Send to:

Choose Destination
See comment in PubMed Commons below
Res Nurs Health. 2012 Oct;35(5):518-32. doi: 10.1002/nur.21488. Epub 2012 May 11.

Life-sustaining treatment decisions in the ICU for patients with ESLD: a prospective investigation.

Author information

  • 1Oregon Health & Science University, Portland, OR 97239-2941, USA.


We conducted a prospective study in the ICU of life-sustaining treatment and comfort care decisions over time in patients with end-stage liver disease (ESLD) from the perspectives of patients, family members, and healthcare professionals. Six patients with ESLD, 19 family members, and 122 professionals participated. The overarching theme describing the decision-making process was "on the train." Four sub-themes positioned patients and family members as passengers with limited control, unable to fully understand the decision-making process. Findings suggest that including patients and family members in non-immediate life-saving decisions and verifying early on their understanding may help to improve the decision-making process.

Copyright © 2012 Wiley Periodicals, Inc.

[PubMed - indexed for MEDLINE]
Free PMC Article
PubMed Commons home

PubMed Commons

How to join PubMed Commons

    Supplemental Content

    Full text links

    Icon for John Wiley & Sons, Inc. Icon for PubMed Central
    Loading ...
    Write to the Help Desk