Taking advance directives seriously: prospective autonomy and decisions near the end of life
Gespeichert in:
| 1. Verfasser: | |
|---|---|
| Format: | Buch |
| Sprache: | English |
| Veröffentlicht: |
Washington, D.C.
Georgetown Univ. Press
2001
|
| Schlagworte: | |
| Online-Zugang: | Inhaltsverzeichnis |
| Beschreibung: | XIX, 228 S. |
| ISBN: | 0878408681 |
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Datensatz im Suchindex
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|---|---|
| adam_text | Contents Preface ix
Acknowledgments xi
Introduction xiii
Chapter One: The Place of Prospective Autonomy
in Deciding for Incompetent Patients 1
Introduction 1
The Quintan Legacy 2
The Trial Court 3
The New Jersey Supreme Court s Decision 4
The Right to Refuse Treatment 4
The Substituted Judgment Standard 5
Guidelines for Decision Making 7
Emergence of a Judicial Consensus 9
The Right to Refuse Treatment 9
Equating the Rights of Competent and
Incompetent Patients 13
Substituted Judgment and the Evidentiary
Standard 14
Process and Review 18
CruzflH Case 18
The Assisted Suicide Cases 20
Legislatures Respond: The Proliferation of
Advance Directive Laws 21
An Overview of State Statutes 21
v
vi Taking Advance Directives Seriously
The Patient Self Determination Act 25
Should Advance Directives Always
Be Followed? 26
Conclusion 29
Notes 31
Chapter Two: The Ethical Foundations of
Prospective Autonomy 45
Introduction 45
Autonomy, Integrity, and Our Critical Interests 47
The Autonomous Pursuit of Interests 47
Critical Interests, Character, and Integrity 50
The Pursuit of Death with Dignity
and Respect for Autonomy 53
The Pursuit of Death with Dignity 53
Respect for Autonomy 55
Experiential and Surviving Interests 57
The Current Interests Alternative 57
Surviving Interests and Harm 59
Respect for Persons 62
Posthumous Harm and Interests that
Survive Death 63
Testamentary Wills 65
Death Rituals (Funerals and Burial) 67
Conclusion 68
Notes 68
Chapter Three: Prospective Decisional Autonomy 77
Introduction 77
Autonomy as Intentionality:
Action Willed in Accordance with a Plan 81
Autonomy as Integrity:
The Idea of Reflective Acceptance 85
1
Contents vii
Intentionality, Integrity, and
Respect for Autonomy 88
The Problem of infinite Regress 88
Respecting the Treatment Choices of
Ordinary Persons 90
Opening the Gates to Physician Paternalism 91
Case Scenario: A Recent Conversion 93
What Makes an Advance Directive Effective? 97
Instructions for Future Care (The Living Will) 98
An Outcome Oriented Understanding
(The Common Sense View) 99
Putting a Premium on Specificity
(The Reactionary View) 103
Appointing a Proxy 107
Summary: Effective Advance Directives 110
Conclusion 111
Notes 112
Chapter Four: The Problem of Personal Identity 127
Introduction 127
The Argument from Personal Identity 130
Statement of the Argument 130
Psychological Continuity and Personal Identity 131
How Strong Must Psychological
Connectedness/Continuity Be? 133
Moral Objections to the Discontinuity Thesis 136
A Paradigm Scenario 136
On the Unity of a Life 139
The Newly Dead 142
Treatment of New Persons:
Surviving Interests and Obligations 145
Treating New Persons as Persons 147
Permanently Unconscious Nonpersons 149
Conclusion 151
Notes 151
viii Taking Advance Directives Seriously
Chapter Five: Respecting Advance Directives:
Putting Theory into Practice 161
Introduction 161
Toward an Ethic of Judgment 163
Challenging an Advance Directive
Process and Procedure 167
Changing Incentives, Changing Behavior 167
Substantive Grounds for Overriding
an Advance Directive 170
Hopeless Ambiguity 170
Radical Change in Circumstances 172
The Rebel Proxy 174
Process and Review 176
The Burden of Persuasion:
Who Should Take the Next Step? 176
Mandating Accountability:
Ethics Committees and Courts 178
Some Objections and Responses 181
Case Scenarios at the Edges 185
Scenario One: An Ambiguous
Instruction Directive? 185
Scenario Two: Apparent Inconsistency in the
Patient s Wishes 188
Specificity of Prior Statements 189
The Ethics Committee s Role 189
Handling Family Discord 190
Contemporaneous Expressions
in Favor of Life 190
Scenario Three: The Proxy Who Can t Let Go 194
Conclusion 197
Notes 198
Conclusion 211
Index 217
|
