Book contents
- Guidance for Healthcare Ethics Committees
- Guidance for Healthcare Ethics Committees
- Copyright page
- Dedication
- Contents
- Contributors
- Preface
- Section 1 The Context of Healthcare Ethics Committee Work
- Section 2 Consultation
- Chapter 7 Ethics Consultation Mission, Vision, Goals, and Process
- Chapter 8 A Method of Consultation
- Chapter 9 Informed Consent
- Chapter 10 Confidentiality and Privacy
- Chapter 11 Decision-Making Capacity
- Chapter 12 Discharge Challenges
- Chapter 13 Surrogate Decision Making
- Chapter 14 Advance Care Planning and End-of-Life Decision-Making
- Chapter 15 Potentially Inappropriate Treatment and Medical Futility
- Chapter 16 Cognitive Dissonance and the Care of Patients with Disorders of Consciousness
- Chapter 17 Ethical Issues in Reproduction
- Chapter 18 Ethical Issues in Neonatology
- Chapter 19 Ethical Issues in Pediatrics
- Chapter 20 Neuroethics
- Chapter 21 Ethical Issues in Clinical Genetics
- Chapter 22 Challenging Issues in Surgical Ethics
- Chapter 23 Psychiatric Ethics
- Section 3 Policy Development and Organizational Issues
- Index
- References
Chapter 14 - Advance Care Planning and End-of-Life Decision-Making
from Section 2 - Consultation
Published online by Cambridge University Press: 17 February 2022
- Guidance for Healthcare Ethics Committees
- Guidance for Healthcare Ethics Committees
- Copyright page
- Dedication
- Contents
- Contributors
- Preface
- Section 1 The Context of Healthcare Ethics Committee Work
- Section 2 Consultation
- Chapter 7 Ethics Consultation Mission, Vision, Goals, and Process
- Chapter 8 A Method of Consultation
- Chapter 9 Informed Consent
- Chapter 10 Confidentiality and Privacy
- Chapter 11 Decision-Making Capacity
- Chapter 12 Discharge Challenges
- Chapter 13 Surrogate Decision Making
- Chapter 14 Advance Care Planning and End-of-Life Decision-Making
- Chapter 15 Potentially Inappropriate Treatment and Medical Futility
- Chapter 16 Cognitive Dissonance and the Care of Patients with Disorders of Consciousness
- Chapter 17 Ethical Issues in Reproduction
- Chapter 18 Ethical Issues in Neonatology
- Chapter 19 Ethical Issues in Pediatrics
- Chapter 20 Neuroethics
- Chapter 21 Ethical Issues in Clinical Genetics
- Chapter 22 Challenging Issues in Surgical Ethics
- Chapter 23 Psychiatric Ethics
- Section 3 Policy Development and Organizational Issues
- Index
- References
Summary
Mrs. Wilson’s case exemplifies one kind of disagreement about treatment near the end of life that occurs frequently in hospitals and often prompts a request for ethics consultation. There are several reasons for the frequent resort to ethics consultation in these situations. The values at stake, including freedom from suffering and disability and prolongation of life, are significant. In addition, treatment choices are often complex, offering uncertain benefits and burdens. Finally, as the long, public, and bitter legal battle over the care of Terri Schiavo made clear, Americans hold strong and divergent views about which life-sustaining treatments should, and should not, be pursued (Gostin, 2005). In this chapter, we explain that advance care planning and attention to goals of care can prevent or ameliorate much uncertainty and conflict over treatment decisions near the end of life.
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- Guidance for Healthcare Ethics Committees , pp. 121 - 128Publisher: Cambridge University PressPrint publication year: 2022