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The Illusion of Patient Choice in End-of-Life Decisions
Over the past two decades a societal consensus has developed around the principle that decisions about life-sustaining treatment should be guided by patient self-determination. According to the President's Commission, ...
The PSDA: A Long-Term Care View
Conclusion: The PSDA [Patient Self-Determination Act] is a welcome development for nursing facilities, as well as residents and families. For years, many residents, families, and facilities have not confronted the issue of ...
An Outcomes Model of Medical Decision Making
In the traditional 'fix-it' model of medical decision making, the identified problem is typically characterized by a diagnosis that indicates a deviation from normalcy. When a medical problem is multifaceted and the available ...
Impact of the Cruzan Case on Medical Practice
...In this paper we will limit our focus to how the decision in Cruzan is likely to affect the doctor-patient relationship, especially in the critical activities surrounding decision-making about the use of life sustaining ...
The Authority of Families to Make Medical Decisions for Incompetent Patients After the Cruzan Decision
...I suggest that making formal, written plans based on individual preferences apart from our families is a white, middle-class approach to life planning that is at odds with how many people actually lead their lives, ...