Biologically-related or emotionally-connected: who would be the better surrogate decision-maker?

Ashleigh Watson, Brigid Sheridan, Michelle Rodriguez, Ali Seifi

Research output: Contribution to journalArticle

2 Citations (Scopus)

Abstract

As an incapacitated patient is unable to make decisions regarding their care, physicians turn to next-of-kin when appointing a surrogate decision-maker in the absence of an advanced directive. With the increasing complexity of modern families, physicians are facing new ethical dilemmas when choosing the individual to make end-of-life decisions for their patients. Legal definitions and hierarchies are no longer adhering to the purpose of a surrogate-decision maker, which is to maintain a patient’s autonomy. Moral criteria for surrogates, which emphasize the importance of making decisions that align with the patient’s desires and wishes and negate biological relationships over emotional connections, are becoming much more important. This paper explores a case study in which physicians must appoint a surrogate decision-maker for an incapacitated patient, forced to choose between a biological relationship and a strong emotional connection.

Original languageEnglish (US)
Pages (from-to)147-148
Number of pages2
JournalMedicine, Health Care and Philosophy
Volume18
Issue number1
DOIs
StatePublished - 2014

Fingerprint

decision maker
physician
family physician
Physicians
autonomy
Family Physicians
decision making
Decision Making

Keywords

  • End-of-life decisions
  • Incapacitated patient
  • Medical ethics
  • Surrogate decision-maker
  • Withdrawing treatment

ASJC Scopus subject areas

  • Health Policy
  • Education
  • Health(social science)

Cite this

Biologically-related or emotionally-connected : who would be the better surrogate decision-maker? / Watson, Ashleigh; Sheridan, Brigid; Rodriguez, Michelle; Seifi, Ali.

In: Medicine, Health Care and Philosophy, Vol. 18, No. 1, 2014, p. 147-148.

Research output: Contribution to journalArticle

Watson, Ashleigh ; Sheridan, Brigid ; Rodriguez, Michelle ; Seifi, Ali. / Biologically-related or emotionally-connected : who would be the better surrogate decision-maker?. In: Medicine, Health Care and Philosophy. 2014 ; Vol. 18, No. 1. pp. 147-148.
@article{db14676763cd4c1aa257062f5084771c,
title = "Biologically-related or emotionally-connected: who would be the better surrogate decision-maker?",
abstract = "As an incapacitated patient is unable to make decisions regarding their care, physicians turn to next-of-kin when appointing a surrogate decision-maker in the absence of an advanced directive. With the increasing complexity of modern families, physicians are facing new ethical dilemmas when choosing the individual to make end-of-life decisions for their patients. Legal definitions and hierarchies are no longer adhering to the purpose of a surrogate-decision maker, which is to maintain a patient’s autonomy. Moral criteria for surrogates, which emphasize the importance of making decisions that align with the patient’s desires and wishes and negate biological relationships over emotional connections, are becoming much more important. This paper explores a case study in which physicians must appoint a surrogate decision-maker for an incapacitated patient, forced to choose between a biological relationship and a strong emotional connection.",
keywords = "End-of-life decisions, Incapacitated patient, Medical ethics, Surrogate decision-maker, Withdrawing treatment",
author = "Ashleigh Watson and Brigid Sheridan and Michelle Rodriguez and Ali Seifi",
year = "2014",
doi = "10.1007/s11019-014-9577-6",
language = "English (US)",
volume = "18",
pages = "147--148",
journal = "Medicine, Healthcare and Philosophy",
issn = "1386-7423",
publisher = "Springer Netherlands",
number = "1",

}

TY - JOUR

T1 - Biologically-related or emotionally-connected

T2 - who would be the better surrogate decision-maker?

AU - Watson, Ashleigh

AU - Sheridan, Brigid

AU - Rodriguez, Michelle

AU - Seifi, Ali

PY - 2014

Y1 - 2014

N2 - As an incapacitated patient is unable to make decisions regarding their care, physicians turn to next-of-kin when appointing a surrogate decision-maker in the absence of an advanced directive. With the increasing complexity of modern families, physicians are facing new ethical dilemmas when choosing the individual to make end-of-life decisions for their patients. Legal definitions and hierarchies are no longer adhering to the purpose of a surrogate-decision maker, which is to maintain a patient’s autonomy. Moral criteria for surrogates, which emphasize the importance of making decisions that align with the patient’s desires and wishes and negate biological relationships over emotional connections, are becoming much more important. This paper explores a case study in which physicians must appoint a surrogate decision-maker for an incapacitated patient, forced to choose between a biological relationship and a strong emotional connection.

AB - As an incapacitated patient is unable to make decisions regarding their care, physicians turn to next-of-kin when appointing a surrogate decision-maker in the absence of an advanced directive. With the increasing complexity of modern families, physicians are facing new ethical dilemmas when choosing the individual to make end-of-life decisions for their patients. Legal definitions and hierarchies are no longer adhering to the purpose of a surrogate-decision maker, which is to maintain a patient’s autonomy. Moral criteria for surrogates, which emphasize the importance of making decisions that align with the patient’s desires and wishes and negate biological relationships over emotional connections, are becoming much more important. This paper explores a case study in which physicians must appoint a surrogate decision-maker for an incapacitated patient, forced to choose between a biological relationship and a strong emotional connection.

KW - End-of-life decisions

KW - Incapacitated patient

KW - Medical ethics

KW - Surrogate decision-maker

KW - Withdrawing treatment

UR - http://www.scopus.com/inward/record.url?scp=84939885459&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=84939885459&partnerID=8YFLogxK

U2 - 10.1007/s11019-014-9577-6

DO - 10.1007/s11019-014-9577-6

M3 - Article

C2 - 24927826

AN - SCOPUS:84939885459

VL - 18

SP - 147

EP - 148

JO - Medicine, Healthcare and Philosophy

JF - Medicine, Healthcare and Philosophy

SN - 1386-7423

IS - 1

ER -