Issues surrounding end-of-life decision-making

Vickram Tejwani, Yi Fan Wu, Sabrina Serrano, Luis Segura, Michael Bannon, Qi Qian

Research output: Contribution to journalReview articlepeer-review

6 Scopus citations


End-of-life decision-making is a complex process that can be extremely challenging. We describe a 42-year-old woman in an irreversible coma without an advance directive. The case serves to illustrate the complications that can occur in end-of-life decision-making and challenges in resolving difficult futility disputes. We review the role of advance directives in planning end-of-life care, the responsibility and historical performance of patient surrogates, the genesis of futility disputes, and approaches to resolving disputes.

Original languageEnglish (US)
Pages (from-to)771-775
Number of pages5
JournalPatient Preference and Adherence
StatePublished - Jan 2013


  • Advance directive
  • Conflict resolution
  • End-of-life care
  • Futility dispute
  • Surrogate

ASJC Scopus subject areas

  • Medicine (miscellaneous)
  • Social Sciences (miscellaneous)
  • Pharmacology, Toxicology and Pharmaceutics (miscellaneous)
  • Health Policy


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