PHLB09H3 Lecture Notes - Lecture 2: Advance Healthcare Directive

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Patient is able to merely express a preference therefore it is not a criterion of competence. Looks at what the content or the outcome of the decision is. Based on what other reasonable or rational person would chose therefore it is an incompetent choice even though it maximally protects patient"s well-being. The choice fails to adequately respect the patients self determination. This standard ignores the patient"s own distinctive conception of the good and may constitute enforcement of unjustified ideals and other peoples conception of what would be best for the patient. Therefore this standard judges competence by comparing the content of a patient"s decision to some objective standard for the correct decision may fail even to protect appropriately a patient"s well being: a process standard of decision-making competence. Based on the process of the reasoning that lead up to the decision and not on the content. There is no single standard of competence.

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