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Medicine and Public Policy |1 November 1980

Clinical Decisions to Limit Treatment

BERNARD LO, M.D.; ALBERT R. JONSEN, Ph.D.

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Author, Article, and Disclosure Information
© 1980 American College of Physicians
1980
American College of Physicians
Grant support: in part by the Robert Wood Johnson Foundation and the Commonwealth Foundation.
▸Requests for reprints should be addressed to Bernard Lo, M.D.; Division of General Internal Medicine, Room A 405, 400 Parnassus Avenue, University of California Medical Center; San Francisco, CA 94143.
  • San Francisco, California
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Abstract

A case of a patient with gastrointestinal hemorrhage raises the question of limiting medical treatment. We analyze four reasons to limit treatment: Treatment is futile, the patient refuses treatment, the costs of treatment seem excessive, and the quality of life is judged unacceptable. For cases in which treatment is to be limited, we offer practical suggestions for compassionate and appropriate terminal care.

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LO B, JONSEN AR. Clinical Decisions to Limit Treatment. Ann Intern Med. ;93:764–768. doi: 10.7326/0003-4819-93-5-764

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Published: Ann Intern Med. 1980;93(5):764-768.

DOI: 10.7326/0003-4819-93-5-764

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Print ISSN: 0003-4819 | Online ISSN: 1539-3704

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