Withholding and Withdrawing Lifeprolonging Medical Treatment Guidance for Decision Making 3rd Edition by British Medical Association ISBN 140518146X 9781405181464

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Product details:

ISBN 10: 140518146X

ISBN 13: 9781405181464

Author:  British Medical Association 

Withholding and Withdrawing Life-prolonging Medical Treatment: Guidance for Decision Making 3rd Edition: 

• An authoritative book on one of the most fundamental and contentious issues for health care professionals
• Fully updated to include provisions of the Mental Capacity Act (April 2007); the latest policy on advance directives and the impact of the Human Rights Act on such decisions
• Provides guidance on the appointment of welfare attorneys to make health care decisions once capacity is lost
• Discusses recent cases, including Burke, baby MB, and Wyatt
• Written by medical ethics professionals in consultation with the appropriate medical and legal experts and in agreement with the General Medical Council’s guidelines

 

Withholding and Withdrawing Life-prolonging Medical Treatment: Guidance for Decision Making 3rd Edition Table of contents:

Part 1: How to use this guidance 1

1. Scope, purpose and structure of this guidance 1

Part 2: Defining key terms and concepts 3

2. The primary goal of medicine 3

3. Life-prolonging treatment 5

4. Capacity and incapacity 5

5. Duty of care 6

6. Quality of life 8

7. Benefit 10

8. Harm 11

9. Best interests 12

10. Futility 14

11. Basic care 15

12. Artificial nutrition and hydration 15

13. Oral nutrition and hydration 17

14. Foresight and intention 18

15. Withholding or withdrawing treatment 19

16. Conscientious objection 20

17. Resource management 21

Part 3: Legal and ethical considerations that apply to all decisions to withhold or withdraw treatment 23

18. Human Rights Act 1998 23

19. Fairness and non-discrimination 28

20. Communication 31

21. Confidentiality 32

22. Legal review 34

Part 4: Medical considerations that apply to all decisions to withhold or withdraw treatment 36

23. Medical assessment 36

24. Medical decision making 39

Part 5: Decision making by adults with capacity 43

25. The law 43

26. Communication and information 47

Part 6: Decision making on behalf of adults who lack capacity 50

England and Wales 50

27. Patients with a Lasting Power of Attorney (LPA) 50

28. Patients with an advance decision about medical treatment 52

29. Patients without a Lasting Power of Attorney or advance decision 57

30. Patients in persistent vegetative state (pvs) 61 Scotland 62

31. Patients with a welfare power of attorney or welfare guardian 62

32. Patients with an advance decision about medical treatment 64

33. Patients without a welfare power of attorney or advance decision 67

34. Patients in persistent vegetative state (pvs) 68

Northern Ireland 69

35. Patients with an advance decision about medical treatment 69

36. Patients without an advance decision about medical treatment 69

37. Patients in persistent vegetative state (pvs) 71

All UK jurisdictions 72

38. Capacity and incapacity 72

39. Communication and information 73

40. Assessing best interests 77

41. Dealing with disagreement 80

Part 7: Decision making by young people with capacity 83

42. The law in England,Wales and Northern Ireland 83

43. The law in Scotland 88

44. Assessing capacity 91

45. Communicating with young people 92

46. Dealing with disagreement 95

Part 8: Decision making for children and young people who lack capacity 96

47. The law 96

48. Duties owed to babies and children 102

49. Communicating with parents 104

50. Assessing best interests 106

51. Dealing with disagreement 108

Part 9: Once a decision has been reached 109

52. Keeping others informed 109

53. Recording and reviewing the decision 109

54. Providing support 111

55. Respecting patients’ wishes after death 113

 

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