Refusing Life-Sustaining Treatment After Catastrophic Injury: Ethical Implications
Journal of Law, Medicine and Ethics. 1996 Spring; 24(1): 54-61.
...We review a complex case that highlights the difficulty in evaluating capacity to refuse life-sustaining treatments in the rehabilitation setting. As we shall see, the determination of this patient's capacity hinges on diverse factors, including depression, physician countertransference, and the ethos of disability and rehabilitation medicine. Although factors specific to the context of disability deserve careful examination in evaluations of capacity, we do not think, in this case or in general, that disabled patients should be held to a different standard of capacity than other patients.
Allowing to Die; Artificial Feeding; Assisted Suicide; Autonomy; Case Studies; Chronically Ill; Competence; Consultation; Decision Making; Disability; Ethicists; Food; Health; Health Personnel; Intention; Legal Aspects; Life; Medicine; Paralysis; Patients; Physician Patient Relationship; Referral and Consultation; Rehabilitation; Review; Social worth; Stigmatization; Suffering; Suicide; Treatment Refusal;
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Decisions to Abate Life-Sustaining Treatment for Nonautonomous Patients: Ethical Standards and Legal Liability for Physicians After Weir, Robert F.; Gostin, Larry (1990-10-10)The lives of hopelessly ill patients often are prolonged because physicians are uncertain of the legal consequences of discontinuing life-sustaining treatment, particularly when a patient lacks decision making capacity. ...