Grasping the Nettle -- What to Do When Patients Withdraw Their Consent for Treatment: (A Clinical Perspective on the Case of Ms. B)
Journal of Medical Ethics 2002 August; 28(4): 236-237
Withdrawal of active treatment is common in medical practice, especially in critical care medicine. Usually, however, it involves patients who are unable to take part in the decision making process. As the case of Ms B shows, doctors are sometimes reluctant to withdraw active treatment when the patient is awake and requesting such a course of action. In theory, having a competent patient should facilitate clinical decision making, so where does the problem arise? It is argued that latent medical paternalism may come to the surface when doctors are asked by patients to follow a course of action which is in conflict with their own perspective.
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Aufklärung und Einwilligung zur Psychopharmakotherapie aus Sicht schizophrener und depressiver Patienten. Eine empirische Untersuchung aus der klinischen Medizinethik / Patients' perspective on the quality of informed consent into psychopharmacological treatment in schizophrenia and depression. An empirical study in clinical ethics Schildmann, J.; Bauer, A.; Tilmann, Amely; Vollmann, J. (2003-05)
The Legal Status of Consent Obtained From Families of Adult Patients to Withhold or Withdraw Treatment Areen, Judith (1987-07-10)A review is provided of (1) state legislation on living wills and advance directives and (2) state court decisions and legislation authorizing family members to make the decision to withhold or withdraw life-sustaining treatment ...