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Problems of Surrogate Decision – Making 2nd Part – Presence of Mandatory Directive for Treatment


Authors: J. Kawalec
Authors‘ workplace: Ústav pro humanitní studia v lékařství 1. LF UK, Praha
Published in: Čas. Lék. čes. 2008; 147: 144-147
Category: Review Article

Overview

Recently, due to the progress of modern medicine, physicians get into situation when the patient is unable to decide about his treatment, but the decision has to be done and moreover with all respect to fundamental principles of medical ethics. There are two principal questions: „How to make the decision?“ and „Who should make the decision“. The answer is more complicated and in this article I am trying to show some possible approaches.

Key words:
incompetent patient, advance directive, decision about treatment.


Sources

1. Brock, D. W.: Good Decisionmaking for Incompetent Patients. Hastings CenrerRepon. Special Supplement, 1994, 24, s. 8–11.

2. Ikonomidis, S.: Autonomy, liberalism and advance care planning; Joint Centre for Bioethics; Univerzity of Toronto, 1997, s. 6–12.

3. McIntyre, K. M.: On Advancing Advance Directives: Why Should We Believe the Promise? Archives of internal Medicine, 1992, 155, s. 2271–2273.

4. Ikonomidis, S.: Autonomy, liberalism and advance care planning; Joint Centre for Bioethics; Univerzity of Toronto, 1997, s. 6; Beauchamp, T. L., Childress, J. F.: Principles of biomedical ethics; fifht edition; Oxford University press 2001, s. 152.

5. Thomas, A. M.: Some Reflections on Advance Directives. APA Newsletters, 1998, 98.

6. Veverka, V., Boguszak, Čapek, J.: Základy teorie práva a právní filozofie. Praha, Codex 1996, 1. vyd., s. 128–132.

7. Thomas, A. M.: Some Reflections on Advance Directives. Newsletter on Philosophy and Medicine, APA Newsletters, Volume 98, Number 1 (Fall, 1998).

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