American Journal of Bioethics 16 (8):3-10 (2016)

Abstract
This article discusses the response of our ethics consultation service to an exceptional request by a patient to have his implantable cardioverter defibrillator removed. Despite assurances that the device had saved his life on at least two occasions, and cautions that without it he would almost certainly suffer a potentially lethal cardiac event within 2 years, the patient would not be swayed. Although the patient was judged to be competent, our protracted consultation process lasted more than 8 months as we consulted, argued with, and otherwise cajoled him to change his mind, all to no avail. Justifying our at times aggressive paternalistic intervention helped us to reflect on the nature of autonomy and the dynamics of the legal, moral, and personal relationships in the clinical decision-making process.
Keywords No keywords specified (fix it)
Categories (categorize this paper)
ISBN(s)
DOI 10.1080/15265161.2016.1187211
Options
Edit this record
Mark as duplicate
Export citation
Find it on Scholar
Request removal from index
Revision history

Download options

PhilArchive copy


Upload a copy of this paper     Check publisher's policy     Papers currently archived: 69,160
External links

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

Autonomy and Trust in Bioethics.Onora O'Neill - 2002 - Cambridge University Press.
Forced to Be Free? Increasing Patient Autonomy by Constraining It.Neil Levy - 2014 - Journal of Medical Ethics 40 (5):293-300.
The Tyranny of Principles.Stephen Toulmin - 1981 - Hastings Center Report 11 (6):31-39.

View all 10 references / Add more references

Citations of this work BETA

Implantable Devices Should Come With a Contract.Dena S. Davis - 2016 - American Journal of Bioethics 16 (8):23-25.

View all 12 citations / Add more citations

Similar books and articles

Relational Autonomy and the Social Dynamics of Paternalism.John Christman - 2014 - Ethical Theory and Moral Practice 17 (3):369-382.
Autonomy, Liberalism and Advance Care Planning.S. Ikonomidis & P. A. Singer - 1999 - Journal of Medical Ethics 25 (6):522-527.
Shared Decision-Making and Patient Autonomy.Lars Sandman & Christian Munthe - 2009 - Theoretical Medicine and Bioethics 30 (4):289-310.
A Case Report From Turkey.Merbrure Deger & Hanzade Dogan - 2001 - Eubios Journal of Asian and International Bioethics 11 (3):74-75.
The Irreducibly Clinical Character of Bioethics.Stephen Wear - 1991 - Journal of Medicine and Philosophy 16 (1):53-70.
Paternalism in the Name of Autonomy.Manne Sjöstrand, Stefan Eriksson, Niklas Juth & Gert Helgesson - 2013 - Journal of Medicine and Philosophy 38 (6):jht049.

Analytics

Added to PP index
2016-07-03

Total views
16 ( #662,839 of 2,499,277 )

Recent downloads (6 months)
2 ( #278,163 of 2,499,277 )

How can I increase my downloads?

Downloads

My notes