The Spanish Society of Internal Medicine (SEMI) Bioethics & Professionalism Working Group has published a 300-page Manual for Limiting Diagnostic & Therapeutic Measures.
After an opening chapter on "What is the limitation of diagnostic-therapeutic measures? Criteria for limitation," the book includes chapters in specific interventions. The book also includes a concluding chapter,"How do I explain to my patient or their family what the limitation is?"
- Limitation of cardiopulmonary resuscitation
- Limitation of admission to ICU
- Limitation of hospital admission and care in emergency services
- Limitation of life support: use of amines and mechanical ventilation
- Limitation of non-invasive mechanical ventilation
- Limitation of enteral nutrition and hydration
- Limitation of invasive procedures
- Limitation of diagnostic measures
- Limitation of surgical procedures
- Limitation of transfusions
- Limitations of chemotherapy and immunotherapy
- Limitation of antibiotic therapy
- Limitation of anticoagulation
- The principle of justice: scarcity, cost-effectiveness and opportunity loss
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