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The justification here is neither consequentialist nor based simply on the preservation of autonomy.
Traditional medical ethics focuses on the physician-patient relationship, and the preservation of autonomy and human dignity, and is very strongly individualistic in perspective.
Psychiatrists who specialise in treating eating disorders were more likely to give responses suggesting stronger support for the use of mental health legislation to protect patients from harm, and less support for the view of preservation of autonomy in anorexia nervosa.
A broadly coherent set of attitudes was found which clustered around three themes of: approval of the use of the Mental Health Act for protection of patients from harm; the primacy of the consideration of best interests of patients with anorexia nervosa; and the preservation of autonomy in anorexia nervosa, as seen in the ability to make choices, retain control and make decisions about treatment.
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Some authors have argued that physicians have an ethical obligation to disclose these disparities as part of the informed consent process.1 We believe that preservation of patient autonomy requires disclosure of treatment institution-specific outcomes and that statistical prediction models tailored to individual patients are the best way to frame this discussion.
The particular clinical characteristics of the elderly, the high frequency of comorbid conditions, and the distinctive nature of therapeutic goals in these patients (which focus more on the preservation of functional autonomy than on increasing life expectancy) give rise to a number of diagnostic and therapeutic concerns.
Moreover, flexibility is fundamental to the preservation of functionality, autonomy, quality of life, and well-being.
Thus ensuring the preservation of their autonomy and demonstration of respect for persons in research.
Preservation of academic autonomy, safeguarding of intellectual property rights and retention of the right to publish any and all results obtained are necessary to maintain academic credibility and the goodwill and confidence of the health care sector.
Whereas HCPs think that preservation of future autonomy is an important reason to defer testing, our respondents were more likely to think that this was not a good reason, or to remain uncertain.
In exploring how patients, family members and healthcare professionals experience VSED, it becomes obvious that the most positive aspect of VSED consists in the preservation of the patients' autonomy and control regarding their own life.
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