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A systematic approach to autonomous decision making by patients as part of our standardized
bum protocol ensures that our patients are given respect and a sense of control. This
approach, which we believe to be ethically and legally sound, has no documented physiologic
effect on our patients, but increases the self-determination they exercise and the
communication they receive. The designation of a spokesperson to be consulted if the
patient becomes unable to speak for himself prevents much anguish while retaining
patient autonomy.
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References
- California Administrative Code. Section 70707. Title 22.List of Patient's Rights in California. 1981; (April)
- California Civil Code. Section 2500. Statutory Form.Durable Power of Attorney for Health Care. 1985;
- Patient autonomy and "death with dignity.".N. Engl. J. Med. 1979; 301: 404-408
- Clinical Ethics. Macmillan Publishing Co., Inc, New York1982
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- A Philosophical Basis of Medical Practice. Oxford University Press, New York1981
- President's Commission for the Study of Ethical Principles in Medicine and Biomedical and Behavioral Research: Deciding to Forego Life-sustaining Treatment. U.S. Government Printing Office, Washington, D.C1983
- President's Commission for the Study of Ethical Problems in Medicine and Biomedical and Behavioral Research: Making Health Care Decisions, Vol. 2. 1982;
- Limitations of the autonomy model for the doctor-patient relationship.The Pharos, Spring. 1983; : 2-5
- Doctor-patient covenant.J. Trauma. 1979; : 871-887
- Decision-making in the ICU: The ethical perspective.in: Bartlett R.H. Whitehouse Jr., W.M. Turcotte J. Life Support Systems in Intensive Care. Year Book Medical Publishers, Chicago1984
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© 1986 Elsevier Inc. Published by Elsevier Inc. All rights reserved.
