Graduate studies at Western
Bioethics 24 (3):145-152 (2010)
|Abstract||The paper examines the ethical and legal challenges of making decisions for previously competent patients and the role of advance directives and legal representatives in light of the Oviedo Convention. The paper identifies gaps in the Convention that result in conflicting instructions in cases of a disagreement between the expressed prior wishes of a patient, and the legal representative. The authors also examine the legal and moral status of informally expressed prior wishes of patients unable to consent. The authors argue that positivist legal reasoning is insufficient for a consistent interpretation of the relevant provisions of the Convention and argue that ethical argumentation is needed to provide guidance in such cases. Based on the ethical arguments, the authors propose a way of reconciling the apparent inconsistencies in the Oviedo Convention. They advance a culturally sensitive approach to the application of the Convention at the national level. This approach understands autonomy as a broader, relational consent and emphasizes the social and cultural embeddedness of the individual. Based on their approach, the authors argue that there exists a moral obligation to respect the prior wishes of the patient even in countries without advance directives. Yet it should be left to the national legislations to determine the extent of this obligation and its concrete forms.|
|Keywords||advance directives proxy for health care culture the Oviedo Convention patients unable to consent autonomy|
|Categories||categorize this paper)|
|Through your library||Configure|
Similar books and articles
Jukka Varelius (2011). Respect for Autonomy, Advance Directives, and Minimally Conscious State. Bioethics 25 (9):505-515.
J. Vollmann (2001). Advance Directives in Patients with Alzheimer's Disease; Ethical and Clinical Considerations. Medicine, Health Care and Philosophy 4 (2):161-167.
Edward Wierenga (1983). Proxy Consent and Counterfactual Wishes. Journal of Medicine and Philosophy 8 (4):405-416.
Renate G. Justin (1987). The Value History: A Necessary Family Document. Theoretical Medicine and Bioethics 8 (3).
David Shaw (2011). A Direct Advance on Advance Directives. Bioethics 26 (5):267-274.
Leslie Pickering Francis (1993). Advance Directives for Voluntary Euthanasia: A Volatile Combination? Journal of Medicine and Philosophy 18 (3):297-322.
Hiroaki Miyata, Hiromi Shiraishi & Ichiro Kai (2006). Survey of the General Public's Attitudes Toward Advance Directives in Japan: How to Respect Patients' Preferences. [REVIEW] BMC Medical Ethics 7 (1):1-9.
Tom Walker (2013). Respecting Autonomy Without Disclosing Information. Bioethics 27 (7):388-394.
Mark Bratton (2010). Anorexia, Welfare, and the Varieties of Autonomy: Judicial Rhetoric and the Law in Practice. Philosophy, Psychiatry, and Psychology 17 (2):159-162.
Added to index2010-02-02
Total downloads8 ( #131,747 of 723,010 )
Recent downloads (6 months)1 ( #61,087 of 723,010 )
How can I increase my downloads?