Ethical Dilemmas About Intensive Care for Patients with AIDS | Zendy

Bradley Lo | Zendy; T A Raffin | Zendy; Neal H. Cohen | Zendy; Robert M. Wachter | Zendy; J M Luce | Zendy; Philip C. Hopewell | Zendy

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Ethical Dilemmas About Intensive Care for Patients with AIDS

Author(s) -

Bradley Lo,

T A Raffin,

Neal H. Cohen,

Robert M. Wachter,

J M Luce,

Philip C. Hopewell

Publication year - 1987

Publication title -

clinical infectious diseases

Language(s) - English

Resource type - Journals

SCImago Journal Rank - 3.44

H-Index - 336

eISSN - 1537-6591

pISSN - 1058-4838

DOI - 10.1093/clinids/9.6.1163

Subject(s) - medicine , intensive care , obligation , health care rationing , health care , nursing , moral dilemma , moral obligation , family medicine , intensive care medicine , psychology , social psychology , political science , law , economics , economic growth

AIDS presents ethical dilemmas about intensive care. Even with intensive care the outcome for patients with AIDS is poor. Care givers have no ethical or medical obligation to provide futile care. Decisions concerning competent patients should be made jointly by physicians and the informed patients themselves. For incompetent patients decisions should be made jointly by physicians and appropriate patient-surrogates in light of the previously expressed wishes of the patients. Care givers should encourage patients with AIDS to express their preferences about life-sustaining treatment in order to avoid dilemmas should these patients later become incompetent. The AIDS epidemic may force more explicit discussions about the allocation of limited health-care resources, such as intensive care. Such allocation decisions should not discriminate against patients with AIDS.

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