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Medical practices at the end of life differ around the world. In the United States, medicine has moved from a paternalistic model to one that promotes autonomy and self-determination. In Europe and other regions of the world, patient-physician relationships are still somewhat paternalistic. Different cultures and countries deal in diverse ways with the ethical dilemmas arising as a consequence of the wider availability of life-sustaining therapies. In the past patients died in intensive care units (ICUs) despite ongoing aggressive therapy. Over the years, observational studies documenting physician behavior have noted changes in the modes of patient deaths and an earlier limitations of life-sustaining treatments. This lecture will review the current global practices.
Critical Care Doctors
Critical Care Nurses
Upon completion of this activity, you should be able to:
1 November 2020
31 October 2023
This activity has been planned and implemented in accordance with the accreditation requirements and policies of the Accreditation Council for Continuing Medical Education (ACCME) through the joint providership of EB Medicine and Continulus. EB Medicine is accredited by the ACCME to provide continuing medical education for physicians.
EB Medicine designates this internet-enduring material for a maximum of .5 AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.
The need for this educational activity was determined by surveys of the target audience and experts in the specialty. Further assessment was provided by examining the topics of recently published evidence-based medicine reviews, national clinical guidelines, and specialty society recommendations, as well as suggestions from evaluations of previous learning programs to determine practice gaps.
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In order to earn CME credit, the participant must take the pre-test, watch the course, take the CME post-test, and complete the post-test evaluation.
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This activity received no commercial support.