National Repository of Grey Literature 2 records found  Search took 0.01 seconds. 
Philosophical aspects of health care decision making at the end of life
Heřmanová, Jana ; Šimek, Jiří (advisor) ; Prudil, Lukáš (referee) ; Umlauf, Václav (referee)
Introduction: The relationship of the doctor and his patient is based on informed consent about proposed treatment and care. Informed consent is derived from the principle of respect to patient's autonomy and the right patient for self-determination. Decision making at the end of life is complicated by the fact that in some situations the patient is not able to state his preferences and sign the legal document of informed consent. Thesis: Proper implementation of advance directives using hermeneutics as a method of text interpretation represents application of an informed consent at the end of life in a patient who at that time is not able to sign the legal document. Aim and methods: The aim is to describe and analyze the situation of patients at the end of life and point to some ethical dilemmas in the work of healthcare workers and family carers. Other aim was to search for a way how to manage the care of a seriously ill incompetent patient that would be in accord with his previous wishes and value preferences. Review of the relevant literature was used to analyse the philosophical nature of advance directives and their implementation in future concrete situation. The possibility of interpretation of advance directives by hermeneutic method was also addressed. Results: A patient who writes...

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