EXPLORING THE LIMITS OF AUTONOMY

被引：4

作者：

Shuman, Andrew G. ^{[2
]}

Barnosky, Andrew R. ^{[1
,2
,3
]}

机构：

[1] Univ Michigan, Sch Med, Taubman Hlth Care Ctr, Ann Arbor, MI 48109 USA

[2] Univ Michigan, Med Ctr, Adult Eth Comm, Ann Arbor, MI USA

[3] Univ Michigan, Med Ctr, Dept Emergency Med, Ann Arbor, MI USA

来源：

JOURNAL OF EMERGENCY MEDICINE | 2011年 / 40卷 / 02期

关键词：

autonomy; physician-patient relationship; epidural hematoma; INFORMED-CONSENT; CAPACITY; EMERGENCY;

D O I：

10.1016/j.jemermed.2009.02.029

中图分类号：

R4 [临床医学];

学科分类号：

1002 ; 100602 ;

摘要：

Background: The ethical principle of autonomy is explored as it applies to situations in which patients' capacities to make decisions are questionable. Case Report: A 40-year-old man presented to the Emergency Department with an epidural hematoma, and refused to undergo emergent surgical treatment. Considering the acutely life-threatening nature of his problem and the inability to confirm the patient's capacity in the presence of a traumatic brain injury, the decision was made to proceed with emergent surgical treatment without consent. Discussion: The concept of conditional autonomy is introduced, defined, and employed to defend the process whereby a select group of patients may be treated without full knowledge of their wishes. (C) 2011 Elsevier

引用

页码：229 / 232

页数：4

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