The DOI matches its Crossref record; 7 of the 7 references it cites were found in a registry or an index.
The Physician's Responsibility toward Hopelessly Ill Patients
Abstract
Physicians have a specific responsibility toward patients who are hopelessly ill, dying, or in the end stages of an incurable disease. In a summary of current practices affecting the care of dying patients, we give particular emphasis to changes that have become commonplace since the early 1980s. Implementation of accepted policies has been deficient in certain areas, including the initiation of timely discussions with patients about dying, the solicitation and execution in advance of their directives for terminal care, the education of medical students and residents, and the formulation of institutional guidelines. The appropriate and, if necessary, aggressive use of pain-relieving substances is recommended, even when such use may result in shortened life. We emphasize the value of a sensitive approach to care--one that is adjusted continually to suit the changing needs of the patient as death approaches. Possible settings for death are reviewed, including the home, the hospital, the intensive care unit, and the nursing home. Finally, we consider the physician's response to the dying patient who is rational and desires suicide or euthanasia.
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The Physician's Responsibility toward Hopelessly Ill Patients
Wanzer, S. H., Adelstein, S. J., Cranford, R. E., Federman, D. D., Hook, E. D., Moertel, C. G., Safar, P., Stone, A., Taussig, H. B., & Eys, J. V. (1984) · New England Journal of Medicine · doi:10.1056/nejm198404123101505 · Cited by 427
Self-citationAngell, M. (1982) · New England Journal of Medicine · doi:10.1056/nejm198201143060210 · Cited by 304
Initiating and Withdrawing Life Support
Ruark, J. E., Raffin, T. A., & The Stanford University Medical Center Committee on Ethics* (1988) · New England Journal of Medicine · doi:10.1056/nejm198801073180106 · Cited by 280
Bedell, S. E. (1986) · JAMA · doi:10.1001/jama.256.2.233 · Cited by 277
Wigodsky, H. S. (1984) · JAMA: The Journal of the American Medical Association · doi:10.1001/jama.1984.03340380079034 · Cited by 201
Bedell, S. E. (1986) · JAMA · doi:10.1001/jama.1986.03380020095030 · Cited by 174
Anatomy, Physiology, and Neuropharmacology of Cancer Pain
Payne, R. (1987) · Medical Clinics of North America · doi:10.1016/s0025-7125(16)30863-x · Cited by 51
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Relationship between cancer patients' predictions of prognosis and their treatment preferences
Weeks, J. C. (1998) · JAMA · doi:10.1001/jama.279.21.1709 · Cited by 1,319
Dignity in the terminally ill: a developing empirical model
Chochinov, H. M., Hack, T., McClement, S., Kristjanson, L., & Harlos, M. (2002) · Social Science & Medicine · doi:10.1016/s0277-9536(01)00084-3 · Cited by 733
Dignity-Conserving Care—A New Model for Palliative Care: Helping the Patient Feel Valued
Chochinov, H. M. (2002) · JAMA · doi:10.1001/jama.287.17.2253 · Cited by 725
Assessment of neurological prognosis in comatose survivors of cardiac arrest
Edgren, E., Hedstrand, U., Kelsey, S., Sutton-Tyrrell, K., Safar, P., & BRCTI Study Group (1994) · The Lancet · doi:10.1016/s0140-6736(94)90179-1 · Cited by 462
Self-citationPatient-Focused, Family-Centered End-of-Life Medical Care
Teno, J. M., Casey, V. A., Welch, L. C., & Edgman-Levitan, S. (2001) · Journal of Pain and Symptom Management · doi:10.1016/s0885-3924(01)00335-9 · Cited by 305
Metadata
- Authors
- Wanzer, S. H., Federman, D. D., Adelstein, S. J., Cassel, C. K., Cassem, E. H., Cranford, R. E., Hook, E. W., Lo, B., Moertel, C. G., Safar, P., Stone, A., & Eys, J. V.
- Venue
- New England Journal of Medicine
- Publisher
- Massachusetts Medical Society
- Published
- 1989-03-30
- Volume
- 320
- Issue
- 13
- Pages
- 844-849
- ISSN
- 0028-4793 (ISSN-L)
- 1533-4406
- OpenAlex
- W1510584598
- Cited by
- 434
- References
- 7
- FWCI
- 54.93
- Type
- journal article
- Language
- en
- Open access
- closed
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- The paper
- Wanzer, S. H., Federman, D. D., Adelstein, S. J., Cassel, C. K., Cassem, E. H., Cranford, R. E., Hook, E. W., Lo, B., Moertel, C. G., Safar, P., Stone, A., & Eys, J. V. (1989). The Physician's Responsibility toward Hopelessly Ill Patients. New England Journal of Medicine. https://doi.org/10.1056/nejm198903303201306
Data sources
Bibliographic data: Semantic Scholar, OpenAlex, Crossref.
Contains information from the Semantic Scholar Academic Graph Datasets, made available under the ODC Attribution License (ODC-BY 1.0).
Semantic Scholar’s data is described in: Kinney, R., et al. (2023). The Semantic Scholar Open Data Platform. arXiv:2301.10140.
