Saturday, May 4, 2013

Writing Policies on End-of-Life Treatment

I am delighted to transition, this month, from writing scholarship to writing policy.  

Hopefully, one's scholarship informs the development of professional, institutional, and public policies.  (I am always delighted to get messages confirming that it does.)  But that is an indirect path to improving health outcomes.  It is particularly rewarding to participate more directly in developing policies.

Coming up for me in the next few weeks are meetings regarding:
  • American Thoracic Society Policy Statement: Managing Conscience-Based Objections in Intensive Care Medicine
  • An official ATS/AACN/ACCP/ESICM/SCCM Statement: Responding to Requests for Futile and Inappropriate Treatments in Intensive Care Units
  • Legislative Guide: Top Twelve POLST Legal and Regulatory Issues

1 comment:

Anonymous said...

I have been so happy that you have preserved the history of "medical futility" and the law and the ongoing evolvement of law and policy under the Patient Self Determination Act (PSDA)
of 1991.

Were it not for your scholarship, this history would not have been preserved and freely published on the Internet for ALL interested parties to read and study.

Hopefully, the connection of medical futility to fiscal futility and the inappropriate use of DNR Code Status will become transparent, Perhaps, then, policy from the highest level of Federal and State Government will protect the two choices implioed in the 1991 PSDA ---that is, both the Right to Die to shorten suffering and the Right to Live (if it isn't medically futile as determined by some due process procedure) ) by means of a life-extending or life-saving procedure.

Thank you for your good work.

Did you know, my dear Professor, when you wrote your first paper on the Mirandization of the PSDA back in the 1990's that it was possible that the silence of patients would or could be used against "ignorant" patients, and is this why you have devoted so much of your time and energy to create your scholarship and expertise on medical futility and the law?