Competent patients, incompetent decisions.
Level V
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- Record sourced from PubMed, PMID 7486472.
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Abstract
We describe the epidemiologic aspects of dialysis withdrawal, the role of patient autonomy and of medical beneficence in the decision to discontinue dialysis, and the conditions under which limits may be placed on patient autonomy. A case is presented that provides insight into the issues involved in making such decisions and that should provoke further discussion on the role of "medical guidelines" for dialysis refusal and withdrawal.