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Case Commentary: a Reflection on Ethical Dilemma in End-of-Life Care

Case Commentary: a Reflection on Ethical Dilemma in End-of-Life Care This case report illustrates the complexity of managing a young patient with complications of diabetes mellitus (DM) and the ethical considerations in decision-making to withhold treatment. Mr. T suffered from poorly controlled type 1 diabetes mellitus with microvascular and macrovascular complications including nephropathy requiring long-term haemodialysis. He was admitted for necrotising suppurative tenosynovitis, which is a type of infection of tendon and synovium, of the right upper limb that led to sepsis and multi-organ dysfunction despite antibiotics and multiple debridements or surgeries. As his condition deteriorated, Mr. T became increasingly confused and uncertain about his goals of care leaving his medical team with difficulty in planning his further treatment. In thinking through the ethical dilemma that arose from this case on end-of-life care, the four-quadrant approach was applied. http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Asian Bioethics Review Springer Journals

Case Commentary: a Reflection on Ethical Dilemma in End-of-Life Care

Asian Bioethics Review , Volume 9 (2) – Jul 15, 2017

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Publisher
Springer Journals
Copyright
Copyright © 2017 by National University of Singapore and Springer Nature Singapore Pte Ltd.
Subject
Philosophy; Bioethics; Ethics; Medical Law; Public Health; Biomedicine, general; Health Administration
ISSN
1793-8759
eISSN
1793-9453
DOI
10.1007/s41649-017-0013-0
Publisher site
See Article on Publisher Site

Abstract

This case report illustrates the complexity of managing a young patient with complications of diabetes mellitus (DM) and the ethical considerations in decision-making to withhold treatment. Mr. T suffered from poorly controlled type 1 diabetes mellitus with microvascular and macrovascular complications including nephropathy requiring long-term haemodialysis. He was admitted for necrotising suppurative tenosynovitis, which is a type of infection of tendon and synovium, of the right upper limb that led to sepsis and multi-organ dysfunction despite antibiotics and multiple debridements or surgeries. As his condition deteriorated, Mr. T became increasingly confused and uncertain about his goals of care leaving his medical team with difficulty in planning his further treatment. In thinking through the ethical dilemma that arose from this case on end-of-life care, the four-quadrant approach was applied.

Journal

Asian Bioethics ReviewSpringer Journals

Published: Jul 15, 2017

References