Background: Clinicians face substantial challenges in limiting life-prolonging interventions (e.g., ICU admission, life-sustaining treatments, invasive procedures) near the end of life, even when they judge these interventions to be non-beneficial [1-3]. The objective of our study was to empirically derive a descriptive framework of decision-making approaches used by clinicians to limit (i.e., withhold or withdraw) [...]

Case Presentation: A 48-year-old woman, QF, with a past medical history of lupus nephritis and heart failure, was brought in for evaluation by her friend for fatigue and leg swelling. Despite documented medical problems, she denied having any health issues upon admission. Lab results revealed severe renal failure with a blood urea nitrogen of 163 [...]

Case Presentation: We present 2 amalgamated, anonymized patient cases, based on 5 ethics consults requested at a single tertiary care hospital over the past 4 years. In the first case, Ms. M, an 89 year old woman with a past history of severe COPD, debilitating chronic back pain, and recent imaging findings suggestive of a [...]