0
We're unable to sign you in at this time. Please try again in a few minutes.
Retry
We were able to sign you in, but your subscription(s) could not be found. Please try again in a few minutes.
Retry
There may be a problem with your account. Please contact the AMA Service Center to resolve this issue.
Contact the AMA Service Center:
Telephone: 1 (800) 262-2350 or 1 (312) 670-7827  *   Email: subscriptions@jamanetwork.com
Error Message ......
Invited Commentary |

End-of-Life Care in the Intensive Care Unit How Asia Differs From the West

Mervyn Koh, MBBS, MRCP, FAMS1; Poi Choo Hwee, MBBS, MRCP1
[+] Author Affiliations
1Division of Integrative and Community Care, Department of Palliative Medicine, Tan Tock Seng Hospital, Singapore
JAMA Intern Med. 2015;175(3):371-372. doi:10.1001/jamainternmed.2014.7397.
Text Size: A A A
Published online

Extract

The decision to withhold and withdraw life-sustaining treatment in an intensive care unit (ICU) remains a challenge given the presence of technological advances that make it possible to prolong life even when there is minimum chance of meaningful recovery. These decisions are often difficult to make, with strong social, legal, cultural, moral, and religious values affecting attitudes and practices.1 There is little information available on decision-making processes pertaining to withholding and withdrawal of life-sustaining support in critically ill patients in Asia. In this issue of JAMA Internal Medicine, Phua and colleagues2 present, to our knowledge, the first large-scale study to provide valuable insights into end-of-life care practices in this part of the world.

Sign in

Purchase Options

• Buy this article
• Subscribe to the journal
• Rent this article ?

First Page Preview

View Large
First page PDF preview

Figures

Tables

References

Correspondence

CME
Also Meets CME requirements for:
Browse CME for all U.S. States
Accreditation Information
The American Medical Association is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. The AMA designates this journal-based CME activity for a maximum of 1 AMA PRA Category 1 CreditTM per course. Physicians should claim only the credit commensurate with the extent of their participation in the activity. Physicians who complete the CME course and score at least 80% correct on the quiz are eligible for AMA PRA Category 1 CreditTM.
Note: You must get at least of the answers correct to pass this quiz.
Please click the checkbox indicating that you have read the full article in order to submit your answers.
Your answers have been saved for later.
You have not filled in all the answers to complete this quiz
The following questions were not answered:
Sorry, you have unsuccessfully completed this CME quiz with a score of
The following questions were not answered correctly:
Commitment to Change (optional):
Indicate what change(s) you will implement in your practice, if any, based on this CME course.
Your quiz results:
The filled radio buttons indicate your responses. The preferred responses are highlighted
For CME Course: A Proposed Model for Initial Assessment and Management of Acute Heart Failure Syndromes
Indicate what changes(s) you will implement in your practice, if any, based on this CME course.

Multimedia

Some tools below are only available to our subscribers or users with an online account.

2,696 Views
2 Citations
×

Sign in

Purchase Options

• Buy this article
• Subscribe to the journal
• Rent this article ?

Related Content

Customize your page view by dragging & repositioning the boxes below.

See Also...
Articles Related By Topic
Related Collections
PubMed Articles
Jobs
JAMAevidence.com

Care at the Close of Life: Evidence and Experience
Challenges in End-of-Life Care

Users' Guides to the Medical Literature: A Manual for Evidence-Based Clinical Practice, 3rd ed
Qualitative Research

brightcove.createExperiences();