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| spelling | Olick, Robert S. Verfasser aut Taking advance directives seriously prospective autonomy and decisions near the end of life Robert S. Olick Washington, D.C. Georgetown Univ. Press 2001 XIX, 228 S. txt rdacontent n rdamedia nc rdacarrier Consentement éclairé (Droit médical) - États-Unis Droit à la mort - Droit - États-Unis Malades en phase terminale - Droit - États-Unis Recht Advance Directive Adherence United States Case Reports Advance Directives legislation & jurisprudence United States Case Reports Ethics, Medical United States Case Reports Informed consent (Medical law) United States Personal Autonomy United States Case Reports Right to die Law and legislation United States Terminally ill Legal status, laws, etc. United States Selbstbestimmung (DE-588)4135889-2 gnd rswk-swf Lebensverlängerung (DE-588)4167056-5 gnd rswk-swf Patient (DE-588)4044903-8 gnd rswk-swf Unheilbarkeit (DE-588)4201691-5 gnd rswk-swf USA Unheilbarkeit (DE-588)4201691-5 s Lebensverlängerung (DE-588)4167056-5 s Patient (DE-588)4044903-8 s Selbstbestimmung (DE-588)4135889-2 s DE-604 HBZ Datenaustausch application/pdf http://bvbr.bib-bvb.de:8991/F?func=service&doc_library=BVB01&local_base=BVB01&doc_number=009618448&sequence=000002&line_number=0001&func_code=DB_RECORDS&service_type=MEDIA Inhaltsverzeichnis |
| spellingShingle | Olick, Robert S. Taking advance directives seriously prospective autonomy and decisions near the end of life Consentement éclairé (Droit médical) - États-Unis Droit à la mort - Droit - États-Unis Malades en phase terminale - Droit - États-Unis Recht Advance Directive Adherence United States Case Reports Advance Directives legislation & jurisprudence United States Case Reports Ethics, Medical United States Case Reports Informed consent (Medical law) United States Personal Autonomy United States Case Reports Right to die Law and legislation United States Terminally ill Legal status, laws, etc. United States Selbstbestimmung (DE-588)4135889-2 gnd Lebensverlängerung (DE-588)4167056-5 gnd Patient (DE-588)4044903-8 gnd Unheilbarkeit (DE-588)4201691-5 gnd |
| subject_GND | (DE-588)4135889-2 (DE-588)4167056-5 (DE-588)4044903-8 (DE-588)4201691-5 |
| title | Taking advance directives seriously prospective autonomy and decisions near the end of life |
| title_auth | Taking advance directives seriously prospective autonomy and decisions near the end of life |
| title_exact_search | Taking advance directives seriously prospective autonomy and decisions near the end of life |
| title_full | Taking advance directives seriously prospective autonomy and decisions near the end of life Robert S. Olick |
| title_fullStr | Taking advance directives seriously prospective autonomy and decisions near the end of life Robert S. Olick |
| title_full_unstemmed | Taking advance directives seriously prospective autonomy and decisions near the end of life Robert S. Olick |
| title_short | Taking advance directives seriously |
| title_sort | taking advance directives seriously prospective autonomy and decisions near the end of life |
| title_sub | prospective autonomy and decisions near the end of life |
| topic | Consentement éclairé (Droit médical) - États-Unis Droit à la mort - Droit - États-Unis Malades en phase terminale - Droit - États-Unis Recht Advance Directive Adherence United States Case Reports Advance Directives legislation & jurisprudence United States Case Reports Ethics, Medical United States Case Reports Informed consent (Medical law) United States Personal Autonomy United States Case Reports Right to die Law and legislation United States Terminally ill Legal status, laws, etc. United States Selbstbestimmung (DE-588)4135889-2 gnd Lebensverlängerung (DE-588)4167056-5 gnd Patient (DE-588)4044903-8 gnd Unheilbarkeit (DE-588)4201691-5 gnd |
| topic_facet | Consentement éclairé (Droit médical) - États-Unis Droit à la mort - Droit - États-Unis Malades en phase terminale - Droit - États-Unis Recht Advance Directive Adherence United States Case Reports Advance Directives legislation & jurisprudence United States Case Reports Ethics, Medical United States Case Reports Informed consent (Medical law) United States Personal Autonomy United States Case Reports Right to die Law and legislation United States Terminally ill Legal status, laws, etc. United States Selbstbestimmung Lebensverlängerung Patient Unheilbarkeit USA |
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