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  1. Decision-Making Capacity: From Testing to Evaluation.Helena Hermann, Martin Feuz, Manuel Trachsel & Nikola Biller-Andorno - 2020 - Medicine, Health Care and Philosophy 23 (2):253-259.
    Decision-making capacity is the gatekeeping element for a patient’s right to self-determination with regard to medical decisions. A DMC evaluation is not only conducted on descriptive grounds but is an inherently normative task including ethical reasoning. Therefore, it is dependent to a considerable extent on the values held by the clinicians involved in the DMC evaluation. Dealing with the question of how to reasonably support clinicians in arriving at a DMC judgment, a new tool is presented that fundamentally differs from (...)
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  • Is Decision-Making Capacity an “Essentially Contested” Concept in Pediatrics?Eva De Clercq, Katharina Ruhe, Michel Rost & Bernice Elger - 2017 - Medicine, Health Care and Philosophy 20 (3):425-433.
    Key legislations in many countries emphasize the importance of involving children in decisions regarding their own health at a level commensurate with their age and capacities. Research is engaged in developing tools to assess capacity in children in order to facilitate their responsible involvement. These instruments, however, are usually based on the cognitive criteria for capacity assessment as defined by Appelbaum and Grisso and thus ill adapted to address the life-situation of children. The aim of this paper is to revisit (...)
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  • Healthcare Professionals’ Dilemmas: Judging Patient’s Decision Making Competence in Day-to-Day Care of Patients Suffering From Korsakoff’s Syndrome.Susanne van den Hooff & Martin Buijsen - 2014 - Medicine, Health Care and Philosophy 17 (4):633-640.
    Patient’s decision making competence is a widely discussed subject. Issues of competence, autonomy, well-being and protection of the patient come up every day. In this article we analyse what role PDMC plays in Dutch legislation and what dilemmas healthcare professionals may experience, notably in patients suffering from Korsakoff’s syndrome. Dilemmas emerge if professionals want to meet the requirements mentioned in Dutch law and the desires of their patients. The autonomy of the patient and the healthcare professionals’ duty to take care (...)
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  • Evaluation of Decision-Making Capacity in Patients with Dementia: Challenges and Recommendations From a Secondary Analysis of Qualitative Interviews.Christopher Poppe, Bernice S. Elger, Tenzin Wangmo & Manuel Trachsel - 2020 - BMC Medical Ethics 21 (1).
    BackgroundEvaluation of decision-making capacity to consent to medical treatment has proved to be difficult in patients with dementia. Studies showed that physicians are often insufficiently trained in the evaluation of decision-making capacity. In this study, we present findings from a secondary analysis of a qualitative interviews with physicians. These interviews were initially used to assess usability of an instrument for the evaluation of decision-making capacity. By looking at difficult cases of decision-making capacity evaluation in patients with dementia, we provide recommendations (...)
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  • The Controversy Over Pediatric Bariatric Surgery: An Explorative Study on Attitudes and Normative Beliefs of Specialists, Parents, and Adolescents With Obesity.Stefan M. van Geelen, Ineke L. E. Bolt, Olga H. van der Baan-Slootweg & Marieke J. H. van Summeren - 2013 - Journal of Bioethical Inquiry 10 (2):227-237.
    Despite the reported limited success of conventional treatments and growing evidence of the effectiveness of adult bariatric surgery, weight loss operations for (morbidly) obese children and adolescents are still considered to be controversial by health care professionals and lay people alike. This paper describes an explorative, qualitative study involving obesity specialists, morbidly obese adolescents, and parents and identifies attitudes and normative beliefs regarding pediatric bariatric surgery. Views on the etiology of obesity—whether it should be considered primarily a medical condition or (...)
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  • Einwilligungsfähigkeit: inhärente Fähigkeit oder ethisches Urteil?Decision-making capacity: inherent ability or ethical judgment?Helena Hermann, Manuel Trachsel & Nikola Biller-Andorno - 2016 - Ethik in der Medizin 28 (2):107-120.
    ZusammenfassungDie Bestimmung der Einwilligungsfähigkeit von Patienten beinhaltet weitreichende ethische und rechtliche Implikationen. Ausreichende Klärung des Begriffs ist daher unerlässlich. Solche Bemühungen gelten vorwiegend der Definition von Kriterien hinsichtlich relevanter mentaler Fähigkeiten. Grundlegendere Aspekte werden kaum explizit besprochen, so die Frage, ob Einwilligungsfähigkeit eher eine inhärente Fähigkeit oder ein ethisches Urteil bezeichnet. Zentral bei dieser Unterscheidung ist der Stellenwert ethischer Überlegungen die Zulässigkeit fürsorglicher Bevormundung betreffend. Geht man von einer inhärenten Fähigkeit aus, schließen solche Überlegungen an die Beurteilung von Einwilligungsfähigkeit an. (...)
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  • Researching the Mental Capacity Act 2005: Reflections on Governance, Field Relationships, and Ethics with an Adult Who Did Not Consent.Godfred Boahen - 2015 - Ethics and Social Welfare 9 (4):375-389.
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  • Deep Brain Stimulation, Emotions, and Decision-Making Capacity.Ron Berghmans - 2011 - American Journal of Bioethics Neuroscience 2 (1):22-24.
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