There's Nothing New in Dying Now: Will Welfare Attorney Decision Making at End of Life Make a Real Difference?

被引:4
|
作者
Samanta, Jo [1 ]
机构
[1] De Montfort Univ, Leicester De Montfort Law Sch, Leicester LE1 9BH, Leics, England
关键词
ADVANCE DIRECTIVES;
D O I
10.1111/j.1467-6478.2012.00580.x
中图分类号
D9 [法律]; DF [法律];
学科分类号
0301 ;
摘要
Advance care planning is a way to express value-based preferences in order to guide future treatment decisions following loss of decision-making capacity. It aims to ensure that one's critical values continue to influence healthcare decisions, particularly at end of life. The Mental Capacity Act 2005 permits adults with capacity to appoint welfare attorneys to act as their proxy decision-makers following loss of capacity. A focus group study was used to explore the views and perceptions of lawyers and health professionals to attorney decision making at end of life. Whilst participants gave a guarded welcome to the introduction of healthcare and welfare attorneys, potential challenges were identified, based upon professional norms and expectations. A shared consensus was that the realization of the full potential of proxy decision making was likely to be a theoretical, rather than real, benefit. Opinions were divided on elemental tenets such as prospective autonomy, best interests, and the potential for conflict.
引用
收藏
页码:241 / 268
页数:28
相关论文
共 50 条
  • [41] Recognizing the Dying Patient, When Less Could be More: A Diagnostic Framework for Shared Decision-Making at the End of Life
    Kalsi, Dilraj
    Ward, Joel
    Lee, Regent
    Wee, Bee
    Fulford, Kenneth W. M.
    Handa, Ashok
    JOURNAL OF PATIENT EXPERIENCE, 2020, 7 (04): : 621 - 628
  • [42] End-of-life decision making on patients dying from cancer - an empirical-ethical analysis of decision making about treatment limitation amongst German physicians
    Dahmen, B. M.
    Vollmann, J.
    Schildmann, J.
    ONCOLOGY RESEARCH AND TREATMENT, 2016, 39 : 129 - 129
  • [43] Best interests, dementia, and end of life decision-making: the case of Mrs S
    McDougall, Rosalind
    MONASH BIOETHICS REVIEW, 2005, 24 (03) : 36 - 46
  • [44] Playing the ferryman: Psychiatry's role in end-of-life decision-making
    Ryan, Christopher J.
    AUSTRALIAN AND NEW ZEALAND JOURNAL OF PSYCHIATRY, 2012, 46 (10): : 932 - 935
  • [45] Review: A nurse's phenomenological enquiry into doctors' end-of-life decision making
    Finlayson, Catherine
    JOURNAL OF RESEARCH IN NURSING, 2016, 21 (02) : 94 - +
  • [46] Women's decision-making needs regarding place of care at end of life
    Murray, MA
    O'Connor, AM
    Fiset, V
    Viola, R
    JOURNAL OF PALLIATIVE CARE, 2003, 19 (03) : 176 - 184
  • [47] Islamic Theology's Contribution to Medical Decision Making in End-of-Life Care
    Paris, John J.
    Hawkins, Andrew
    AMERICAN JOURNAL OF BIOETHICS, 2015, 15 (01): : 17 - 18
  • [48] The nurse's role in end-of-life decision-making for patients and families
    Briggs, L
    Colvin, E
    GERIATRIC NURSING, 2002, 23 (06) : 302 - 310
  • [49] Preferred role in end of life decision making: Patients' and provider's perspectives.
    Heyland, DK
    Tranmer, JE
    CRITICAL CARE MEDICINE, 2000, 28 (12) : A108 - A108
  • [50] Analysing London's 'New East End' - How Can Social Science Make A Difference?
    Farrar, Max
    SOCIOLOGICAL RESEARCH ONLINE, 2009, 13 (05):