Year: 1992
Type: article
Abstract: A competent person may use an advance directive to achieve a measure of autonomy over a post competency dying process.By formulating instructions regarding future medical intervention, the declarant (directive-maker) seeks to shape medical handling according to his personal preferences.'The advance directive may also designate an agent or representative who ultimately will be responsible for implementing the substantive instructions.2 The person issuing an advance directive is obviously seeking to impose his own values and preferences on the intimate matter of a future dying process.This personal conception of self-respect and dignity in the dying process might be grounded on religious precepts, personal philosophy, or a personal vision of what constitutes degradation during the dying process.That conception might or might not coincide with what are believed to be the person's perceptible best interests at that later moment when the directive is to be implemented.It is easy to envision instances of extreme dissonance between the perceptible interests of a now incompetent patient and the advance directive purporting to govern medical intervention for that patient.For example, a
Source: PubMed
Author: N L Cantor
Institution: Rutgers, The State University of New Jersey
Language: English
Field: Medicine
Domain: Health Sciences
Open Access status: green
OpenAlex ID: W338640688