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Deciding for patients who have lost decision-making capacity - finding common ground in medical ethics

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LO, Bernard

The 1990 U.S. Supreme Court ruling in Cruzan v. Director, Missouri Department of Health riveted the public and sparked discussions about how to make decisions for patients who had lost decision-making capacity. After Cruzan, empirical studies showed that many widely supported approaches to this problem did not work as planned, and ethical analyses showed that many of the key concepts and arguments involved were unsound. Consequently, medical ethics, clinical practice, and public policy fundamentally changed, and most states enacted laws that turned sharply away from the approach endorsed in Cruzan. [Début de l'article]

http://dx.doi.org/10.1056/NEJMp2308484

Voir la revue «The New England journal of medicine, 389»

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