Right to Self Determination and Mental Illness. Julie Goldstein, MD Clinical Ethics and Palliative Medicine Advocate Illinois Masonic Medical Center November 5, 2010 [email protected] WARNING. This presentation may result in more questions than answers
Patient has the right to be free of unpermitted touching.
Patient has the right to consent to or decline recommended medical and surgical treatments.
This right is upheld even when patient cannot
speak for him/herself:
When patient cannot speak for self, entitled to
3rd party advocate to be a substitute decision-maker (SDM).
What ethical principles guide a substitute decision-maker?
Chochinov, Harvey , “Dignity and the essence of medicine: the A, B, C, and D of dignity conserving care” BMJ 2007;335:184-187