ETHICAL PROBLEMS: Nothing in writing

June 2004 
Volume 34  Number 6
Pages 66 - 67
  PDF Version Available!

© 2004 Lippincott Williams & Wilkins, Inc. Volume 34(6)             June 2004             p 66–67 Nothing in writing [ETHICAL PROBLEMS: REFUSING TREATMENT]


A 59-year-old, unconscious patient with end-stage chronic obstructive pulmonary disease was rushed by helicopter to the ED, where he was intubated and placed on a ventilator. By the time his 83-year-old mother arrived, he'd been transferred to the ICU where I work.

This patient had no written advance medical directive. But his mother clearly stated that she and her son had spoken several times about their medical wishes, and that he'd firmly told her he wouldn't want to be kept alive by a machine.

After speaking with her, the consulting pulmonologist persuaded her to agree to a diagnostic work-up, which showed acute respiratory distress syndrome and a large lung mass. He scheduled ...

Purchase Now !

To purchase this item, follow the instructions below. If you’re not already logged in, be sure to enter your login information below to ensure that your item is saved to your File Drawer after you purchase it.

Not a member? Join now for Free!

1) If you're not already logged in, enter your information below to save this item in your File Drawer for future viewing.

User name:


Forgot your user name or password?
2)  If you have a coupon or promotional code, enter it
here.(If not, just click Continue.

Digital Coupon: (optional)

3)  Click Continue to go to the next screen, where
you'll enter your payment details.

jQuery UI Accordion - Default functionality

For life-long learning and continuing professional development, come to Lippincott's NursingCenter.

Nursing Jobs Plus
Featured Jobs
Recommended CE Articles Recommended Nursing Articles Evidence Based Practice Skin Care Network NursingCenter Quick Links What’s Trending Events