At times, physicians invoke an arbitrary six-month predicted survival metric used by the U.S. A declaration of futility is not performed through a standardized procedure or algorithm but rather is determined on a case-by-case basis. On the other hand, the physician may find the treatment to be futile or nonbeneficial. If the physician feels that treatment would be beneficial, then he or she would provide all indicated treatments to the patient while simultaneously searching for more guiding information. In the case of this 78-year-old patient, the physician must decide whether treatment is beneficial. While these categories of futility are generally relevant, patients often have their own perception of what they believe to be futile.
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