HLSC 3710U Lecture Notes - Lecture 6: Neural Tube Defect, Lifesaving, Amniocentesis
26 Feb 2020
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Lack of information pertaining to the decision. Lack of understanding pertaining to the decision, especially for complex medical situations. Feelings of anxiety, guilt, depression, and denial. Suffering of pain or confusion caused by medications. Substituted judgement surrogate decision-maker or healthcare professional decides for non-competent patient based on patient"s desires. Proxy directive legal document in which competent patient designates a person to make decisions when patient is no longer competent. Advance directives written statements re: medical treatment decisions. Minimal patient able to state a preference; disregards reasoning process. Outcome look solely to content or outcome of decision; based on reasonable choice made by other rational persons. Process focus on content of patient"s decision and on the reasoning process; with this standard, the level of decision-making competence matters. Requires striking a balance between harm and benefits, and no single standard can be adequate for all decisions.
