Finite Knowledge/Finite Power: “Death Panels” and the Limits of Medicine

@article{Bishop2010FiniteKP,
  title={Finite Knowledge/Finite Power: “Death Panels” and the Limits of Medicine},
  author={Jeffrey P. Bishop and Kyle Bertram Brothers and Joshua E. Perry and Ayesha Ahmad},
  journal={The American Journal of Bioethics},
  year={2010},
  volume={10},
  pages={W7 - W9}
}
In the era of rhetoric centered on fictional “death panels,” we have grown fearful for how our paper would be heard. Indeed our original essay was completed a year before the presidential election of 2008. Yet, as with many papers in academia, the saga of this paper was indeed interesting and long. We had sent it to several medical journals and each time we met with one reviewer who seemed to endorse the position that we articulated, and one reviewer who found it problematic. We were puzzled by… 

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References

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The Conversation Around CPR/DNR Should Not Be Revived—At Least for Now

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  • Medicine
    The American journal of bioethics : AJOB
  • 2010
There are a number of reasons why there should be no focus upon futile CPR as a way of addressing the global problem of overtreatment, and it would be misguided and counterproductive to make elimination of inappropriate CPR a focus of efforts.

Restricting CPR to Patients Who Provide Informed Consent Will Not Permit Physicians to Unilaterally Refuse Requested CPR

  • T. Pope
  • Medicine
    The American journal of bioethics : AJOB
  • 2010
The presumptions in the U.S. about providing in-hospital CPR are addressed and a connection with the UK model of CPR presumption is drawn, which is far flimsier and weaker than Bishop and colleagues advance.

Religious coping and use of intensive life-prolonging care near death in patients with advanced cancer.

Positive religious coping in patients with advanced cancer is associated with receipt of intensive life-prolonging medical care near death and further research is needed to determine the mechanisms for this association.

Resuscitation Strategies in the United States: Realities of Hospital and Prehospital Treatment

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    The American journal of bioethics : AJOB
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Leave Current System of Universal CPR and Patient Request of DNR Orders in Place

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    The American journal of bioethics : AJOB
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Levels of Intervention: Communicating with More Precision About Planned Use of Critical Interventions

  • C. Ells
  • Medicine
    The American journal of bioethics : AJOB
  • 2010
A shift in how healthcare professionals talk to patients, the general public and each other is urged, and one hospital’s experience in striving for more precise communication through practice assessment and policy change is shared.

History Matters

Practical Considerations for Reviving the CPR/DNR Conversation