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Free and informed consent is one of the most widespread and morally important practices of modern health care; competence to consent is its cornerstone. In this book, Becky Cox White provides a concise introduction to the key practical, philosophical, and moral issues involved in competence to consent. The goals of informed consent, respect for patient autonomy and provision of beneficent care, cannot be met without a competent patient. Thus determining a patient's competence is the critical first step to informed consent. Determining competence depends on defining it, yet surprisingly, no widely accepted definition of competence exists. White identifies nine capacities that patients must exhibit to be competent. She approaches the problem from the task-oriented nature of decision making and focuses on the problems of defining competence within clinical practice. Her proposed definition is based on understanding competence as occurring in a special rather than a general context; as occurring in degrees rather than at a precise threshold; as independent of consequential appeals; and, as incorporating affective as well as cognitive capacities. Combining both an ethical overview and practical guidelines, this book will be of value to health care professionals, bioethicists, and lawyers. Free and informed consent is one of the most widespread and morally important practices of modern health care; competence to consent is its cornerstone. This book provides an introduction to the key practical, philosophical, and moral issues involved in competence to consent.

Medical ethics. --- Capacity and disability. --- Informed consent (Medical law) --- Consent, Informed --- Consent to treatment --- Disclosure, Medical --- Medical disclosure --- Treatment, Consent to --- Consent (Law) --- Medical ethics --- Medical personnel --- Patient education --- Involuntary treatment --- Patient refusal of treatment --- Capacity (Law) --- Capacity and disability --- Disability (Legal incapacity) --- Incapacity (Law) --- Status (Law) --- Biomedical ethics --- Clinical ethics --- Ethics, Medical --- Health care ethics --- Medical care --- Medicine --- Bioethics --- Professional ethics --- Nursing ethics --- Social medicine --- Malpractice --- Law and legislation --- Moral and ethical aspects --- autonomie van de patiënt --- geïnformeerde vrijwillige toestemming (instemming) --- gezondheidszorg --- wilsbekwaamheid (wilsbekwame patiënten) --- autonomie du patient --- consentement libre et éclairé --- soins de santé --- capacité

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Respecting the autonomy of disabled people is an important ethical issue for providers of long-term care. In this influential book, George Agich abandons comfortable abstractions to reveal the concrete threats to personal autonomy in this setting, where ethical conflict, dilemma and tragedy are inescapable. He argues that liberal accounts of autonomy and individual rights are insufficient, and offers an account of autonomy that matches the realities of long-term care. The book therefore offers a framework for carers to develop an ethic of long-term care within the complex environment in which many dependent and aged people find themselves. Previously published as Autonomy and Long-term Care, this revised edition, in paperback for the first time, takes account of recent work and develops the author's views of what autonomy means in the real world. It will have wide appeal among bioethicists and health care professionals.

Older people --- Autonomy (Psychology) in old age --- Autonomy (Philosophy) --- Personal Autonomy --- Long-Term Care --- Aged. --- Professional-Patient Relations --- Elderly --- Geriatrics --- Longevity --- Free Will --- Self Determination --- Autonomy, Personal --- Self Concept --- Professional Autonomy --- Paternalism --- Philosophy --- Aged --- Aging people --- Elderly people --- Old people --- Older adults --- Older persons --- Senior citizens --- Seniors (Older people) --- Age groups --- Persons --- Gerontocracy --- Gerontology --- Old age --- Long-term care --- Moral and ethical aspects --- ethics. --- Psychology --- Autonomy (Psychology) in old age. --- Moral and ethical aspects. --- autonomie van de patiënt --- bejaardenzorg (ouderenzorg) --- ethiek (ethische aspecten) --- langetermijnzorg --- Long-term care&delete& --- autonomie du patient --- assistance aux personnes âgées --- ethique (aspects ethiques) --- soins de longue durée --- Health Sciences --- General and Others

