Dying Tax Free: The Modern Advance Directive and Patients' Financial Values

作者：Kirk Timothy W^*; Luck George R

来源：Journal of Pain and Symptom Management, 2010, 39(3): 605-609.

DOI：10.1016/j.jpainsymman.2009.12.003

• Advance directives
• living wills
• wills
• advance care planning
• ethics
• clinical ethics
• palliative care
• decision making
• patient values
• terminal care

Advance directives are open used to help patients articulate their end-of:life treatment preferences and guide proxy decision makers in making health care decisions when patients cannot. This case study and continental), puts forth a situation in which a palliative care consultation team encountered a patient with an advance directive that instructed her proxy decision maker to consider estate lax implications when making end-of-life decisions. Following presentation of the case, the authors focus on two ethical issues: 1) the appropriateness of considering patients' financial goals and values in medical decision. making and 2) whether certain kinds of patient values should be considered more or less relevant than others as reasons for expressed treatment preferences. Clinicians are encouraged to accept a wide range of patient values as relevant to the clinical decision-making process and to balance the influence of those values with more traditional notions of clinical harm and benefit. J Pain Symptom Manage 2010;39:605-609.

• 出版日期2010-3