Implementation of the futile therapy concept in the conditions of Polish intensive care units - a description of five cases
The concept of futile therapy is an attempt to solve the problem that arose on the sidelines of the success of intensive therapy. Both the theoretical bases of futile therapy and the ways of implementing it on the hospital ward raise much controversy. This paper aims to present practical aspects of...
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| Format: | Article |
| Language: | English |
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Kazimierz Wielki University
2019-08-01
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| Series: | Journal of Education, Health and Sport |
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| Online Access: | https://apcz.umk.pl/JEHS/article/view/26397 |
| _version_ | 1828367002970882048 |
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| author | Aleksandra Jóźwiak Rafał Rutyna Anna Fijałkowska-Nestorowicz Magdalena Bielacz Walery Zukow Edyta Kotlińska-Hasiec |
| author_facet | Aleksandra Jóźwiak Rafał Rutyna Anna Fijałkowska-Nestorowicz Magdalena Bielacz Walery Zukow Edyta Kotlińska-Hasiec |
| author_sort | Aleksandra Jóźwiak |
| collection | DOAJ |
| description | The concept of futile therapy is an attempt to solve the problem that arose on the sidelines of the success of intensive therapy. Both the theoretical bases of futile therapy and the ways of implementing it on the hospital ward raise much controversy. This paper aims to present practical aspects of the implementation of the concept of futile therapy in Polish intensive care units. Increasingly, the ICUs are struggling with prolonged maintenance of organ functions that do not bring therapeutic benefit to the patient (futile therapy). In 2014, under the leadership of Professor Kübler, guidelines for ICUs were established for dealing with the ineffectiveness of maintaining organ functions in patients incapable of providing informed declarations of will. As part of the implementation of futile therapy, it is possible to either withdraw from conducted therapies or withhold from taking new ones. The guidelines are the first official document in Poland containing instructions on how to proceed in futile therapy.
The constantly increasing number of futile therapy protocols suggests that the guidelines, despite not being part of the common law, significantly facilitate the work of ICU doctors. In everyday practice, doctors face the difficulty of distinguishing between the situation in which the same therapeutic techniques either aid the treatment of the patient or unnecessarily prolong the process of dying. The futile therapy can take up many forms, this article focuses on practical aspects of the implementation of futile therapy in five different clinical cases. |
| first_indexed | 2024-04-14T05:52:31Z |
| format | Article |
| id | doaj.art-9c4682c3cc6b40d694a38322cfc24b5f |
| institution | Directory Open Access Journal |
| issn | 2391-8306 |
| language | English |
| last_indexed | 2024-04-14T05:52:31Z |
| publishDate | 2019-08-01 |
| publisher | Kazimierz Wielki University |
| record_format | Article |
| series | Journal of Education, Health and Sport |
| spelling | doaj.art-9c4682c3cc6b40d694a38322cfc24b5f2022-12-22T02:09:04ZengKazimierz Wielki UniversityJournal of Education, Health and Sport2391-83062019-08-0198Implementation of the futile therapy concept in the conditions of Polish intensive care units - a description of five casesAleksandra Jóźwiak0Rafał Rutyna1Anna Fijałkowska-Nestorowicz2Magdalena Bielacz3Walery Zukow4Edyta Kotlińska-Hasiec5Katedra Anestezjologii i Intensywnej Terapii; I Klinika Anestezjologii i Intensywnej Terapii Uniwersytetu Medycznego w LublinieKatedra Anestezjologii i Intensywnej Terapii; I Klinika Anestezjologii i Intensywnej Terapii Uniwersytetu Medycznego w LublinieKatedra Anestezjologii i Intensywnej Terapii; I Klinika Anestezjologii i Intensywnej Terapii Uniwersytetu Medycznego w Lublinie Zakład Pielęgniarstwa Anestezjologicznego i Intensywnej Opieki Medycznej Uniwersytetu Medycznego w LublinieInstytut Turystyki i Rekreacji, Państwowa Wyższa Szkoła Zawodowa im. Szymona Szymonowica w ZamościuNicolaus Copernicus University in Torun, TorunKatedra Anestezjologii i Intensywnej Terapii; I Klinika Anestezjologii i Intensywnej Terapii Uniwersytetu Medycznego w LublinieThe concept of futile therapy is an attempt to solve the problem that arose on the sidelines of the success of intensive therapy. Both the theoretical bases of futile therapy and the ways of implementing it on the hospital ward raise much controversy. This paper aims to present practical aspects of the implementation of the concept of futile therapy in Polish intensive care units. Increasingly, the ICUs are struggling with prolonged maintenance of organ functions that do not bring therapeutic benefit to the patient (futile therapy). In 2014, under the leadership of Professor Kübler, guidelines for ICUs were established for dealing with the ineffectiveness of maintaining organ functions in patients incapable of providing informed declarations of will. As part of the implementation of futile therapy, it is possible to either withdraw from conducted therapies or withhold from taking new ones. The guidelines are the first official document in Poland containing instructions on how to proceed in futile therapy. The constantly increasing number of futile therapy protocols suggests that the guidelines, despite not being part of the common law, significantly facilitate the work of ICU doctors. In everyday practice, doctors face the difficulty of distinguishing between the situation in which the same therapeutic techniques either aid the treatment of the patient or unnecessarily prolong the process of dying. The futile therapy can take up many forms, this article focuses on practical aspects of the implementation of futile therapy in five different clinical cases.https://apcz.umk.pl/JEHS/article/view/26397intensive careconcept of futile therapypalliative stateterminal statecurative care |
| spellingShingle | Aleksandra Jóźwiak Rafał Rutyna Anna Fijałkowska-Nestorowicz Magdalena Bielacz Walery Zukow Edyta Kotlińska-Hasiec Implementation of the futile therapy concept in the conditions of Polish intensive care units - a description of five cases Journal of Education, Health and Sport intensive care concept of futile therapy palliative state terminal state curative care |
| title | Implementation of the futile therapy concept in the conditions of Polish intensive care units - a description of five cases |
| title_full | Implementation of the futile therapy concept in the conditions of Polish intensive care units - a description of five cases |
| title_fullStr | Implementation of the futile therapy concept in the conditions of Polish intensive care units - a description of five cases |
| title_full_unstemmed | Implementation of the futile therapy concept in the conditions of Polish intensive care units - a description of five cases |
| title_short | Implementation of the futile therapy concept in the conditions of Polish intensive care units - a description of five cases |
| title_sort | implementation of the futile therapy concept in the conditions of polish intensive care units a description of five cases |
| topic | intensive care concept of futile therapy palliative state terminal state curative care |
| url | https://apcz.umk.pl/JEHS/article/view/26397 |
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