Sometimes after injury or a long illness, the main organs of the body no longer work properly without support. Your doctor may tell you that these organs will not repair themselves.
Medical care to prolong life can keep you alive when these organs stop working well. The treatments extend your life, but do not cure your illness. These are called life-sustaining treatments.
Treatments to extend life can include the use of machines. This equipment does the work of the body organ, such as:
If you are near the end of your life or you have an illness that will not improve, you can choose what kind of treatment you want to receive.
You should know that removing the life support equipment does not end life: the illness or the injury is the cause of the end of life.
To help with your decision:
These can be hard choices for you and those close to you. There is no hard and fast rule about what to choose. People's opinions and choices often change over time.
To make sure your wishes are followed:
As your life or health changes, you may also change your health care decisions. You can change or cancel an advanced care directive at any time.
You may serve as a health care agent or proxy for someone else. In this role you may have to make the decision to start or remove life support machines. It is a very hard decision to make.
If you need to make a decision about stopping treatment for a loved one:
Rakel RE, Strach EM. Care of the dying patient. Rakel RE, Rakel DP, eds. Textbook of Family Medicine. 8th ed. Philadelphia, PA: Elsevier Saunders; 2011:chap 5.
Winkler EC, Hiddemann W, Marckmann G. Ethical assessment of life-prolonging treatment. Lancet Oncol. 2011;12:720-722.
Updated by: Todd Gersten, MD, Hematology/Oncology, Florida Cancer Specialists & Research Institute, Wellington, FL. Review provided by VeriMed Healthcare Network. Also reviewed by David Zieve, MD, MHA, Isla Ogilvie, PhD, and the A.D.A.M. Editorial team.