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If the injury is irretrievable, discussions would then focus on extending ventilation for potential brain death/organ donation if a prior wish to donate is known or if the substitute decision maker consents.
When the patient has expressed a prior wish or families are motivated toward organ donation, is there an option to continue mechanical ventilation for 24 48 hours to observe for progression to brain death in anticipation of organ donation?
Graeme Laurie in the second edition of The Right to Know and the Right not to Know, argues that while autonomy underpins the right to know, the interests at stake in the right not to know are best construed as privacy interests, except where an individual has expressed a prior wish not to know [ 32].
Similar(57)
Other states, to varying extents, allow family members, friends or guardians to make the decision about life support, even without knowledge of a patient's prior wishes.
And this means that we should use the Substituted Judgment standard whenever possible and fall back on the Best Interests standard only when we lack sufficient information about the patient's prior wishes and values to make Substituted Judgment practicable.
There is no information from which to infer the prior wishes of the patient.
46 This is attributed to families not being made fully aware of the prior wishes of the deceased.
In this way participants described taking steps to ascertain any prior wishes of the service-user, this enable them to act as an agent representing the other party.
This task involves identifying prior wishes and to facilitate the substitute decision maker's understanding of the incapable patient's condition and their likely response to treatment.
Clearly, then, it is incumbent on the physicians and all care givers to look further and delve deeper into the issues, in order to have the required medical and ethical diligence to establish prior wishes and directives.
The task is to correctly identify prior wishes and to facilitate the substitute decision maker's understanding of the incapable patient's condition and their likely response to treatment.
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CEO of Professional Science Editing for Scientists @ prosciediting.com