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The judgment of futility should be a conclusion of a communications process, not a beginning. "Futility" is defined as any therapy that is judged to be without benefit to the patient, beyond a fair degree of medical certainty.
Helping the patient is medicine's main objective. Offering therapies that do not help patients is not required of doctors. Futile therapies can prolong pain of the patients and increase families false hope. This worsen a patient's suffering and misery in the final days and weeks of life, and use up limited medical resources.
When deciding whether a treatment is futile or not, doctors should adhere to ethical principles and take into account both empirical research and their own clinical experience. When making the decision to withhold or stop fruitless therapies, they should also be sensitive to the needs of the patients and their families.
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