Wishing that your patient would die: Reasons and reactions

Wishing that your patient would die: Reasons and reactions 
Psychiatrist.com - Rounds in the General Hospital; by Yelizaveta Sher, MD; Filza Hussain, MD; Benjamin J. Hoover, MD; Matthew Gunther, MD, MA; Daniel O. Fishman, MD; Mira Zein, MD; Jose R. Maldonado, MD; Theodore A. Stern, MD; 2/25/25 
Have you ever had a patient suffer so much that you wanted them to die? Have you wondered whether such thoughts and feelings are acceptable? Have you been uncertain about how you could manage your guilt over such thoughts? Have you been unsure about how to best advocate for a patient whose medical care is futile? If you have, the following case vignette and discussion should prove useful. ...

• What Is Meant by Medical Futility? ...
• Who Decides That Medical Care Is Futile? ... 
• How Can a Ventilated or Delirious Patient Be Assessed for Capacity to Make Medical Decisions? ...
• What Happens When Clinical Decisions Are Influenced by the Needs of the Transplant Program? ... 
• Is It Acceptable for Clinicians to Wish for Their Patients to Die? ...
• How Can Clinicians Learn to Approach End-of-Life Discussions and Decisions in the Setting of Conflicting Staff Views? ...
• How Often Do Complex Cases Result in Disturbing Discussions? ...
• Who Can You Turn to When Uncertain About What Path to Take? ...
• Are End-of-Life Discussions Held Only in ICUs? ...
• When Should a Patient First Assign Their Health Care Proxy and Create a Living Will? ...
• Does Conducting End-of-Life Decisions Contribute to Burnout? ...
• Are Clinicians Liable for Disregarding the Views of the Family or the Patient? ...