Dementia and the Advance Directive - Lessons from the Bedside
von: Marcia Sokolowski
Springer-Verlag, 2018
ISBN: 9783319720838
Sprache: Englisch
147 Seiten, Download: 1254 KB
Format: PDF, auch als Online-Lesen
geeignet für:
| Disclaimer | 5 | ||
| Preface | 6 | ||
| Acknowledgements | 8 | ||
| Contents | 9 | ||
| Chapter 1: Introduction | 11 | ||
| Setting the Stage | 11 | ||
| The Advance Directive | 13 | ||
| Alzheimer’s Dementia | 16 | ||
| Autonomy | 17 | ||
| Informed Consent | 19 | ||
| Precedent Autonomy | 21 | ||
| Substitute Decision-Making | 23 | ||
| Personhood | 24 | ||
| Sources | 25 | ||
| Chapter 2: Mr. Black | 27 | ||
| Mr. Black | 27 | ||
| Discussion and Analyses | 29 | ||
| Why Did This Case Present Little, If Any, Moral Distress or Ethical Concern? | 29 | ||
| So Whose View Is “Right?” | 33 | ||
| Further Issues with Mr. Black’s Case | 36 | ||
| Concluding Remarks | 51 | ||
| Sources | 54 | ||
| Chapter 3: Mrs. Black | 55 | ||
| Mrs. Black | 55 | ||
| Discussion and Analyses | 59 | ||
| Did Mrs. Black’s Advance Directive Meet the Criteria of Informed Consent? | 60 | ||
| In What Way Is Mrs. Black’s “Happiness” Relevant? | 64 | ||
| What Should We Do Given That The Post-Dementia Wishes, Values or Interests of Mrs. Black Seemed to Conflict with Those of Her Advance Directive? | 64 | ||
| Additional Issues | 76 | ||
| Standards of Disclosure | 76 | ||
| The Context of Long-Term Care | 78 | ||
| Is the Advance Directive Even Relevant? | 80 | ||
| Concluding Remarks | 83 | ||
| Sources | 91 | ||
| Chapter 4: Mr. White | 94 | ||
| Mr. White | 94 | ||
| Discussion and Analyses | 98 | ||
| Did Mr. White’s Advance Directive Meet The Criteria of Informed Consent? | 98 | ||
| Was Mr. White capable to make an informed decision regarding the feeding tube treatment? | 101 | ||
| Additional Ethical Issues | 110 | ||
| Given this scenario, would the physician’s pursuant actions have been morally justifiable? | 111 | ||
| What would have happened if Mr. White’s current wishes were considered incapable? | 116 | ||
| Is a feeding tube a heroic measure and/or an intervention that defies a death with dignity? | 117 | ||
| Did the SDM contribute value to the advance directive in this case? Does it more generally? | 119 | ||
| Concluding Remarks | 126 | ||
| Sources | 129 | ||
| Chapter 5: Conclusions | 131 | ||
| Source | 135 | ||
| Chapter 6: Recommendations | 136 | ||
| Clinical Recommendations | 136 | ||
| Policy Recommendations | 138 | ||
| Appendix | 139 | ||
| Ontario’s Health Care Consent Act, 1996 | 139 | ||
| Purposes | 139 | ||
| Consent to Treatment | 140 | ||
| No Treatment Without Consent | 140 | ||
| Elements of Consent | 140 | ||
| Informed Consent | 140 | ||
| Same | 141 | ||
| Capacity | 141 | ||
| Capacity Depends on Treatment | 141 | ||
| Capacity Depends on Time | 141 | ||
| Principles for Giving or Refusing Consent | 141 | ||
| Best Interests | 142 | ||
| Index | 143 |