David Bourget (Western Ontario)
David Chalmers (ANU, NYU)
Rafael De Clercq
Ezio Di Nucci
Jack Alan Reynolds
Learn more about PhilPapers
Medicine, Health Care and Philosophy 4 (1):71-77 (2001)
Theoretical models for patient-physician communication in clinical practice are frequently described in the literature. Respecting patient autonomy is an ethical problem the physician faces in a medical emergency situation. No theoretical physician-patient model seems to be ideal for solving the communication problem in clinical practice. Theoretical models can at best give guidance to behavior and judgement in emergency situations. In this article the premises of autonomous treatment decisions are discussed. Based on a case-report we discuss different genuine efforts the physician can do to uncover treatment refusal and respect patient autonomy in an emergency situation. Autonomy requires competence and in emergency medicine time does not allow intimate exploration of patient competence and reasons for treatment refusal. We find that the physician must base her decision on a firm theoretical base combined with a practical and realistic view of the patient's situation on a case to case basis
|Keywords||ethics mental competence physician integrity physician-patient relationship respect for autonomy treatment refusal|
|Categories||categorize this paper)|
Setup an account with your affiliations in order to access resources via your University's proxy server
Configure custom proxy (use this if your affiliation does not provide a proxy)
|Through your library|
References found in this work BETA
No references found.
Citations of this work BETA
Per Nortvedt (2003). Immersed Subjectivity and Engaged Narratives: Clinical Epistemology and Normative Intricacy. Nursing Philosophy 4 (2):129-136.
Agata Wnukiewicz-Kozłowska (2007). The Admissibility of Research in Emergency Medicine. Science and Engineering Ethics 13 (3):315-332.
Similar books and articles
Christina M. van Der Feltz-Cornelis (2002). The Impact of Factitious Disorder on the Physician-Patient Relationship. An Epistemological Model. Medicine, Health Care and Philosophy 5 (3):253-261.
David Gary Smith & Lisa H. Newton (1984). Physician and Patient: Respect for Mutuality. Theoretical Medicine and Bioethics 5 (1).
Erich H. Loewy (2005). In Defense of Paternalism. Theoretical Medicine and Bioethics 26 (6):445-468.
Franklin G. Miller (1993). The Concept of Medically Indicated Treatment. Journal of Medicine and Philosophy 18 (1):91-98.
Gene H. Stollerman (1984). Promoting Patient Autonomy: Looking Back. Theoretical Medicine and Bioethics 5 (1).
Richard T. Hull (1985). Informed Consent: Patient's Right or Patient's Duty? Journal of Medicine and Philosophy 10 (2):183-198.
Gary B. Weiss (1984). Patient Truthfulness: A Test of Models of the Physician-Patient Relationship. Journal of Medicine and Philosophy 9 (4):353-372.
Nelly Tsouyopoulos (1994). Postmodernist Theory and the Physician-Patient Relationship. Theoretical Medicine and Bioethics 15 (3).
Harry H. Gordon (1983). The Doctor–Patient Relationship. Journal of Medicine and Philosophy 8 (3):243-256.
Mark Yarborough (1986). Patients and Profits. Theoretical Medicine and Bioethics 7 (1).
Lars Sandman & Christian Munthe (2009). Shared Decision-Making and Patient Autonomy. Theoretical Medicine and Bioethics 30 (4):289-310.
Jos V. M. Welie & Sander P. K. Welie (2001). Patient Decision Making Competence: Outlines of a Conceptual Analysis. [REVIEW] Medicine, Health Care and Philosophy 4 (2):127-138.
Rosamond Rhodes & Ian Holzman (2004). The Not Unreasonable Standard for Assessment of Surrogates and Surrogate Decisions. Theoretical Medicine and Bioethics 25 (4):367-386.
Beverly Woodward (2001). Confidentiality, Consent and Autonomy in the Physician-Patient Relationship. Health Care Analysis 9 (3):337-351.
Diane M. Plantz (2011). Cynicism, with Consequences. Hastings Center Report 41 (2):12-13.
Added to index2010-08-31
Total downloads16 ( #225,773 of 1,902,168 )
Recent downloads (6 months)1 ( #466,168 of 1,902,168 )
How can I increase my downloads?