Includes bibliographical references and index.
|Statement||Cristiano Vezzoni ; with a foreword by John Griffiths.|
|LC Classifications||R726.2 .V48 2008|
|The Physical Object|
|LC Control Number||2008028675|
Table of Contents for Advance treatment directives and autonomy for incompetent patients: an international comparative survey of law and practice, with special attention to the Netherlands / Cristiano Vezzoni ; with a foreword by John Griffiths, available from the Library of Congress. and the Ethics of Advance Directives that, in the event of becoming incompetent, patients retain the right of compe-tent patients to refuse treatment including life-saving measures. However, the justification of the Dresser-Robertson thesis rests on doubtful by: 3. A dvance directives occupy an important place in the debate about the limits of patient autonomy, the right to refuse life–saving medical treatment and euthanasia. In February , the House of Lords Select Committee on Medical Ethics strongly endorsed the use of advance directives as a way of enabling patients to express in advance their individual preferences and priorities for medical Cited by: 3. Although advance directives are widely believed to be a key way to safeguard the autonomy of incompetent medical patients, significant questions exist about their moral authority.
Abstract. Advance directives frequently demand a certain degree of interpretation by the responsible physician or healthcare team. In implementing advance directives, healthcare professionals find themselves in an area of conflict between respect for autonomy. The patient's relatives and carers may well feel that following an advance directive may not be in the best interests of the patient. 7 The tension that arises between the beneficent concerns of these interested third parties and the patient's autonomy is reflected in the arguments that are sometimes raised against advance directives. It may. Advance Directives and Substituted Judgment are best suited for the contexts for which they were first developed in the law — conditions involving loss of consciousness such as persistent vegetative state — where the patient in the current incompetent state cannot have interests potentially different from the interests of the person he used. Advance directives, whether oral or written, advisory or a formal statutory document, are tools that give patients of all ages and health status the opportunity to express their values, goals for care, and treatment preferences to guide future decisions about health care.
Arguably, following advance directives provides the best means of respecting the patient’s wishes and preserving autonomy when the patient no longer has decision-making capacity. Most patients ( percent in one survey) expect their wishes to be carried out in the event that they cannot make decisions for themselves . What are Psychiatric Advance Directives? A psychiatric or mental health advance directive (PAD) is a legal tool that allows a person with mental illness to state their preferences for treatment in advance of a crisis. They can serve as a way to protect a person’s autonomy and ability to self-direct care. For incompetent patients who have made no advance directive, the family ordinarily makes decisions about medical treatments. But in many healthcare facilities, problems arise in choosing a surrogate to make decisions for an incompetent patient and in working with that surrogate. Concrete, step-by-step procedures for resolving conflict are needed. ‘ The Best Interests of Incompetent Patients: The Capacity for Interpersonal Relationships as a Standard for Decisionmaking ’ () 76 California Law Review Callahan, D., ‘ Terminating Life-Sustaining Treatment of the Demented ’ () 25 Hastings Center Report