Full text full text is available as a scanned copy of the original print version get a printable copy pdf file of the complete article 421k or click on a page image below to browse page by page. In wrong medicine lawrence j schneiderman md and nancy s jecker phd address issues that have occupied the media and the courts since the time of karen ann quinlan the authors examine the ethics of cases in which medical treatment is offered or mandated even if a patient lacks the capacity to appreciate its benefit or if the treatment will still leave a patient totally dependent . Such questions of medical futility remain as much a subject of debate today as in 1995 when the first edition of wrong medicine doctors patients and futile treatment was published therefore it is altogether fitting that larry schneiderman a physician and nancy jecker a philosopher have published a second edition of their widely . Lawrence j schneiderman nancy s jecker johns hopkins university press pounds sterling2150 pp 200 isbn 0 8018 5036 3 medical futility the idea that doctors ought to refuse demands for treatment that is unlikely to work or that merely prolongs states of permanent unconsciousness or dependence on intensive medical care is an idee fixe for lawrence schneiderman and nancy jecker. Of treatment decision making for a very long time an alternative approach that frames the ought to be aspect of these two chapters is a participatory model of healthcare that privileges patient centeredness and care as well as cure in an attempt to improve the humanity within medicine
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