LIVE UNTIL THE FIRST DAY OF THE MONTH.

  • Linda McLellan Oncology Social Worker, Cleveland Clinic, Cleveland, OH
  • Larry W. Foster Associate Professor, Department of Social Work, Cleveland State University, Cleveland, OH

Abstract

This narrative reflects on a paradigm case for understanding how in an era of managed care when values and economics appear so indivisible, one health care team united and provided non-costworthy care to a terminally ill patient who needed to live until the first day of the month. The ethical dilemma of treatment effect vs. treatment benefit in end of life decision making becomes a drama. The article chronicles events leading to the first day of the month and underscore the power of story and metaphor in creating common ground and common understanding in patient care. [ABSTRACT FROM AUTHOR]


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Published
2014-06-13
Section
General Submissions