Personal Autonomy
Professional Autonomy
Paternalism
Legalized physician-assisted suicide in Oregon--the first year's experience. (1/930)
BACKGROUND AND METHODS: On October 27, 1997, Oregon legalized physician-assisted suicide. We collected data on all terminally ill Oregon residents who received prescriptions for lethal medications under the Oregon Death with Dignity Act and who died in 1998. The data were obtained from physicians' reports, death certificates, and interviews with physicians. We compared persons who took lethal medications prescribed under the act with those who died from similar illnesses but did not receive prescriptions for lethal medications. RESULTS: Information on 23 persons who received prescriptions for lethal medications was reported to the Oregon Health Division; 15 died after taking the lethal medications, 6 died from underlying illnesses, and 2 were alive as of January 1, 1999. The median age of the 15 patients who died after taking lethal medications was 69 years; 8 were male, and all 15 were white. Thirteen of the 15 patients had cancer. The case patients and controls were similar with regard to sex, race, urban or rural residence, level of education, health insurance coverage, and hospice enrollment. No case patients or controls expressed concern about the financial impact of their illness. One case patient and 15 controls expressed concern about inadequate control of pain (P=0.10). The case patients were more likely than the controls to have never married (P=0.04) and were more likely to be concerned about loss of autonomy due to illness (P=0.01) and loss of control of bodily functions (P=0.02). At death, 21 percent of the case patients and 84 percent of the controls were completely disabled (P<0.001). CONCLUSIONS: During the first year of legalized physician-assisted suicide in Oregon, the decision to request and use a prescription for lethal medication was associated with concern about loss of autonomy or control of bodily functions, not with fear of intractable pain or concern about financial loss. In addition, we found that the choice of physician-assisted suicide was not associated with level of education or health insurance coverage. (+info)Assessment of competence to complete advance directives: validation of a patient centred approach. (2/930)
OBJECTIVE: To develop a patient centred approach for the assessment of competence to complete advance directives ("living wills") of elderly people with cognitive impairment. DESIGN: Semistructured interviews. SETTING: Oxfordshire. SUBJECTS: 50 elderly volunteers living in the community, and 50 patients with dementia on first referral from primary care. MAIN OUTCOME MEASURES: Psychometric properties of competence assessment. RESULTS: This patient centred approach for assessing competence to complete advance directives can discriminate between elderly persons living in the community and elderly patients with dementia. The procedure has good interrater (r=0.95) and test-retest (r=0.97) reliability. Validity was examined by relating this approach with a global assessment of competence to complete an advance directive made by two of us (both specialising in old age psychiatry). The data were also used to determine the best threshold score for discriminating between those competent and those incompetent to complete an advance directive. CONCLUSION: A patient centred approach to assess competence to complete advance directives can be reliably and validly used in routine clinical practice. (+info)Slippery slopes in flat countries--a response. (3/930)
In response to the paper by Keown and Jochemsen in which the latest empirical data concerning euthanasia and other end-of-life decisions in the Netherlands is discussed, this paper discusses three points. The use of euthanasia in cases in which palliative care was a viable alternative may be taken as proof of a slippery slope. However, it could also be interpreted as an indication of a shift towards more autonomy-based end-of-life decisions. The cases of non-voluntary euthanasia are a serious problem in the Netherlands and they are only rarely justifiable. However, they do not prove the existence of a slippery slope. Persuading the physician to bring euthanasia cases to the knowledge of the authorities is a problem of any euthanasia policy. The Dutch notification procedure has recently been changed to reduce the underreporting of cases. However, many questions remain. (+info)Relationships between various attitudes towards self-determination in health care with special reference to an advance directive. (4/930)
OBJECTIVES: The subject of patient self-determination in health care has gained broad interest because of the increasing number of incompetent patients. In an attempt to solve the problems related to doctors' decision making in such circumstances, advance directives have been developed. The purpose of this study was to examine relationships between public attitudes towards patient autonomy and advance directives. SUBJECTS AND MAIN OUTCOME MEASURES: A stratified random sample of 600 adults in northern Sweden was surveyed by a questionnaire with a response rate of 78.2%. The subjects were asked about their wish for control of their health care, their concerns about health care, their treatment preferences in a life-threatening situation (both reversible and irreversible), and their attitudes towards the application of advance directives. RESULTS: Numerous relationships between various aspects of self-determination in health care (desire for control, fears of over-treatment, and choice of treatment level) in general and advance directives, in particular, were found. Those who wanted to have a say in their health care (about 94%) also mainly supported the use of an advance directive. CONCLUSIONS: The fact that almost 30% of the respondents were undecided concerning their personal use of advance directives points to a lack of knowledge and to the necessity of education of the public on these issues. (+info)To tell the truth: disclosing the incentives and limits of managed care. (5/930)
