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End of Life ChoicesConsensus and controversy$
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Fiona Randall and Robin Downie

Print publication date: 2009

Print ISBN-13: 9780199547333

Published to Oxford Scholarship Online: November 2011

DOI: 10.1093/acprof:oso/9780199547333.001.0001

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Choice and best interests: clinical decision-making in end of life care

Choice and best interests: clinical decision-making in end of life care

Chapter:
(p.23) 2 Choice and best interests: clinical decision-making in end of life care
Source:
End of Life Choices
Author(s):

Fiona Randall

R. S. Downie (Contributor Webpage)

Publisher:
Oxford University Press
DOI:10.1093/acprof:oso/9780199547333.003.0002

This chapter focuses on the stages in clinical decision-making in end of life care. In end of life care, outcomes are multifactorial and unpredictable and health care professionals are accountable for the outcome only to the extent that their decision did influence the outcome. Treatment cannot be imposed on the patient with capacity who refuses it, nor can health care professionals be forced to give treatment which they conscientiously judge is contrary to the patient's best interests.

Keywords:   accountability, health care professionals, treatment, rights, medical care

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