Treatment discontinuation and obligation to treat: an extended model for the decision-making process

Der Anaesthesist
R JoppichL Radbruch

Abstract

Social developments and medical progress in the last decades have led to a significant change of values in medicine, which spans from the cornerstone of the patient's autonomy to the increasingly difficult decision-making process related to available medical treatments. This conflict exaggerates with end-of-life situations, where a purely palliative approach to the therapy is applied, or in cases of reduced ability for patient's consent. From a legal point of view, many uncertainties have been clarified in recent years. The patient's autonomy has been strengthened, however, the law requires the doctor to review and carefully balance the treatment options so that a new and modified patient-doctor relationship is often necessary in this difficult decision-making process. The doctor should no longer retreat into the classical role of a neutral advisor and leave the complete responsibility of medical decisions to the patient. Instead, in order for the patient to be able to make a balanced and individually tailored autonomous decision, the doctor needs to bring in his medical expertise along with his own personal experiences and personal opinions, as long as he clearly differentiates between personal and professional views. This way...Continue Reading

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Citations

Jul 4, 2006·Der Anaesthesist·C H R WieseG G Hanekop
Jul 20, 2007·Intensive Care Medicine·Andrej Michalsen
Dec 17, 2010·Der Schmerz·R Laufenberg-FeldmannC Werner
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