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How to act in intensive care environments so that whatever is done for patients will
be seen by them, then or in the future, to be in their own best interests is the problem
presented by the need to defend patients' autonomy. Obstacles to patients' choice
include abrogation of choice by doctors, the difficulties of discovering what patients
actually wish for themselves, and the rapidly changing clinical circumstances typical
of critical care. Many of these problems are obviated by discussing choices before
emergencies arise with patients whose illnesses or planned surgery make the need for
resuscitation a realistic possibility. Such discussions require careful delineation
of the goals of resuscitation.
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References
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Article info
Footnotes
Supported in part by a Sustained Development Award for Ethics and Values in Science and Technology (NSF OSS 80-180-86) from the National Science Foundation and grants from the National Fund for Medical Education and the Louis B. Mayer Foundation.
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Copyright
© 1986 Elsevier Inc. Published by Elsevier Inc. All rights reserved.
