Decisions at the End of Life: Guided by Communities of Patients
Emanuel, Linda L.
Emanuel, Ezekiel J.
Hastings Center Report. 1993 Sep-Oct; 23(5): 6-14.
To guide treatment decisions for incompetent patients who have no advance directives, health care institutions should look to the preferences of their own communities of patients. That is the best way to ensure that incompetent patients' wishes will be followed....We propose another supplement to instructional directives and formal proxy designation that can help realize patient autonomy for those at risk of losing it, namely, have default guidelines based on a "local patient community medical directive" for incompetent patients with no advance directives.
Advance Directives; Allowing to Die; Alternatives; Attitudes; Autonomy; Common Good; Communication; Competence; Consensus; Consent; Decision Making; Dementia; Democracy; Dissent; Evaluation; Family Members; Family Relationship; Guidelines; Health; Health Care; Health Facilities; Informed Consent; Institutional Policies; Life; Living Wills; Managed Care Programs; Managed Care; Patient Care; Patient Care Team; Patient Participation; Patients; Prolongation of Life; Proxy; Public Participation; Resuscitation; Risk; Standards; Statistics; Survey; Treatment Refusal; Values; Ventilators; Withholding Treatment; Wills;
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Managing End-of-Life Care: Comparing the Experiences of Terminally Ill Patients in Managed Care and Fee for Service Slutsman, Julia; Emanuel, Linda L.; Fairclough, Diane; Bottorff, Debra; Emanuel, Ezekiel J. (2002-12)