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Should patient consent be required to write a do not resuscitate order?
1Emergenvy Department, Sandringham Hospital, 193 Bluff Road, Sandringham, Victoria 3191, Australia. pbiegler@bigpond.net.au
Journal of Medical Ethics
|December 10, 2003
Summary
Patient consent is essential for Do Not Resuscitate (DNR) orders, which involve end-of-life treatment decisions. Physician override of patient dissent is unjustified, necessitating a fair process for resolving disputes.
Area of Science:
- Medical Ethics
- Patient Autonomy
- End-of-Life Care
Background:
- Do Not Resuscitate (DNR) orders involve complex value judgments at the end of life.
- Determining a patient's best interests requires their active participation.
Purpose of the Study:
- To establish the necessity of patient consent for Do Not Resuscitate (DNR) orders.
- To argue against physician override of patient dissent in end-of-life treatment decisions.
Main Methods:
- Ethical analysis of patient consent in medical decision-making.
- Examination of the justification for physician autonomy versus patient autonomy.
Main Results:
- Patient consent is a prerequisite for valid Do Not Resuscitate (DNR) orders.
- Physicians are not justified in overriding patient dissent regarding DNR orders.
- Patient dissent necessitates a dispute resolution mechanism.
Conclusions:
- Patient autonomy is paramount in end-of-life care decisions.
- The process for implementing DNR orders must respect patient values.
- Disputes over DNR orders require a fair and structured resolution process.