The Theory and Practice of Surrogate Decision‐Making

Hastings Center Report 47 (1):29-31 (2017)
  Copy   BIBTEX

Abstract

When a patient lacks decision-making capacity and has not left a clear advance directive, there is now widespread agreement that patient-designated and next-of-kin surrogates should implement substituted judgment within a process of shared decision-making. Specifically, after discussing the “best scientific evidence available, as well as the patient's values, goals, and preferences” with the patient's clinicians, the patient-designated or next-of-kin surrogate should attempt to determine what decision the patient would have made in the circumstances. To the extent that this approach works, it seems to provide about as much respect for the autonomy of incapacitated patients as we could ask for. But, as articles in this issue of the Report by Jeffrey Berger and by Ellen Robinson and colleagues emphasize, reality presents challenges.

Links

PhilArchive



    Upload a copy of this work     Papers currently archived: 92,197

External links

Setup an account with your affiliations in order to access resources via your University's proxy server

Through your library

Similar books and articles

Love as a Regulative Ideal in Surrogate Decision Making.Erica Lucast Stonestreet - 2014 - Journal of Medicine and Philosophy 39 (5):523-542.
Dementia and dignity: Towards a new method of surrogate decision making.Elysa R. Koppelman - 2002 - Journal of Medicine and Philosophy 27 (1):65 – 85.
The Confucian bioethics of surrogate decision making: Its communitarian roots.Ruiping Fan - 2011 - Theoretical Medicine and Bioethics 32 (5):301-313.
Shared decision-making and patient autonomy.Lars Sandman & Christian Munthe - 2009 - Theoretical Medicine and Bioethics 30 (4):289-310.
Decisions and Authority.Gregory E. Kaebnick - 2017 - Hastings Center Report 47 (1):2-2.
Medical decision making: a physician's guide.Alan Schwartz - 2008 - New York: Cambridge University Press. Edited by George Bergus.
Physician-patient relations: No more models.Greg Clarke, Robert T. Hall & Greg Rosencrance - 2004 - American Journal of Bioethics 4 (2):16 – 19.

Analytics

Added to PP
2017-01-11

Downloads
41 (#390,173)

6 months
11 (#243,798)

Historical graph of downloads
How can I increase my downloads?