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

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.
Keywords No keywords specified (fix it)
Categories (categorize this paper)
DOI 10.1002/hast.671
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: 65,657
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

Add more references

Citations of this work BETA

Add more citations

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.
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 index
2017-01-11

Total views
25 ( #443,668 of 2,462,339 )

Recent downloads (6 months)
1 ( #449,321 of 2,462,339 )

How can I increase my downloads?

Downloads

My notes