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Transitions in decision-making authority at the end of life: A problem of law, ethics and practice in deceased donation
journal contribution
posted on 2022-02-01, 00:00 authored by S N Then, Dominique MartinDominique MartinWhere a person is unable to make medical decisions for themselves, law and practice allows others to make decisions on their behalf. This is common at the end of a person’s life where decision-making capacity is often lost. A further, and separate, decision that is often considered at the time of death (and often preceding death) is whether the person wanted to act as an organ or tissue donor. However, in some jurisdictions, the lawful decision-maker for the donation decision (the ‘donation decision-maker’) is different from the person who was granted decision-making authority for medical decisions during the person’s life. To date, little attention has been given in the literature to the ethical concerns and practical problems that arise where this shift in legal authority occurs. Such a change in decision-making authority is particularly problematic where premortem measures are suggested to maximise the chances of a successful organ donation. This paper examines this shift in decision-making authority and discusses the legal, ethical and practical implications of such frameworks.
History
Journal
Journal of Medical EthicsVolume
48Issue
2Pagination
112 - 117Publisher
BMJ PUBLISHING GROUPLocation
EnglandPublisher DOI
ISSN
0306-6800eISSN
1473-4257Language
EnglishPublication classification
C1 Refereed article in a scholarly journalUsage metrics
Keywords
Social SciencesScience & TechnologyLife Sciences & BiomedicineEthicsMedical EthicsSocial IssuesSocial Sciences, BiomedicalSocial Sciences - Other TopicsBiomedical Social SciencesDonationProcurement of OrgansTissuesLawEnd-of-lifeDecision-makingORGAN DONATIONSUSTAINING TREATMENTCONSENTTRANSPLANTATIONKNOWLEDGEADULTSDEATHDonation\/Procurement of Organs\/Tissueshealth lawbioethicsend of life careLaw
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