When un-resolvable conflicts are present among health care team and family members concerning futile treatment of a patient, who has the legal right to decide the management plan?
1. The patient's family or health care proxy determines the outcome.
2. The empowered nurse specialist coordinates the discussion among family members.
3. The hospital's ethics board dictates the final resolution.
4. The physician decides based on the hospital's ethics board's recommendation, the patient's desires, and any written advance directives.
4
Rationale 1: These individuals do not have the legal right to decide.
Rationale 2: This individual does not have the legal right to decide.
Rationale 3: The primary physician (who is assigned to the case) has the final authority to decide the outcome in a futile treatment case. The recommendation of the ethics board will be taken into consideration to continue or withdraw therapy based on facts and options for each individual patient. The physician has the right to follow or ignore the recommendation from the ethics board but it is usually followed..These individuals do not have the legal right to decide; the recommendation from the ethics board is an option, not a mandate.
Rationale 4: The primary physician (who is assigned to the case) has the final authority to decide the outcome in a futile treatment case. The recommendation of the ethics board will be taken into consideration to continue or withdraw therapy based on facts and options for each individual patient. The physician has the right to follow or ignore the recommendation from the ethics board but it is usually followed. These individuals do not have the legal right to decide; the recommendation from the ethics board is an option, not a mandate.
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