As managed care becomes more prevalent in the United States, concerns have arisen over the business practices of managed care companies. A particular concern is whether patients should be made aware of the financial incentives and treatment limits of their healthcare plan. At present, managed care organizations are not legally required to make such disclosures. However, such disclosures would be advisable for reasons of ethical fidelity, contractual clarity, and practical prudence. Physicians themselves may also have a fiduciary responsibility to discuss incentives and limits with their patients. Once the decision to disclose has been made, the managed care organization must draft a document that explains, clearly and honestly, limits of care in the plan and physician incentives that might restrict the care a patient receives. (+info)Health outcomes and managed care: discussing the hidden issues. (6/930)
Too often the debate over health outcomes and managed care has glossed over a series of complex social, political, and ethical issues. Exciting advances in outcomes research have raised hopes for logical medical reform. However, science alone will not optimize our patients' health, since value judgements are necessary and integral parts of attempts to improve health outcomes within managed care organizations. Therefore, to form healthcare policy that is both fair and efficient, we must examine the fundamental values and ethical concerns that are imbedded in our efforts to shape care. We must openly discuss the hidden issues including: (1) trade-offs between standardization of care and provider-patient autonomy; (2) effects of financial incentives on physicians' professionalism; (3) opportunity costs inherent in the design of insurance plans; (4) responsibilities of managed care plans for the health of the public; (5) judicious and valid uses of data systems; and (6) the politics of uncertainty. (+info)Should we clone human beings? Cloning as a source of tissue for transplantation. (7/930)
The most publicly justifiable application of human cloning, if there is one at all, is to provide self-compatible cells or tissues for medical use, especially transplantation. Some have argued that this raises no new ethical issues above those raised by any form of embryo experimentation. I argue that this research is less morally problematic than other embryo research. Indeed, it is not merely morally permissible but morally required that we employ cloning to produce embryos or fetuses for the sake of providing cells, tissues or even organs for therapy, followed by abortion of the embryo or fetus. (+info)Persons and their copies. (8/930)
Is cloning human beings morally wrong? The basis for the one serious objection to cloning is that, because of what a clone is, clones would have much worse lives than non-clones. I sketch a fragment of moral theory to make sense of the objection. I then outline several ways in which it might be claimed that, because of what a clone is, clones would have much worse lives than non-clones. In particular, I look at various ideas connected with autonomy. I conclude that there is no basis to the claim that, because of what a clone is, clones would have much worse lives than non-clones. I therefore reject the claim that cloning human beings is morally wrong. (+info)"Personal Autonomy" is not a medical term per se, but it is often used in medical ethics and patient care. It refers to the ability of an individual to make informed decisions about their own health and healthcare, based on their own values, beliefs, and preferences, without undue influence or coercion from others. This includes the right to accept or refuse medical treatment, to maintain confidentiality, and to participate in shared decision-making with healthcare providers. Personal autonomy is recognized as a fundamental principle in medical ethics and patient rights, and is protected by laws and regulations in many countries.
Professional autonomy in a medical context refers to the freedom and independence that healthcare professionals, particularly doctors, have in making clinical decisions and judgments regarding the care and treatment of their patients. This concept is based on the ethical principle of self-determination, which allows individuals to make informed decisions about their own health and well-being.
Professional autonomy encompasses several key elements, including:
1. Clinical judgment: The ability to evaluate a patient's condition, consider various treatment options, and make an evidence-based decision regarding the most appropriate course of action.
2. Informed consent: The process of ensuring that patients understand their medical condition, the proposed treatment plan, and any potential risks or benefits associated with the recommended care. Patients must provide their informed consent before any medical intervention can take place.
3. Confidentiality: The obligation to protect a patient's personal and medical information, sharing it only with those directly involved in the patient's care or as required by law.
4. Continuing professional development: The commitment to maintaining and updating one's knowledge and skills through ongoing education, training, and research.
5. Peer review and accountability: The responsibility to participate in peer review processes and be held accountable for one's actions and decisions, including any adverse outcomes or complications that may arise from treatment.
