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End-of-life decision making in respiratory failure. The therapeutic choices in chronic respiratory failure in a 7-item questionnaire
Author(s) -
Dagmar Rinnenburger,
Mario Giuseppe Alma,
Domenico Bigioni,
Giuseppe Brunetti,
Carlo Liberati,
Vinicio Magliacani,
Gianluca Monaco,
Lino Reggiani,
Giovanni Taronna,
Luca Cecchini
Publication year - 2012
Publication title -
annali dell istituto superiore di sanità
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.302
H-Index - 42
eISSN - 2384-8553
pISSN - 0021-2571
DOI - 10.4415/ann_12_03_14
Subject(s) - paternalism , medicine , respiratory failure , autonomy , intensive care medicine , mechanical ventilation , chronic respiratory failure , health care , respiratory care , clinical decision making , physical therapy , surgery , psychiatry , political science , economics , law , economic growth
The transition from paternalistic medicine to a healthcare culture centred on the patient's decision making autonomy presents problems of communication and understanding. Chronic respiratory failure challenges patients, their families and caregivers with important choices, such as invasive and non-invasive mechanical ventilation and tracheostomy, which, especially in the case of neuromuscular diseases, can significantly postpone the end of life.

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