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This book is the most comprehensive treatment available of one of the most urgent - and yet in some respects most neglected - problems in bioethics: decision-making for incompetents. Part I develops a general theory for making treatment and care decisions for patients who are not competent to decide for themselves. It provides an in-depth analysis of competence, articulates and defends a coherent set of principles to specify suitable surrogate decisionmakers and to guide their choices, examines the value of advance directives, and investigates the role that considerations of cost ought to play in decisions concerning incompetents. Part II applies this theoretical framework to the distinctive problems of three important classes of individuals, many of whom are incompetent: minors, the elderly and psychiatric patients. The authors' approach combines a probing analysis of fundamental issues in ethical theory with a sensitive awareness of the concrete realities of health care institutions and the highly personal and individual character of difficult practical problems. Its broad scope will appeal to health professionals, moral philosophers and lawyers alike.

autonomie van de patiënt --- wilsbekwaamheid (wilsbekwame patiënten) --- ethiek (ethische aspecten) --- minderjarigen --- bejaarde --- psychiatrische patient (geesteszieke) --- autonomie du patient --- capacité --- ethique (aspects ethiques) --- mineurs --- personne agée --- patient psychiatrique (malade mentale) --- Medical ethics --- Bioethics --- Medical jurisprudence --- Decision making --- Decision making. --- Moral and ethical aspects --- #GBIB:CBMER --- Forensic medicine --- Injuries (Law) --- Jurisprudence, Medical --- Legal medicine --- Biomedical ethics --- Clinical ethics --- Ethics, Medical --- Health care ethics --- Medical care --- Medicine --- Deciding --- Decision (Psychology) --- Decision analysis --- Decision processes --- Making decisions --- Management --- Management decisions --- Biology --- Life sciences --- Life sciences ethics --- Moral and ethical aspects&delete& --- Forensic sciences --- Medical laws and legislation --- Professional ethics --- Nursing ethics --- Social medicine --- Choice (Psychology) --- Problem solving --- Science --- Arts and Humanities --- Philosophy --- Medical ethics - United States - Decision making. --- Bioethics - United States - Decision making. --- Medical jurisprudence - Moral and ethical aspects - United States - Decision making. --- Decision making - Moral and ethical aspects - United States.

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351.84*7 --- Feminist jurisprudence --- Informed consent (Medical law) --- Medical care --- -zorg (zorgverstrekking, zorgverlening) --- geïnformeerde vrijwillige toestemming (instemming) --- experiment, experimenteel onderzoek (mensen) --- zorgverstrekker-patiëntrelatie (verpleegkundige-patiëntrelatie) --- arts-patiëntrelatie --- autonomie van de patiënt --- mensenrechten (rechten van de mens) --- ethiek (ethische aspecten) --- feminisme (feministische visie) --- Delivery of health care --- Delivery of medical care --- Health care --- Health care delivery --- Health services --- Healthcare --- Medical and health care industry --- Medical services --- Personal health services --- Public health --- Consent, Informed --- Consent to treatment --- Disclosure, Medical --- Medical disclosure --- Treatment, Consent to --- Consent (Law) --- Medical ethics --- Medical personnel --- Patient education --- Involuntary treatment --- Patient refusal of treatment --- Feminism, Legal --- Legal feminism --- Feminist theory --- Jurisprudence --- Medisch recht. Gezondheidsrecht. Wetgeving i.v.m. ziekenhuizen --- Law and legislation --- soins (prestation de soins) --- consentement libre et éclairé --- expérimentation sur la personne humaine (chez l'humain) --- relation soignant-patient (relation infirmier-patient) --- relation médecin-patient --- autonomie du patient --- droits de l'homme --- ethique (aspects ethiques) --- feminism (feminist approach) --- Malpractice --- Feminist jurisprudence. --- Law and legislation. --- Informed consent (Medical law). --- 351.84*7 Medisch recht. Gezondheidsrecht. Wetgeving i.v.m. ziekenhuizen --- zorg (zorgverstrekking, zorgverlening) --- Medical laws and legislation