• J Clin Ethics · Jan 2011

    Comment

    Exemplary cases in clinical ethics: commentary on the case of Mr. A.

    • Jeffrey Spike.
    • McGovern Center for Humanities and Ethics, University of Texas, Houston, USA. Jeffrey.P.Spike@uth.tmc.edu
    • J Clin Ethics. 2011 Jan 1;22(3):256-60.

    AbstractA commentary on a case of a man who is left a "high quad" (ventilator dependant as well as quadriplegic) after an accident discusses the following: The right of patients who sustain catastrophic injuries to choose to discontinue life-sustaining treatment, The role of capacity assessment in treatment decisions and in ethics consultations, The role of advance directives (ADs) for such patients if they lack capacity, Whether a do-not-resuscitate or do-not-attempt-resuscitation order should be seen as "a medical order" or an advance directive, Some hints about what might be intended when a patient refers to the criterion of having a "meaningful life."

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