David Bourget (Western Ontario)
David Chalmers (ANU, NYU)
Rafael De Clercq
Ezio Di Nucci
Jack Alan Reynolds
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Theoretical Medicine and Bioethics 25 (4):367-386 (2004)
Standard views on surrogate decision making present alternative ideal models of what ideal surrogates should consider in rendering a decision. They do not, however, explain the physician''s responsibility to a patient who lacks decisional capacity or how a physician should regard surrogates and surrogate decisions. The authors argue that it is critical to recognize the moral difference between a patient''s decisions and a surrogate''s and the professional responsibilities implied by that distinction. In every case involving a patient who lacks decisional capacity, physicians and the treatment team have to make judgments about the appropriateness of both the surrogate and the surrogate''s decision. They have to assess the surrogate''s decisional capacity and attitude toward the patient as well as the reasons that support the surrogate''s decision. This paper provides a model for acceptable surrogate decisions and a standard for blocking inappropriate surrogates. Only decisions based on widely shared reasons are allowable for surrogate refusal of highly beneficial treatment.
|Keywords||assessment autonomy best interest decisional capacity decisions fiduciary responsibility professional responsibility reasonable person reasons substituted judgment surrogate|
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References found in this work BETA
Thomas Scanlon (1998). What We Owe to Each Other. Belknap Press of Harvard University Press.
Gerald Dworkin (1988). The Theory and Practice of Autonomy. Cambridge University Press.
Allen E. Buchanan (1989). Deciding for Others: The Ethics of Surrogate Decisionmaking. Cambridge University Press.
Bernard Gert (1997). Bioethics: A Return to Fundamentals. Oxford University Press.
L. M. Kopelman (1997). The Best-Interests Standard as Threshold, Ideal, and Standard of Reasonableness. Journal of Medicine and Philosophy 22 (3):271-289.
Citations of this work BETA
Rosamond Rhodes (2005). Rethinking Research Ethics. American Journal of Bioethics 5 (1):7 – 28.
Mike Collins (2009). Consent for Organ Retrieval Cannot Be Presumed. HEC Forum 21 (1):71-106.
Michael Nair-Collins (2015). Laying Futility to Rest. Journal of Medicine and Philosophy 40 (5):554-583.
Rosalind Mcdougall & Lauren Notini (2014). Overriding Parents’ Medical Decisions for Their Children: A Systematic Review of Normative Literature. Journal of Medical Ethics 40 (7):448-452.
Rosalind McDougall, Lauren Notini & Jessica Phillips (2015). Conflicts Between Parents and Health Professionals About a Child’s Medical Treatment: Using Clinical Ethics Records to Find Gaps in the Bioethics Literature. Journal of Bioethical Inquiry 12 (3):429-436.
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