• Chest · Feb 2016

    Review

    Navigating Ethical Conflicts between Advance Directives and Surrogate Decision Makers' Interpretations of Patient Wishes.

    • Courtenay R Bruce, Trevor Bibler, Andrew M Childress, Ashley L Stephens, Adam M Pena, and Nathan G Allen.
    • Center for Medical Ethics and Health Policy, Baylor College of Medicine, Houston, TX. Electronic address: crbruce@bcm.edu.
    • Chest. 2016 Feb 1; 149 (2): 562-7.

    AbstractThere is little guidance on what clinicians should do when advance directives (or living wills, specifically) are challenged, particularly when surrogate decision-makers' interpretations of patients' wishes conflict with the living will. In our commentary, we make a controversial argument suggesting that overriding living wills can be ethically preferable to the alternative of strictly adhering to them. We propose four ethical considerations for determining whether it is ethically supportable to override living wills.Copyright © 2016 American College of Chest Physicians. Published by Elsevier Inc. All rights reserved.

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