In Whose Voice? Composing a Life Song Collaboratively
Aumann, Gretchen M.-E.
Cole, Thomas R.
Journal of Clinical Ethics. 1991 Spring; 2(1): 45-49.
A formerly competent person who is unable to speak for herself poses a poignant ethical dilemma for health-care providers. A fundamental principle in these circumstances is to pursue the course of action the patient would choose if she were able. Unfortunately, it is often unclear what the patient would want. Most people do not have living wills or advance directives. Nor have they discussed their preferences with family members, friends, or physicians. Frequently, family members or friends are not available to discuss the patient's medical preferences....Relying on formal ethical analysis or application of ethics principles can take us only so far. While trying to determine "What is the right thing to do?" we are really asking "What is the right thing
Advance Directives; Aged; Allowing to Die; Artificial Feeding; Case Studies; Communication; Competence; Decision Making; Dehumanization; Dementia; Ethical Analysis; Ethics; Family Members; Family Relationship; Friends; Health; Health Personnel; Life; Living Wills; Metaphor; Nursing Homes; Patient Care; Patient Care Team; Physical Restraint; Physicians; Professional Patient Relationship; Prolongation of Life; Social Interaction; Values; Wills;
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