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Updated: Jul 26, 2026

Using Visual and Narrative Methods to Achieve Fair Process in Clinical Care
Published on: February 16, 2011
[CME/Answers: Self-Determined Dying: The Challenge of Medical End-of-Life Decisions]
1Zentrum für Palliative Care, Stadtspital Waid und Triemli, Zürich.
Abstract:
CME/Answers: Self-Determined Dying: The Challenge of Medical End-of-Life Decisions Abstract. Modern medical interventions make it possible today to postpone dying. Thus the process of dying confronts with numerous end-of-life decisions. The authority to make such decisions does not lie with the doctors. It is the unique right of the autonomous patient. This right can be experienced as freedom of choice, but also as an excessive demand. Doctors are responsible for supporting their patients in such a way that they become able to make relevant decisions concerning their dying process. In this context modern instruments such as advance directives or advance care planning play an important role. When patients are no longer able to decide for themselves, legal regulations define who is authorised to decide in their place.
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