PP217 Lecture Notes - Lecture 14: Allen Buchanan, Institute For Operations Research And The Management Sciences, Multiple Organ Dysfunction Syndrome
Document Summary
2 kinds of mistakes: failing to prevent the harms caused by poor decisions when those decisions were made incompetently, transgressing autonomy when a competent person is denied the right of self- determination. Principled or generalistic counts of competence: we can discern competent from non-competent persons based on some principle, through the application of a general rule for competency, context does not usually matter. Someone may be able to make a competent decision from their home but in a hospital setting are stressed and can"t make competent decisions: how patients get info is also a contextual variable. Communicative capacities: communication and understanding, possession of linguistic, conceptual, and cognitive abilities take part in processes of becoming informed, understanding of information relevant for decisions, appreciate the meaning of alternatives, ex. Benjamin freedman"s position: the information if the patient is not a fundamental requirement of valid consent. It is, rather, derivative from the requirement that the consent be the expression of a responsible choice.
