Dying Tax Free: The Modern Advance Directive and Patients' Financial Values
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 enco...
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Published in | Journal of pain and symptom management Vol. 39; no. 3; pp. 605 - 609 |
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Main Authors | , |
Format | Journal Article |
Language | English |
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Elsevier Inc
01.03.2010
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Abstract | 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. |
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AbstractList | 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. 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. 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. [Copyright U.S. Cancer Pain Relief Committee. Published by Elsevier Inc.] |
Author | Kirk, Timothy W., PhD Luck, George R., MD |
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Keywords | decision making Advance directives terminal care ethics living wills advance care planning palliative care patient values clinical ethics wills Human Decision making End of life decision Care Ethics Palliative care Planning Public health |
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Snippet | Abstract Advance directives are often used to help patients articulate their end-of-life treatment preferences and guide proxy decision makers in making health... Advance directives are often used to help patients articulate their end-of-life treatment preferences and guide proxy decision makers in making health care... Advance directives are often used to help patients articulate their end- of-life treatment preferences and guide proxy decision makers in making health care... |
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SubjectTerms | advance care planning Advance Directives Aged, 80 and over Anesthesia & Perioperative Care Biological and medical sciences clinical ethics Decision makers Decision Making Ethical dilemmas ethics Female Humans living wills Medical sciences Pain Medicine Palliative care Palliative Care - economics Palliative Care - ethics Palliative Care - legislation & jurisprudence patient values Pharmacology. Drug treatments Shock, Septic - therapy Taxation Taxes - economics Taxes - legislation & jurisprudence terminal care Terminal Care - economics Terminal Care - ethics Terminal Care - legislation & jurisprudence Treatment preferences wills |
Title | Dying Tax Free: The Modern Advance Directive and Patients' Financial Values |
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