Description
This Element in Bioethics and Neuroethics explores the critical intersection of capacity, informed consent, and third-party decision-making in healthcare and medical ethics. Jacob M. Appel examines how capacity assessment determines a patient’s ability to make autonomous decisions about their medical treatment, while informed consent requires healthcare providers to disclose relevant information and obtain patient agreement.
The work addresses situations where patients lack decision-making capacity, necessitating surrogate or third-party decision-makers. Appel analyzes the ethical principles, legal standards, and practical challenges involved in these complex scenarios, including advance directives, substituted judgment, and best interest standards. The Element provides essential guidance for clinicians, ethicists, and policymakers navigating the tensions between respecting autonomy and protecting vulnerable populations in medical decision-making.







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