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Do Physicians’ Own Preferences for Life-Sustaining Treatment Influence Their Perceptions of Patients’ Preferences?

L. J. Schneiderman, R. M. Kaplan, R. A. Pearlman & H. Teetzel

Journal of Clinical Ethics 4 (1):28-33 (1993)

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Do Physicians' Own Preferences for Life-Sustaining Treatment Influence Their Perceptions of Patients' Preferences? A Second Look.Lawrence J. Schneiderman, Robert M. Kaplan, Esther Rosenberg & Holly Teetzel - 1997 - Cambridge Quarterly of Healthcare Ethics 6 (2):131-137.details Previous studies have documented the fallibility of attempts by surrogates and physicians to act in a substituted judgment capacity and predict end-of-life treatment decisions on behalf of patients. We previously reported that physicians misperceive their patients' preferences and substitute their own preferences for those of their patients with respect to four treatments: cardiopulmonary resuscitation (CPR) in the event of cardiac arrest, ventilator for an indefinite period of time, medical nutrition and hydration for an indefinite period of time, and hospitalization in (...) the event of pneumonia. (shrink) Download Export citation Bookmark 1 citation
Increasing use of DNR orders in the elderly worldwide: whose choice is it?E. P. Cherniack - 2002 - Journal of Medical Ethics 28 (5):303-307.details Most elderly patients die with an order in place that they not be given cardiopulmonary resuscitation . Surveys have shown that many elderly in different parts of the world want to be resuscitated, but may lack knowledge about the specifics of cardiopulmonary resuscitation . Data from countries other than the US is limited, but differences in physician and patient opinions by nationality regarding CPR do exist. Physicians’ own preferences for CPR may predominate in the DNR decision making process for their (...) Download Export citation Bookmark 6 citations
The significance of the distinction between “having a life” vs. “being alive” in end-of-life care.Gavin G. Enck - 2022 - Medicine, Health Care and Philosophy 25 (2):251-258.details In end-of-life care discussions, I contend that the distinction between “having a life” vs. “being alive” is an underutilized distinction. This distinction is significant in separating different states of existence conflated by patients, families, and clinicians. In the clinical setting, applying this distinction in end-of-life care discussions aids patients’ and family members’ decision-making by helping them understand that being alive can differ from having a life. Moreover, this distinction helps them decide which state may be the most important to them. (...) Download Export citation Bookmark
Patient Autonomy and Medical Paternity: can nurses help doctors to listen to patients?Sarah Breier-Mackie - 2001 - Nursing Ethics 8 (6):510-521.details Nurses are increasingly faced with situations in practice regarding the prolongation of life and withdrawal of treatment. They play a central role in the care of dying people, yet they may find themselves disempowered by medical paternalism or ill-equipped in the decision-making process in end-of-life situations. This article is concerned with the ethical relationships between patient autonomy and medical paternalism in end-of-life care for an advanced cancer patient. The nurse’s role as the patient’s advocate is explored, as are the differences (...) Download Export citation Bookmark 4 citations

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