TY - JOUR
T1 - A Place of His Own
T2 - Applying Dignity of Risk to Bioethics Consultation
AU - Hulkower, Adira
N1 - Publisher Copyright:
© 2022 by Johns Hopkins University Press.
PY - 2022/3/1
Y1 - 2022/3/1
N2 - Hospitals have both a regulatory and an ethical mandate to craft a safe discharge plan for all patients. These plans can become a source of conflict between clinicians and patients when they have differing conceptions of safety and best interests. In bioethics principles this conflict can be characterized as the tension between the pa-tient’s right to make medical decisions in accordance with their values, or autonomy, and the clinician’s obligation to provide best care to their patients, or beneficence. Employed independently, these principles can be limiting and may not accommodate the nuanced narrative of patients who lack decisional capacity but have expressed clear preferences about where they wish to live. Utilizing case-based discussion, this article explores how the inclusion of Robert Perske’s dignity of risk principal in bioethics consultation can support clinicians in expanding their conceptions of beneficence and safety, providing the team with the freedom to craft discharge plans that keep the patient at the center of the narrative.
AB - Hospitals have both a regulatory and an ethical mandate to craft a safe discharge plan for all patients. These plans can become a source of conflict between clinicians and patients when they have differing conceptions of safety and best interests. In bioethics principles this conflict can be characterized as the tension between the pa-tient’s right to make medical decisions in accordance with their values, or autonomy, and the clinician’s obligation to provide best care to their patients, or beneficence. Employed independently, these principles can be limiting and may not accommodate the nuanced narrative of patients who lack decisional capacity but have expressed clear preferences about where they wish to live. Utilizing case-based discussion, this article explores how the inclusion of Robert Perske’s dignity of risk principal in bioethics consultation can support clinicians in expanding their conceptions of beneficence and safety, providing the team with the freedom to craft discharge plans that keep the patient at the center of the narrative.
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U2 - 10.1353/pbm.2022.0019
DO - 10.1353/pbm.2022.0019
M3 - Article
C2 - 35938431
AN - SCOPUS:85135548685
SN - 0031-5982
VL - 65
SP - 232
EP - 241
JO - Perspectives in Biology and Medicine
JF - Perspectives in Biology and Medicine
IS - 2
ER -