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Informed consent and decision-making for patients with acquired cognitive impairment

Article indépendant

LAZARIDIS, Christos

Informed consent (IC) is an ethical and legal requirement grounded in the principle of autonomy. Cognitive impairment may often interfere with decision-making capacity necessitating alternative models of ethically sound deliberation. In cases where the patient lacks decision-making capacity, one must determine the appropriate decision-maker and the criteria used in making a medical decision appropriate for the patient. In this article, I critically discuss the traditional approaches of IC, advance directives, substituted judgment, and best interests. A further suggestion is that thinking about sufficient reasons for or against a course of action is a conceptual enrichment in addition to the concepts of interests and well-being. Finally, I propose another model of collective consensus-seeking decision-making.

http://dx.doi.org/10.1016/j.ncl.2023.03.001

Voir la revue «Neurologic clinics, 41»

Autres numéros de la revue «Neurologic clinics»

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