Title :

Strengths of the French end-of-life Law as Well as its Shortcomings in Handling Intractable Disputes Between Physicians and Families

Author(s) :

Messika, Jonathan [Auteur]
Infection, Anti-microbiens, Modélisation, Evolution [IAME (UMR_S_1137 / U1137)]
Boussard, Noël [Auteur]
Centre Hospitalier Universitaire de Nancy [CHU Nancy]
Guérin, Claude [Auteur]
Hôpital de la Croix-Rousse [CHU - HCL]
Michel, Fabrice [Auteur]
Hôpital de la Timone [CHU - APHM] [TIMONE]
Nseir, Saad [Auteur]
Centre Hospitalier Régional Universitaire [Lille] [CHRU Lille]
Lille Inflammation Research International Center (LIRIC) - U995
Yonis, Hodane [Auteur]
Hôpital de la Croix-Rousse [CHU - HCL]
Barbier, Claire-Marie [Auteur]
Centre Hospitalier Universitaire de Nancy [CHU Nancy]
Rouze, Anahita [Auteur]
Unité de Glycobiologie Structurale et Fonctionnelle (UGSF) - UMR 8576
Centre Hospitalier Régional Universitaire [Lille] [CHRU Lille]
Fouilloux, Virginie [Auteur]
Hôpital de la Timone [CHU - APHM] [TIMONE]
Gaudry, Stephane [Auteur]
Service de Réanimation Médico-Chirurgicale [Avicenne]
Ricard, Jean-Damien [Auteur]
Infection, Anti-microbiens, Modélisation, Evolution [IAME (UMR_S_1137 / U1137)]
Silverman, Henry [Auteur]
University of Maryland School of Medicine
Dreyfuss, Didier [Auteur]
Hôpital Louis Mourier - AP-HP [Colombes]

Journal title :

The New Bioethics

Abbreviated title :

The New Bioethics

Volume number :

26

Pages :

53-74

Publisher :

Informa UK Limited

Publication date :

2020-01-02

ISSN :

2050-2885

English keyword(s) :

End-of-life
legal inquiry
intensive care
unreasonable obstinacy
treatment withdrawal

HAL domain(s) :

Sciences du Vivant [q-bio]

English abstract : [en]

French end-of-life law aims at protecting patients from unreasonable treatments, but has been used to force caregivers to prolong treatments deemed unreasonable. We describe six cases (five intensive care unit patients ...
Show more >French end-of-life law aims at protecting patients from unreasonable treatments, but has been used to force caregivers to prolong treatments deemed unreasonable. We describe six cases (five intensive care unit patients including two children) where families disagreed with a decision to withdraw treatments and sued medical teams. An emergent inquiry was instigated by the families. In two cases, the court rejected the families’ inquiries. In two cases, the families appealed the decision, and in both the first jurisdiction decision was confirmed, compelling caregivers to pursue treatments, even though they deemed them unreasonable. We discuss how this law may be perverted. Legal procedures may result in the units’ disorganisation and give rise to caregivers’ stress. Families’ requests may be subtended by religious beliefs. French end-of-life law has benefits in theoretically constraining physicians to withhold or withdraw disproportionate therapies. These cases underline some caveats and the perverse effects of its literal reading.Show less >

Language :

Anglais

Audience :

Internationale

Popular science :

Non

Administrative institution(s) :

Université de Lille
CNRS

Collections :

• Institut de Recherche Translationnelle sur l'Inflammation (INFINITE) - U1286
• Unité de Glycobiologie Structurale et Fonctionnelle (UGSF) - UMR 8576

Research team(s) :

Glycobiology in fungal Pathogenesis and Clinical Applications

Submission date :

2021-07-15T09:20:25Z
2021-08-25T08:41:14Z
2021-08-25T08:42:29Z