TY - JOUR PY - 2019// TI - Should an advance care directive refusing life-sustaining treatment be respected after an attempted suicide? Development of an algorithm to aid health care workers JO - Journal of law and medicine A1 - Philpot, Steve John SP - 557 EP - 570 VL - 26 IS - 3 N2 - An advance care directive (ACD) is a written expression of a person's preferences in relation to health care, which can appoint a trusted substitute decision-maker, describe personal values, and make explicit decisions consenting to, or refusing, certain treatments. When a person with a directive refusing life-sustaining treatments attempts suicide, opinions are divided as to the degree to which health care staff are bound by such a directive. In this section, I will provide an example of a patient who presents to hospital after attempting suicide who has a valid ACD refusing life-sustaining treatment. I will then describe the legislation relevant to ACDs in Victoria, Australia and ethical arguments relating to the application of an ACD in this context. I will present a decision-making algorithm for health care staff faced with the difficult decisions arising from such a presentation.

Language: en

LA - en SN - 1320-159X UR - http://dx.doi.org/ ID - ref1 ER -