Towards a ``Good' Death: End-of-Life Narratives Constructed in An Intensive Care Unit |
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Authors: | Johnson Nancy Cook Deborah Giacomini Mita Willms Dennis |
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Affiliation: | (1) Departments of Clinical Epidemiology and Biostatistics, Medicine, Anthropology, McMaster University, Hamilton, Ontario, Canada |
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Abstract: | End-of-life decisions regarding the withdrawal and withholding of lifesupporting technology have become commonplace within intensive careunits (ICUs). In this paper, we examine the dialogue between ICU teammembers and families regarding limitation of treatment as a therapeuticnarrative – that is, as a story which frames therapeutic events aswell as the critically ill patient's experience in a meaningful andpsychologically comforting way for families and health care providersalike. The key themes of these end-of-life narratives are discussed, aswell as the qualities that the stories share with other narratives ofthe same genre. |
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