Document Detail


Medical decision-making for incapacitated elders: A "therapeutic interests" standard.
MedLine Citation:
PMID:  20884051     Owner:  NLM     Status:  In-Process    
Abstract/OtherAbstract:
Some older individuals lack sufficient present cognitive and/or emotional ability to make and express autonomous decisions personally. In those situations, health-care providers routinely turn to available formal or informal surrogates who often must apply the best interests standard in making decisions for the incapacitated person. This article contends that defining the best interests standard of surrogate decision-making for older adults in terms of optimal or ideal choices (truly the patient's "best" interests) frequently sets out an unrealizable goal for surrogates to satisfy. Instead, a decision-making standard based on the incapacitated person's "therapeutic" interests is more realistic and hence more honest to adopt and apply from legal, ethical, and medical perspectives.
Authors:
Marshall B Kapp
Publication Detail:
Type:  Journal Article     Date:  2010-09-29
Journal Detail:
Title:  International journal of law and psychiatry     Volume:  33     ISSN:  1873-6386     ISO Abbreviation:  Int J Law Psychiatry     Publication Date:    2010 Nov-Dec
Date Detail:
Created Date:  2010-11-22     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  7806862     Medline TA:  Int J Law Psychiatry     Country:  Netherlands    
Other Details:
Languages:  eng     Pagination:  369-74     Citation Subset:  IM    
Copyright Information:
Copyright © 2010 Elsevier Ltd. All rights reserved.
Affiliation:
Center for Innovative Collaboration in Medicine & Law, Florida State University, 1115 W Call St, Ste 2350-F, Tallahassee, FL 32306-4300, USA. marshall.kapp@med.fsu.edu
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