Advance care planning - out goes paternalism, in comes consultative conversation

I. Finlay
2011 BMJ Supportive & Palliative Care  
We all know what we want -or do we? Patients cannot 'choose' to not be ill or avoid dying of their disease, but deserve be involved in decisions about their care. UK Mental Capacity legislation heralded a long-overdue change, encapsulated in the NHS slogan 'no decision about me without me'; everyone must to do everything to maximise patients' decision-making ability. Impediment of brain function cannot be assumed to render decisions invalid; if decision-making capacity for a particular decision
more » ... is lacking, then previously expressed wishes must be considered when making a decision in a person's best-interest. Personhood is a function of being alive; after death one is a corpse. So, best interest to relieve suffering may necessitate risktaking, but does not include deliberately killing the person.
doi:10.1136/bmjspcare-2011-000053.88 fatcat:etz3pozbfzfqboazby3vcjt74m