Taking Advance Directives Seriously

Taking Advance Directives Seriously

by Robert S. Olick
     
 

ISBN-10: 0878408681

ISBN-13: 9780878408689

Pub. Date: 07/18/2001

Publisher: Georgetown University Press

In the quarter century since the landmark Karen Ann Quinlan case, an ethical, legal, and societal consensus supporting patients' rights to refuse life-sustaining treatment has become a cornerstone of bioethics. Patients now legally can write advance directives to govern their treatment decisions at a time of future incapacity, yet in clinical practice their wishes

Overview

In the quarter century since the landmark Karen Ann Quinlan case, an ethical, legal, and societal consensus supporting patients' rights to refuse life-sustaining treatment has become a cornerstone of bioethics. Patients now legally can write advance directives to govern their treatment decisions at a time of future incapacity, yet in clinical practice their wishes often are ignored.

Examining the tension between incompetent patients' prior wishes and their current best interests as well as other challenges to advance directives, Robert S. Olick offers a comprehensive argument for favoring advance instructions during the dying process. He clarifies widespread confusion about the moral and legal weight of advance directives, and he prescribes changes in law, policy, and practice that would not only ensure that directives count in the care of the dying but also would define narrow instances when directives should not be followed. Olick also presents and develops an original theory of prospective autonomy that recasts and strengthens patient and family control.

While focusing largely on philosophical issues the book devotes substantial attention to legal and policy questions and includes case studies throughout. An important resource for medical ethicists, lawyers, physicians, nurses, health care professionals, and patients' rights advocates, it champions the practical, ethical, and humane duty of taking advance directives seriously where it matters most-at the bedside of dying patients.

Product Details

ISBN-13:
9780878408689
Publisher:
Georgetown University Press
Publication date:
07/18/2001
Pages:
252
Product dimensions:
0.69(w) x 6.00(h) x 9.00(d)

Table of Contents

PrefaceAcknowledgments

Introduction

1. The Place of Prospective Autonomy in Deciding for Incompetent Patients

2. The Ethical Foundations of Prospective Autonomy

3. Prospective Decisional Autonomy

4. The Problem of Personal Identity

5. Respecting Advance Directives: Putting Theory into Practice

Conclusion

Index

Customer Reviews

Average Review:

Write a Review

and post it to your social network

     

Most Helpful Customer Reviews

See all customer reviews >