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Posted on September 20, 2018 at 4:00 AM

Next month, the Medical Association of Georgia meets to consider resolutions at its House of Delegates meeting.  

Resolution 110A.18 concerns the 2015 ATS Official Policy Statement: Responding to Requests for Potentially Inappropriate Treatments

Whereas a study in US ICUs revealed that roughly 20% of ICU patients received at least one day of treatment that physicians judged to be futile or potentially medically inappropriate treatment.

Whereas demands for potentially inappropriate treatment can lead to distress for loved ones, including PTSD-type symptoms for families with loved ones in the ICU for prolonged periods of time.

Whereas demands for potentially inappropriate treatment leads to moral distress in healthcare teams which is closely linked with healthcare professional burnout.

Whereas The American Thoracic Society (ATS), The American Association for Critical Care Nurses (AACN), The American College of Chest Physicians (ACCP), The European Society for Intensive Care Medicine (ESICM), and the Society for Critical Care Medicine (SCCM) created an official policy statement in 2015 regarding how medical teams and facilities should respond to requests for potentially inappropriate treatments.

Whereas, providers often feel that they do not have a policy or framework in which to deal with these stressful requests and therefore, do not feel supported in their care of patients. When a framework exists and is followed, such as the one proposed, distress is lessened for both families and providers.

RESOLVED, that the Medical Association of Georgia (MAG) support and encourage use of the American Thoracic Society Official Policy on Responding to Potentially Medically Inappropriate Treatments so that institutions can support the creation of institutional guidelines for how providers and facilities should respond to potentially inappropriate treatments.

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