[The law number 2005-370 of April 22, 2005 concerning the patients' rights at the end of life: a case of polytrauma]

Ann Fr Anesth Reanim. 2008 Sep;27(9):747-54. doi: 10.1016/j.annfar.2008.06.006. Epub 2008 Aug 29.
[Article in French]

Abstract

The law number 2005-370 of April 22, 2005 concerning the patients' rights at the end of life imposes from now the refusal of futility of care, a shared decision-making in unconscious patients and the duty of a palliative strategy. We describe a case of polytrauma, for which the shared decision-making process led to a palliative strategy after initial aggressive life-support treatments. This case underlines the need for a two-step model of decision-making process, which distinguishes between goals of care and withdrawal or withholding of life support. It suggests that implementation of written procedures could improve the quality of management at the end of life and traceability of decisions.

Publication types

  • Case Reports
  • English Abstract

MeSH terms

  • Aged, 80 and over
  • France
  • Humans
  • Male
  • Multiple Trauma / therapy*
  • Palliative Care / legislation & jurisprudence*
  • Patient Rights / legislation & jurisprudence*