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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...

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Detalles Bibliográficos
Autores principales: Akabayashi, Akira, Nakazawa, Eisuke, Ino, Hiroyasu
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9600193/
https://www.ncbi.nlm.nih.gov/pubmed/36286065
http://dx.doi.org/10.3390/clinpract12050079
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author Akabayashi, Akira
Nakazawa, Eisuke
Ino, Hiroyasu
author_facet Akabayashi, Akira
Nakazawa, Eisuke
Ino, Hiroyasu
author_sort Akabayashi, Akira
collection PubMed
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.
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spelling pubmed-96001932022-10-27 Decision-Making Capacity to Refuse Treatment at the End of Life: The Need for Recognizing Real-World Practices Akabayashi, Akira Nakazawa, Eisuke Ino, Hiroyasu Clin Pract Communication 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. MDPI 2022-09-22 /pmc/articles/PMC9600193/ /pubmed/36286065 http://dx.doi.org/10.3390/clinpract12050079 Text en © 2022 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/).
spellingShingle Communication
Akabayashi, Akira
Nakazawa, Eisuke
Ino, Hiroyasu
Decision-Making Capacity to Refuse Treatment at the End of Life: The Need for Recognizing Real-World Practices
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 Communication
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9600193/
https://www.ncbi.nlm.nih.gov/pubmed/36286065
http://dx.doi.org/10.3390/clinpract12050079
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