Family Dynamics and Surrogate Decision-Making  

Oleh:

Lehmann, Lisa Soleymani

Jenis: Article from Books - E-Book
Dalam koleksi: Guidance for Healthcare Ethics Committees, page 63-70.
Topik: Surrogate Decision-Making; Identifying a Surrogate; Reliability of Surrogate/Empirical Evidence; Managing Conflict; Synthetic Judgment
Fulltext: Family Dynamics and Surrogate Decision-Making.pdf (146.27KB)

Isi artikel

The vast majority of critically ill adults do not have the capacity to make treatment decisions (Buchanan & Brock, 1989; Silveira et al., 2010). he practice of medicine, therefore, relies on healthcare agents that have been designated by a patient or surrogates to help make decisions for patients who are unable to speak for themselves. he ethical justiication for a designated healthcare agent or a surrogate decision-maker is based on two related claims. First, allpatients–eventhosewhoareunabletospeakforthemselves–havetherighttorefuse medical care. hus, a designated agent or surrogate is a way of supporting patient autonomy. Second, ideally a healthcare agent or surrogate is more likely to know the patient’s values and preferences and thus more likely to make decisions that are consistent with what the patient would have wanted. Despite the frequent claimthat family members have an intimate knowledge of patients’ values and can make decisions that closely mirror the decisions that patients would have made, the empirical evidence for this is lacking. Nevertheless, many claim that family members who have a unique attachment to the patient are most concerned with the patient’s welfare and thus well positioned to make decisions on behalf of a patient who cannot speak for him- or herself.

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