Decision-Making Capacity to Refuse Treatment at the End of Life: The Need for Recognizing Real-World Practices
End-of-life decision making is a troublesome ethical dilemma. These decisions should be made in trustful patient–doctor relationships. We aimed to propose a balanced approach when discussing this complex issue. We categorized the research into four approaches and suggest that a multidisciplinary app...
| Main Authors: | , , |
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| Format: | Article |
| Language: | English |
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MDPI AG
2022-09-01
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| Series: | Clinics and Practice |
| Subjects: | |
| Online Access: | https://www.mdpi.com/2039-7283/12/5/79 |
| _version_ | 1797474130973425664 |
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| author | Akira Akabayashi Eisuke Nakazawa Hiroyasu Ino |
| author_facet | Akira Akabayashi Eisuke Nakazawa Hiroyasu Ino |
| author_sort | Akira Akabayashi |
| collection | DOAJ |
| description | End-of-life decision making is a troublesome ethical dilemma. These decisions should be made in trustful patient–doctor relationships. We aimed to propose a balanced approach when discussing this complex issue. We categorized the research into four approaches and suggest that a multidisciplinary approach may be appropriate. We also analyzed the pitfalls of the multidisciplinary approach. Our conclusion is two-fold. First, discussions in this field should be based on real-world practice. If this is not the case, the proposal may be armchair theory, which is not effective in a clinical setting. Second, interdisciplinary researchers should not stick to their position too firmly and should listen to others. Otherwise, proposals made will be paternalistic or philosophically biased. Therefore, when philosophical collaboration is applied to the topic of clinical bioethics, it is necessary to thoroughly examine different positions and carry out careful discussions with consideration for medical care settings. Researchers must also understand what is needed for a trustful patient–doctor relationship. By making such efforts, clinical bioethics will contribute to the wellbeing of patients. |
| first_indexed | 2024-03-09T20:26:45Z |
| format | Article |
| id | doaj.art-f5eb4c58b5084826b41c88c7ddcc042e |
| institution | Directory Open Access Journal |
| issn | 2039-7283 |
| language | English |
| last_indexed | 2024-03-09T20:26:45Z |
| publishDate | 2022-09-01 |
| publisher | MDPI AG |
| record_format | Article |
| series | Clinics and Practice |
| spelling | doaj.art-f5eb4c58b5084826b41c88c7ddcc042e2023-11-23T23:35:01ZengMDPI AGClinics and Practice2039-72832022-09-0112576076510.3390/clinpract12050079Decision-Making Capacity to Refuse Treatment at the End of Life: The Need for Recognizing Real-World PracticesAkira Akabayashi0Eisuke Nakazawa1Hiroyasu Ino2Department of Biomedical Ethics, Faculty of Medicine, University of Tokyo, 7-3-1 Hongo, Bunkyo-ku, Tokyo 113-0033, JapanDepartment of Biomedical Ethics, Faculty of Medicine, University of Tokyo, 7-3-1 Hongo, Bunkyo-ku, Tokyo 113-0033, JapanDepartment of Biomedical Ethics, Faculty of Medicine, University of Tokyo, 7-3-1 Hongo, Bunkyo-ku, Tokyo 113-0033, JapanEnd-of-life decision making is a troublesome ethical dilemma. These decisions should be made in trustful patient–doctor relationships. We aimed to propose a balanced approach when discussing this complex issue. We categorized the research into four approaches and suggest that a multidisciplinary approach may be appropriate. We also analyzed the pitfalls of the multidisciplinary approach. Our conclusion is two-fold. First, discussions in this field should be based on real-world practice. If this is not the case, the proposal may be armchair theory, which is not effective in a clinical setting. Second, interdisciplinary researchers should not stick to their position too firmly and should listen to others. Otherwise, proposals made will be paternalistic or philosophically biased. Therefore, when philosophical collaboration is applied to the topic of clinical bioethics, it is necessary to thoroughly examine different positions and carry out careful discussions with consideration for medical care settings. Researchers must also understand what is needed for a trustful patient–doctor relationship. By making such efforts, clinical bioethics will contribute to the wellbeing of patients.https://www.mdpi.com/2039-7283/12/5/79decision-making capacitypatient–doctor relationshipclinical ethicsend of lifetrust |
| spellingShingle | Akira Akabayashi Eisuke Nakazawa Hiroyasu Ino Decision-Making Capacity to Refuse Treatment at the End of Life: The Need for Recognizing Real-World Practices Clinics and Practice decision-making capacity patient–doctor relationship clinical ethics end of life trust |
| title | Decision-Making Capacity to Refuse Treatment at the End of Life: The Need for Recognizing Real-World Practices |
| title_full | Decision-Making Capacity to Refuse Treatment at the End of Life: The Need for Recognizing Real-World Practices |
| title_fullStr | Decision-Making Capacity to Refuse Treatment at the End of Life: The Need for Recognizing Real-World Practices |
| title_full_unstemmed | Decision-Making Capacity to Refuse Treatment at the End of Life: The Need for Recognizing Real-World Practices |
| title_short | Decision-Making Capacity to Refuse Treatment at the End of Life: The Need for Recognizing Real-World Practices |
| title_sort | decision making capacity to refuse treatment at the end of life the need for recognizing real world practices |
| topic | decision-making capacity patient–doctor relationship clinical ethics end of life trust |
| url | https://www.mdpi.com/2039-7283/12/5/79 |
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