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A Typical Perplexing Life-sustaining Therapy Decision at the End of life: A Case Report from Sri Lanka with Attributes Potentially worth Adopting from the UK Legislature

In many developing parts of the world, evidence on advance care planning (ACP) is either lacking or fragmented. Lack of streamlined means for ACP is known to lead to inconveniences for the clinicians as well as the patients and their families. This case report focuses on a young male diagnosed with...

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Autores principales: Fernando, Gunasekara Vidana Mestrige Chamath, Nair, Shoba Narayanan
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Scientific Scholar 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8428901/
https://www.ncbi.nlm.nih.gov/pubmed/34511806
http://dx.doi.org/10.25259/IJPC_354_20
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author Fernando, Gunasekara Vidana Mestrige Chamath
Nair, Shoba Narayanan
author_facet Fernando, Gunasekara Vidana Mestrige Chamath
Nair, Shoba Narayanan
author_sort Fernando, Gunasekara Vidana Mestrige Chamath
collection PubMed
description In many developing parts of the world, evidence on advance care planning (ACP) is either lacking or fragmented. Lack of streamlined means for ACP is known to lead to inconveniences for the clinicians as well as the patients and their families. This case report focuses on a young male diagnosed with metastatic osteosarcoma, who explicitly verbalised his wishes to be managed conservatively without involving invasive life-sustaining measures. However, the patient faced cardiopulmonary resuscitation before his demise against his wishes, which also contradicted with the medical point of view. Sri Lankan doctors face moral, ethical and legal dilemmas as they deal with terminally ill patients at the verge of their death due to the deficiencies in the medical and legislative frameworks in the country.
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spelling pubmed-84289012021-09-10 A Typical Perplexing Life-sustaining Therapy Decision at the End of life: A Case Report from Sri Lanka with Attributes Potentially worth Adopting from the UK Legislature Fernando, Gunasekara Vidana Mestrige Chamath Nair, Shoba Narayanan Indian J Palliat Care Case Report In many developing parts of the world, evidence on advance care planning (ACP) is either lacking or fragmented. Lack of streamlined means for ACP is known to lead to inconveniences for the clinicians as well as the patients and their families. This case report focuses on a young male diagnosed with metastatic osteosarcoma, who explicitly verbalised his wishes to be managed conservatively without involving invasive life-sustaining measures. However, the patient faced cardiopulmonary resuscitation before his demise against his wishes, which also contradicted with the medical point of view. Sri Lankan doctors face moral, ethical and legal dilemmas as they deal with terminally ill patients at the verge of their death due to the deficiencies in the medical and legislative frameworks in the country. Scientific Scholar 2021 2021-08-12 /pmc/articles/PMC8428901/ /pubmed/34511806 http://dx.doi.org/10.25259/IJPC_354_20 Text en © 2021 Published by Scientific Scholar on behalf of Indian Jounal of Palliative Care https://creativecommons.org/licenses/by-nc-sa/4.0/This is an open-access article distributed under the terms of the Creative Commons Attribution-Non Commercial-Share Alike 4.0 License, which allows others to remix, tweak, and build upon the work non-commercially, as long as the author is credited and the new creations are licensed under the identical terms.
spellingShingle Case Report
Fernando, Gunasekara Vidana Mestrige Chamath
Nair, Shoba Narayanan
A Typical Perplexing Life-sustaining Therapy Decision at the End of life: A Case Report from Sri Lanka with Attributes Potentially worth Adopting from the UK Legislature
title A Typical Perplexing Life-sustaining Therapy Decision at the End of life: A Case Report from Sri Lanka with Attributes Potentially worth Adopting from the UK Legislature
title_full A Typical Perplexing Life-sustaining Therapy Decision at the End of life: A Case Report from Sri Lanka with Attributes Potentially worth Adopting from the UK Legislature
title_fullStr A Typical Perplexing Life-sustaining Therapy Decision at the End of life: A Case Report from Sri Lanka with Attributes Potentially worth Adopting from the UK Legislature
title_full_unstemmed A Typical Perplexing Life-sustaining Therapy Decision at the End of life: A Case Report from Sri Lanka with Attributes Potentially worth Adopting from the UK Legislature
title_short A Typical Perplexing Life-sustaining Therapy Decision at the End of life: A Case Report from Sri Lanka with Attributes Potentially worth Adopting from the UK Legislature
title_sort typical perplexing life-sustaining therapy decision at the end of life: a case report from sri lanka with attributes potentially worth adopting from the uk legislature
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8428901/
https://www.ncbi.nlm.nih.gov/pubmed/34511806
http://dx.doi.org/10.25259/IJPC_354_20
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