Abstract
Thesis --University of Stellenbosch, 2004
Acceptance of the concept of medical futility facilitates
a paradigm shift from curative to palliative medicine,
accommodating a more humane approach and avoiding
unnecessary suffering in the course of the dying process.
This should not be looked upon as abandoning the patient
but rather as providing the patient and family with an
opportunity to come to terms with the dying process. It also
does not entail withdrawal or passivity on the part of the
health care professional. In addition to medical skills, the
treating physician is responsible for guiding this process by
demonstrating sensitivity and compassion, respecting the
values of patients, their families and the medical staff. The
need for training to equip medical staff to take responsibility
as empathetic participants in end-of-life decision-making is
underscored.
S Afr Med J 2008; 98: 284-286.