Jove
Visualize
Contact Us
JoVE
x logofacebook logolinkedin logoyoutube logo
ABOUT JoVE
OverviewLeadershipBlogJoVE Help Center
AUTHORS
Publishing ProcessEditorial BoardScope & PoliciesPeer ReviewFAQSubmit
LIBRARIANS
TestimonialsSubscriptionsAccessResourcesLibrary Advisory BoardFAQ
RESEARCH
JoVE JournalMethods CollectionsJoVE Encyclopedia of ExperimentsArchive
EDUCATION
JoVE CoreJoVE BusinessJoVE Science EducationJoVE Lab ManualFaculty Resource CenterFaculty Site
Terms & Conditions of Use
Privacy Policy
Policies

Related Experiment Videos

Determining proxy consent.

R O'Neil

    The Journal of Medicine and Philosophy
    |November 1, 1983
    PubMed
    Summary

    This paper examines substituted judgment and best interests standards for proxy consent in medical treatment decisions. It proposes a rational choice standard to determine best interests for incompetent patients.

    Related Concept Videos

    You might also read

    Related Articles

    Articles linked to this work by shared authors, journal, and citation graph.

    Sort by
    Same author

    Bread and butter radiology.

    Journal of medical imaging and radiation oncology·2008
    Same author

    Antiphospholipid antibodies and stroke in Down syndrome.

    Lupus·2003
    Same author

    Cerebellopontine angle Hodgkin's disease.

    Australasian radiology·2000
    Same author

    Apheresis specialist.

    Nursing spectrum (D.C./Baltimore metro ed.)·1999
    Same author

    Parent and child expressed affect and children's social competence: modeling direct and indirect pathways.

    Developmental psychology·1999
    Same author

    A longitudinal assessment of the academic correlates of early peer acceptance and rejection.

    Journal of clinical child psychology·1997

    Area of Science:

    • Medical Ethics
    • Bioethics
    • Legal Medicine

    Background:

    • Determining medical treatment for incapacitated patients presents ethical challenges.
    • Proxy consent relies on standards like substituted judgment and best interests.
    • Autonomy and beneficence are key moral principles guiding these decisions.

    Purpose of the Study:

    • To clarify the roles and merits of different standards of review for proxy consent.
    • To analyze the application of substituted judgment and best interests tests.
    • To propose a new standard for determining best interests.

    Main Methods:

    • Analysis of moral principles (autonomy, beneficence).
    • Distinction of six case types involving incompetent patients.
    • Evaluation of substituted judgment and best interests standards.

    Main Results:

    • The appropriate standard of review depends on the specific case type.
    • Substituted judgment focuses on patient's prior wishes.
    • Best interests focuses on patient's well-being.

    Conclusions:

    • A "rational choice" standard is proposed to determine best interests.
    • This standard aims to align decisions with a rational version of the patient's preferences.
    • Case-specific application of standards ensures ethical proxy consent.
    Keywords:
    Analytical ApproachPhilosophical ApproachProfessional Patient Relationship

    Related Experiment Videos