Liza Manalo, MD Withholding or Withdrawing Life Sustaining Treatment
Medical treatment options, including chemotherapy, as well aspalliative and hospice care, and the prognosis of the diseasewere fully explained to the family.
The patient knew about the cancer diagnosis, but the actual
stage and prognosis were not disclosed to her, per family’s
Patient is amenable to chemotherapy, pain management,artificial nutrition and hydration, blood transfusion, and IVmedications, but not to CPR, intubation, and mechanicalventilation. However, advance directives were not formallydiscussed and signed by the patient.
The patient’s natural family (parents and siblings) knew of thepatient’s wishes, but left the decision
-making to the husband.
When the patient went into respiratory distress due to
hospital acquired pneumonia, T/C sepsis, and had a CParrest, the husband agreed and signed the consent forCPR, intubation, mechnical ventilation and ICU admission.