When Danny said no! Refusal of treatment by a patient of questionable competence
Journal of Medical Humanities and Bioethics 6 (1):12-27 (1985)
| Abstract | The patient we call Danny was a mildly mentally retarded male in his mid-thirties who adamantly refused kidney dialysis when it was offered as the only therapeutic option for his progressive kidney failure. It was uncertain how fully Danny understood the implications of his refusal. To complicate the case still further, several advocates emerged to speak on Danny's behalf â each with a somewhat different interpretation of the situation and different sets of value presuppositions and ethical principles to apply to the choice. We chronicle the development of this situation through a series of scenes; and in each scene we also attempt to clarify the ethical and medico-legal issues involved at that point. Danny was finally permitted to make this decision for himself â though more by default than by an agreement by all parties to honor his autonomy. Our hope is that this presentation will lead to further discussion and clarification of these important issues | |||||||||
| Keywords | No keywords specified (fix it) | |||||||||
| Categories | ||||||||||
| Options |
|
|||||||||
Download options| PhilPapers Archive |
Upload a copy of this paper Check publisher's policy on self-archival Papers currently archived: 5,875 |
| External links |
 |
| Through your library | Configure |
Similar books and articlesAnne-Cathrine Naess, Reidun Foerde & Petter Andreas Steen (2001). Patient Autonomy in Emergency Medicine. Medicine, Health Care and Philosophy 4 (1):71-77.
Jillian Craigie (2011). Competence, Practical Rationality and What a Patient Values. Bioethics 25 (6):326-333.
Floris Tomasini (2010). A Broader Notion of Competent Decision Making in Respect to What Is in the Best Interests of Patients Affected by Anorexia. Philosophy, Psychiatry, and Psychology 17 (2):155-157.
William Glod (2010). Conditional Preferences and Refusal of Treatment. HEC Forum 22 (4):299-309.
Jos V. M. Welie & Sander P. K. Welie (2001). Patient Decision Making Competence: Outlines of a Conceptual Analysis. Medicine, Health Care and Philosophy 4 (2):127-138.
Simona Giordano (2010). Anorexia and Refusal of Life-Saving Treatment: The Moral Place of Competence, Suffering, and the Family. Philosophy, Psychiatry, and Psychology 17 (2):143-154.
Danny D. Steinberg (1976). Competence, Performance and the Psychological Invalidity of Chomsky's Grammar. Synthese 32 (3-4):373 - 386.
Margaret P. Battin (1985). Non-Patient Decision-Making in Medicine: The Eclipse of Altruism. Journal of Medicine and Philosophy 10 (1):19-44.
Zuzana Deans (2013). Conscientious Objections in Pharmacy Practice in Great Britain. Bioethics 27 (1):48-57.
Gentian Vyshka & Jera Kruja (2011). Inapplicability of Advance Directives in a Paternalistic Setting: The Case of a Post-Communist Health System. BMC Medical Ethics 12 (1):12-.
Kristine Bærøe (2010). Patient Autonomy, Assessment of Competence and Surrogate Decision-Making: A Call for Reasonableness in Deciding for Others. Bioethics 24 (2):87-95.
William H. Bruening (1992). Autonomy and Futility. HEC Forum 4 (5):305-313.
Haavi Morreim (1983). Three Concepts of Patient Competence. Theoretical Medicine and Bioethics 4 (3).
Analytics
Monthly downloads |
Added to index2010-08-30Total downloads6 ( #147,054 of 556,837 )Recent downloads (6 months)0How can I increase my downloads? |
My notes
Discussion
