Making Sense of Advance Directives: Revised Edition
Advance directives—such as living wills and health care proxies—are documents intended to declare and preserve the health care choices of patients if they become unable to make their own decisions. This book provides a comprehensive overview of advance directives and clear, practical directions for writing and interpreting them.
Nancy M.P. King provides a legal, philosophical, and historical analysis of the moral and legal force of advance directives. She explains the types and models of advance directives currently in use and offers guidelines for individuals seeking to write, read, and use directives to promote individuals' health care choices within the laws of their own states.
King emphasizes that advance directives are not orders given by patients to their doctors; instead, they are documents that invite conversation between doctors and patients about health care decisions of great importance. The purpose of advance directives is to support patients' health care choices, and the book promotes a thoughtful use of advance directives that is best calculated to achieve that purpose, whatever form individual advance directives may take.
This new edition has been updated to reflect the many changes in advance directive statutes since 1991, including expanded discussions of health care proxy statutes, the impact of the Patient Self-Determination Act and the Supreme Court's Cruzan decision. King also has extended her analysis of the implications for advance directives of managed care, resource allocation, resource scarcity, and the debate over futile treatment at the end of life.
Making Sense of Advance Directives is a valuable handbook for patients, health care providers and administrators, patient counselors, lawyers, policymakers, and any individual interested in advance directives.
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ADVANCE DIRECTIVES IN CONTEXT
Treatment Refusal and the Patients Choice Foundations in History Law and Ethics
TECHNOLOGY AND TREATMENT REFUSAL
THE NATURE AND HISTORY OF INFORMED CONSENT
COMBINING THE FORMS
A PATIENT PROXY OFFICE?
A SAMPLE OF STATES
Directions for Decision When Documents Dont Do It All
THE CONTEXT OF MEDICAL CHOICES
THE NEW BEST INTERESTS
AUTONOMY VERSUS BENEFICENCE
DECISIONAL CAPACITY OR THE COMPETENCE CONUNDRUM
The Future Factor The Conceptual Foundations of Advance Directives
APPRECIATING THE FUTURE FACTOR
IMPROVING AWARENESS OF THE FUTURE FACTOR
PERSONAL IDENTITY AND ADVANCE DIRECTIVES
THE CONTINUITY OF A LIFE
OTHERS OBLIGATIONS REGARDING DIRECTIVES
EMERGENCIES OPPORTUNITIES AND THE QUALITY OF LIFE
REASONS OR JUSTIFICATIONS?
ADVANCE DIRECTIVES IN THE IDEAL WORLD
Advance Directives Current Forms Legal Fears Moral Goals
WHAT CAN A DOCUMENT DO?
ADVANCE DIRECTIVES AS LEGAL DOCUMENTS
LEGAL MORAL BOTH OR NEITHER?
STATUTORY ADVANCE DIRECTIVES
DURABLE POWERS OF ATTORNEY FOR HEALTH CARE
MOTHERS DAY SYNDROME AND OTHER FAMILY PROBLEMS
THE PROCESS OF DECISION
INTERPRETING AND IMPLEMENTING ADVANCE DIRECTIVES
REVOCATION AND THE FUTURE FACTOR
The Forecast for Advance Directives Indispensable or Superfluous?
ADVANCE DIRECTIVES AND MORAL COMMUNITIES
ARE DIRECTIVES COST CONTAINERS?
MEDICAL JUDGMENT AND ADVANCE DIRECTIVES
THE ASCENDANCE OF FUTILITY
THE IMPACT OF SCARCITY AND COST
MAKING ADVANCE DIRECTIVES MAKE SENSE
Advance Directive Statutes StatebyState and Federal Listings