics*; D016414:Resuscitation Orders / Q000941:ethics* / Q000523:psychology*