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End of life care
Working with the principles and decision-making models
Conscientious objections
End of life care: Conscientious objections
79. You can withdraw from providing care if your religious, moral or other personal beliefs about providing life-prolonging treatment lead you to object to complying with:
(a) a patient’s decision to refuse such treatment, or
(b) a decision that providing such treatment is not of overall benefit to a patient who lacks capacity to decide.
However, you must not do so without first ensuring that arrangements have been made for another doctor to take over your role. It is not acceptable to withdraw from a patient’s care if this would leave the patient or colleagues with nowhere to turn. Refer to our guidance on
Personal Beliefs and Medical Practice
(2008) for more information.
80. If you disagree with a decision to withdraw or not to start a life-prolonging treatment on the basis of your clinical judgement about whether the treatment should be provided, you should follow the guidance in
paragraphs 47-48
about resolving disagreements.
Reviewing decisions
Organ donation
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The Review of Good Medical Practice
Good Medical Practice
List of ethical guidance
Protecting children and young people
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Accountability in Multi-disciplinary and Multi-Agency Mental Health Teams
Taking up and ending appointments
Making and using visual and audio recordings of patients
Confidentiality
Conflicts of interest
Consent guidance
End of life care
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Guidance
Principles
Decision-making models
Working with the principles and decision-making models
Role of relatives, partners and others close to the patient
Working in teams and across service boundaries
Making sound clinical judgements
Explaining the clinical issues
Addressing uncertainty
Emotional difficulties in end of life decision making
Resource constraints
Assessing the overall benefit of treatment options
Resolving disagreements
Advance care planning
Acting on advance requests for treatment
Acting on advance refusals of treatment
Recording and communicating decisions
Reviewing decisions
Conscientious objections
Organ donation
Care after death
Training and audit
Neonates, children and young people
Meeting patients' nutrition and hydration needs
Clinically assisted nutrition and hydration
Cardiopulmonary resuscitation (CPR)
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Maintaining boundaries
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Leadership and management for all doctors (2012)
Personal beliefs and medical practice
Good practice in prescribing medicines (2008)
Good practice in prescribing and managing medicines and devices (2013)
Raising and acting on concerns about patient safety (2012)
Writing references (2012)
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