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Dementia and the Advance Directive - Lessons from the Bedside
von: Marcia Sokolowski
Springer-Verlag, 2018
ISBN: 9783319720838 , 147 Seiten
Format: PDF, Online Lesen
Kopierschutz: Wasserzeichen
Preis: 96,29 EUR
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Disclaimer
5
Preface
6
Acknowledgements
8
Contents
9
Chapter 1: Introduction
11
Setting the Stage
11
The Advance Directive
13
Alzheimer’s Dementia
16
Autonomy
17
Informed Consent
19
Precedent Autonomy
21
Substitute Decision-Making
23
Personhood
24
Sources
25
Chapter 2: Mr. Black
27
Mr. Black
27
Discussion and Analyses
29
Why Did This Case Present Little, If Any, Moral Distress or Ethical Concern?
29
So Whose View Is “Right?”
33
Further Issues with Mr. Black’s Case
36
Concluding Remarks
51
Sources
54
Chapter 3: Mrs. Black
55
Mrs. Black
55
Discussion and Analyses
59
Did Mrs. Black’s Advance Directive Meet the Criteria of Informed Consent?
60
In What Way Is Mrs. Black’s “Happiness” Relevant?
64
What Should We Do Given That The Post-Dementia Wishes, Values or Interests of Mrs. Black Seemed to Conflict with Those of Her Advance Directive?
64
Additional Issues
76
Standards of Disclosure
76
The Context of Long-Term Care
78
Is the Advance Directive Even Relevant?
80
Concluding Remarks
83
Sources
91
Chapter 4: Mr. White
94
Mr. White
94
Discussion and Analyses
98
Did Mr. White’s Advance Directive Meet The Criteria of Informed Consent?
98
Was Mr. White capable to make an informed decision regarding the feeding tube treatment?
101
Additional Ethical Issues
110
Given this scenario, would the physician’s pursuant actions have been morally justifiable?
111
What would have happened if Mr. White’s current wishes were considered incapable?
116
Is a feeding tube a heroic measure and/or an intervention that defies a death with dignity?
117
Did the SDM contribute value to the advance directive in this case? Does it more generally?
119
Concluding Remarks
126
Sources
129
Chapter 5: Conclusions
131
Source
135
Chapter 6: Recommendations
136
Clinical Recommendations
136
Policy Recommendations
138
Appendix
139
Ontario’s Health Care Consent Act, 1996
139
Purposes
139
Consent to Treatment
140
No Treatment Without Consent
140
Elements of Consent
140
Informed Consent
140
Same
141
Capacity
141
Capacity Depends on Treatment
141
Capacity Depends on Time
141
Principles for Giving or Refusing Consent
141
Best Interests
142
Index
143