Dying Tax Free: The Modern Advance Directive and Patients' Financial Values
Creator
Kirk, Timothy W
Luck, George R
Bibliographic Citation
Journal of pain and symptom management 2010 Mar ; 39(3): 605-9
Abstract
Advance directives are often used to help patients articulate their end-of-life treatment preferences and guide proxy decision makers in making health care decisions when patients cannot. This case study and commentary puts forth a situation in which a palliative care consultation team encountered a patient with an advance directive that instructed her proxy decision maker to consider estate tax implications when making end-of-life decisions. Following presentation of the case, the authors focus on two ethical issues: 1) the appropriateness of considering patients' financial goals and values in medical decision making and 2) whether certain kinds of patient values should be considered more or less relevant than others as reasons for expressed treatment preferences. Clinicians are encouraged to accept a wide range of patient values as relevant to the clinical decision-making process and to balance the influence of those values with more traditional notions of clinical harm and benefit.
Date
2010-03Collections
Metadata
Show full item recordRelated items
Showing items related by title, author, creator and subject.
-
National Hospice and Palliative Care Organization (NHPCO) Position Statement and Commentary on the Use of Palliative Sedation in Imminently Dying Terminally Ill Patients
Kirk, Timothy W; Mahon, Margaret M; , (2010-05)