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Updated: Sep 29, 2025

Setup and Execution of the Rapid Cycle Deliberate Practice Death Notification Curriculum
Published on: August 5, 2020
A Wider Understanding of a Patient's Relational Autonomy at the Time of Death
1Anesthesiologist, Department of Anesthesia, Critical Care and Pain Medicine, Beth Israel Deaconess Medical Center, and Assistant Professor, Harvard Medical School, Boston, Massachusetts USA. shahlasi@yahoo.com.
Abstract:
Respect for autonomy is a key concept in contemporary bioethics and in ethics at the end of life in particular. An individualistic interpretation of autonomy may not incorporate the aspects of consideration that patients may have for their wider construct of personhood, which includes their love and consideration for their families. This anonymous case describes the intricacies of a patient's decision making at the end of life, the choices she made, and how her decisions changed as her situation evolved. The tension this produced within the medical team is unpacked using a lens of compassionate care in the intensive care unit.
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