{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,2]],"date-time":"2026-05-02T23:38:36Z","timestamp":1777765116176,"version":"3.51.4"},"reference-count":25,"publisher":"Wiley","issue":"6","license":[{"start":{"date-parts":[[2025,12,11]],"date-time":"2025-12-11T00:00:00Z","timestamp":1765411200000},"content-version":"vor","delay-in-days":40,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2025,11,1]],"date-time":"2025-11-01T00:00:00Z","timestamp":1761955200000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Hastings Center Report"],"published-print":{"date-parts":[[2025,11]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:p>\n                    <jats:italic>In another essay in this issue of the<\/jats:italic>\n                    Hasting Center Report,\n                    <jats:italic>an argument is made in favor of offering a \u201cfaux code\u201d in the setting of a patient who cannot say no to her family who insists her code status remain \u201cfull.\u201d Under the proposal, an unwritten agreement is made between the patient and the clinical team to withhold cardiopulmonary resuscitation while maintaining a \u201cfull code\u201d status in the medical record. The ethical question in this case involves how best to support and uphold the patient's autonomy while minimizing the distress of the patient's family, and the \u201cfaux code\u201d is proposed as an ethically supportable intervention. However, pressing ethical concerns remain. In this essay, we offer three main objections to the provision of a \u201cfaux code\u201d: the role of deceit and its consequences for public trust, the impact on nurses and trainees, and the framing of autonomy under the faux code proposal<\/jats:italic>\n                    .\n                  <\/jats:p>","DOI":"10.1002\/hast.70027","type":"journal-article","created":{"date-parts":[[2025,12,11]],"date-time":"2025-12-11T11:53:54Z","timestamp":1765454034000},"page":"7-11","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Against Offering \u201cFaux Codes\u201d: An Ethically Problematic Workaround"],"prefix":"10.1002","volume":"55","author":[{"given":"Aimee","family":"Milliken","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Richard","family":"Leiter","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2025,12,11]]},"reference":[{"key":"e_1_2_5_1_1","doi-asserted-by":"publisher","DOI":"10.1002\/hast.4969"},{"key":"e_1_2_5_2_1","doi-asserted-by":"publisher","DOI":"10.1111\/bioe.13378"},{"key":"e_1_2_5_3_1","doi-asserted-by":"publisher","DOI":"10.1111\/bioe.13409"},{"key":"e_1_2_5_4_1","unstructured":"Brummett \u201cOffering \u2018Faux Codes \u2019\u201d5."},{"key":"e_1_2_5_5_1","doi-asserted-by":"publisher","DOI":"10.1002\/hast.1454"},{"key":"e_1_2_5_6_1","doi-asserted-by":"publisher","DOI":"10.1513\/AnnalsATS.202010-1300OC"},{"key":"e_1_2_5_7_1","doi-asserted-by":"publisher","DOI":"10.1056\/NEJMp0908464"},{"key":"e_1_2_5_8_1","doi-asserted-by":"publisher","DOI":"10.1111\/bioe.13359"},{"key":"e_1_2_5_9_1","doi-asserted-by":"publisher","DOI":"10.1080\/23294515.2015.1021494"},{"key":"e_1_2_5_10_1","doi-asserted-by":"publisher","DOI":"10.1136\/emermed-2018-208084"},{"key":"e_1_2_5_11_1","unstructured":"Wasserman \u201cSlow Codes as Ethical Disobedience.\u201d"},{"key":"e_1_2_5_12_1","doi-asserted-by":"publisher","DOI":"10.1007\/s11606-009-0952-6"},{"key":"e_1_2_5_13_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jpainsymman.2020.12.001"},{"key":"e_1_2_5_14_1","doi-asserted-by":"publisher","DOI":"10.1080\/23294515.2019.1586008"},{"key":"e_1_2_5_15_1","volume-title":"Code of Ethics for Nurses","author":"American Nurses Association","year":"2025"},{"key":"e_1_2_5_16_1","unstructured":"L.Saad \u201cAmericans\u2019 Ratings of U.S. Professions Stay Historically Low \u201d Gallup January 13 2025 https:\/\/news.gallup.com\/poll\/655106\/americans-ratings-professions-stay-historically-low.aspx."},{"key":"e_1_2_5_17_1","doi-asserted-by":"publisher","DOI":"10.1111\/jan.12177"},{"key":"e_1_2_5_18_1","unstructured":"American Nurses Association Code of Ethics for Nurses."},{"key":"e_1_2_5_19_1","unstructured":"Epstein \u201cEnhancing Understanding of Moral Distress.\u201d"},{"key":"e_1_2_5_20_1","unstructured":"Andristet al. \u201cCracking the Code of the Slow Code.\u201d"},{"key":"e_1_2_5_21_1","doi-asserted-by":"publisher","DOI":"10.1111\/bioe.13399"},{"key":"e_1_2_5_22_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.apnr.2016.07.010"},{"key":"e_1_2_5_23_1","unstructured":"R.Sullivan \u201cHospital's Data Faulted in Care of Terminally Ill \u201dNew York Times March 21 1984."},{"key":"e_1_2_5_24_1","doi-asserted-by":"publisher","DOI":"10.1002\/cam4.3102"},{"key":"e_1_2_5_25_1","unstructured":"Mercurio \u201cFaking It.\u201d"}],"container-title":["Hastings Center Report"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/hast.70027","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1002\/hast.70027","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/hast.70027","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,4,29]],"date-time":"2026-04-29T15:17:04Z","timestamp":1777475824000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1002\/hast.70027"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,11]]},"references-count":25,"journal-issue":{"issue":"6","published-print":{"date-parts":[[2025,11]]}},"alternative-id":["10.1002\/hast.70027"],"URL":"https:\/\/doi.org\/10.1002\/hast.70027","archive":["Portico"],"relation":{},"ISSN":["0093-0334","1552-146X"],"issn-type":[{"value":"0093-0334","type":"print"},{"value":"1552-146X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,11]]},"assertion":[{"value":"2025-12-11","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}