TY - JOUR
T1 - Should cosmetic outcome influence discussions about goals of care for severely burned patients?
AU - Liu, Yuk Ming
AU - Romanowski, Kathleen
PY - 2018/6/1
Y1 - 2018/6/1
N2 - We focus on surrogate decision making and, specifically, the topic of cosmetic outcomes following burn injury in a case in which potential surrogates dispute what the patient would have wanted. In particular, we examine the choice and role of surrogate decision makers in light of ethical principles that guide surrogate decision making. We also examine whether and when cosmesis should enter into goals of care discussions and consider potential roles cosmetic outcomes could play in such discussions. Finally, we discuss how caregivers should respond when surrogate decision makers suggest cosmetic results as a reason for withdrawing care.
AB - We focus on surrogate decision making and, specifically, the topic of cosmetic outcomes following burn injury in a case in which potential surrogates dispute what the patient would have wanted. In particular, we examine the choice and role of surrogate decision makers in light of ethical principles that guide surrogate decision making. We also examine whether and when cosmesis should enter into goals of care discussions and consider potential roles cosmetic outcomes could play in such discussions. Finally, we discuss how caregivers should respond when surrogate decision makers suggest cosmetic results as a reason for withdrawing care.
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U2 - 10.1001/journalofethics.2018.20.6.cscm3-1806
DO - 10.1001/journalofethics.2018.20.6.cscm3-1806
M3 - Article
C2 - 29905132
AN - SCOPUS:85064158592
VL - 20
SP - 546
EP - 551
JO - AMA journal of ethics
JF - AMA journal of ethics
SN - 2376-6980
IS - 6
ER -