PHL 509 Lecture Notes - Lecture 3: Shared Decision-Making In Medicine, Advance Healthcare Directive, Paternalism
30 Jan 2017
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Broadly meaning self-determination, self-rule, being your own person . Autonomy can be defined as self-rule with no control, under influence or interference from other . It is about respecting other people"s wishes and supporting them in their decisions. The patient has the right to refuse or choose their treatment. Autonomy can be defined as the ability of the person to make his or her own decisions. This faith in autonomy is the central premise of the concept of informed consent and shared decision making. In practice, the principle requires respect for the decision making capacity of competent adults. Respect for self-determination is deeply rooted in american history and imagination. Physicians dealt with their codes of conduct and professional etiquette internally, as a matter for their consideration alone. Since the 1970s - many traditional aspects of authority in our society were questioned, as manifested in the civil rights, feminist, and anti-war movements. Practice of medicine was affected as well.
