From: Clinical Ethics Consultation in Neurology – a case series
CEC recommendation was primarily oriented towards… | Therapy | The patient’s will | n = 27 | |
---|---|---|---|---|
… the patient’s will | positive and consenting will as decisive for the implementation or continuation of a medical therapy | expressed by the patient himself/herself | 1 | 11 |
assumed to be his/her presumed will | 2 | |||
natural will | 1 | |||
patient’s will lead to a limitation of therapy | "living will" | 4 | ||
assumed to be his/her presumed will | 3 | |||
… the patient’s best interest | implementation or continuation would serve the patient’s best interest | 1 | 10 | |
presumed will does not exclude this therapy | 3 | |||
realistic chance that the patient’s health situation would improve, enabling him/her to decide | 1 | |||
presumed consent | 3 | |||
implementation or continuation would not serve the patient’s best interest | 2 | |||
Participants assessed differently whether the patient was able to consent | 1 | |||
Participants assessed differently what the patient’s will would be or what would be in his/her best interest | 1 | |||
Uncertainty among the treating physicians regarding the prognosis | 4 |