Professional autonomy is essential for maintaining the trust and confidence of patients, as it allows healthcare professionals to provide care that is tailored to each individual's unique needs and circumstances. However, this autonomy must be balanced with the need for collaboration, communication, and shared decision-making with other healthcare team members, as well as consideration for ethical principles such as non-maleficence (do no harm) and beneficence (acting in the best interest of the patient).
Paternalism, in the context of medical ethics, refers to the practice of healthcare providers making decisions for their patients without obtaining their consent, due to the belief that they know what is best for the patient. This approach can be seen as patronizing and disempowering, as it does not take into account the autonomy and preferences of the patient.
Paternalism can manifest in various forms, such as withholding information from patients, making treatment decisions without consulting them, or coercing patients to follow a particular course of action. While paternalistic attitudes may stem from a desire to protect patients, they can also undermine trust and lead to poorer health outcomes.
Modern medical ethics emphasizes the importance of informed consent, shared decision-making, and respect for patient autonomy, all of which are seen as essential components of ethical healthcare practice.
Personal autonomy
National personal autonomy
Autonomy
Non-territorial autonomy
Ability
Circumcision controversies
Self-actualization
Liberal Judaism (United Kingdom)
Modern Orthodox Judaism
Michel Foucault
Liberalism in Norway
Rabbinic authority
Diana Tietjens Meyers
Homeowner association
Health care efficiency
Blencoe v British Columbia (Human Rights Commission)
Ethics of artificial intelligence
Constituent Charter of the Belarusian People's Republic
Third Universal of the Ukrainian Central Council
Second Constituent Charter
Self-sustainability
Positive discipline
Sterilization (medicine)
Mary Mallon
History of anarchism
2022 Vermont elections
Democratic Party of Vojvodina Hungarians
Positive disintegration
Self-care
Marilyn Diamond
Personal autonomy - Wikipedia
personal autonomy | Wex | US Law | LII / Legal Information Institute
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Autonomous5
- The Philippine Autonomy Act of 1916 provided the framework for the creation of an autonomous government under which the Filipino people had broader domestic autonomy than previously, although it reserved certain privileges to the United States to protect its sovereign rights and interests. (wikipedia.org)
- Not only did the degree of the participants' autonomous motivation predict how successful they would be during the weight loss and maintenance phases of the study, but the degree to which they found the weight loss facility's staff members as autonomy supportive also was a strong predictor. (overcomeobesity.org)
- The findings provide insight into how oncology nurses perceive, develop, and exhibit autonomy in everyday practice and how autonomous and collaborative clinical decision making contributes to quality cancer care. (medscape.com)
- We all hate poor, unreliable public transport, but with autonomous buses it would be possible to increase the frequency of buses to at least one every five minutes and enable routes that are could alleviate the need for personal transport," he continues. (markandrewpreston.com)
- While common use of autonomous technology in both public and personal transport remains a few years away, it offers a simple solution to creating greener, safer cities. (markandrewpreston.com)
Genomic2
- Personal genomic testing (PGT) offers individuals genetic information about relationships, wellness, sporting ability, and health. (nih.gov)
- Genomic information will increase the need by public health practitioners to consider personal autonomy as they provide information to improve health. (cdc.gov)
Ethics3
- Immanuel Kant (1724-1804) defined autonomy by three themes regarding contemporary ethics . (wikipedia.org)
- However, and despite its importance with respect to both theoretical understandings of autonomy and applications of the concept to clinical ethics, this ongoing aspect of autonomy has received little attention. (philpapers.org)
- Medical Ethics Needs a New View of Autonomy. (philpapers.org)
Independence2
- Self-determination is a movement toward independence , whereas autonomy is a way to accommodate the distinct regions/groups within a country. (wikipedia.org)
- Secondly, autonomy as the capacity to make such decisions through one's own independence of mind and after personal reflection. (wikipedia.org)
Disambiguation1
- For other uses, see Autonomy (disambiguation) . (wikipedia.org)
Autonomously1
- Are you on the hunt for a profession that offers not just a paycheck, but also grants you the freedom to set your own schedule, make decisions autonomously, and fosters a profound sense of personal satisfaction? (coachalden.com)
Perceptions1
- Objective: The purpose of this research was to explore oncology nurses' perceptions of autonomy and understand how they develop and exhibit autonomy in their everyday practice. (medscape.com)
Decisional1
- The principle of personal autonomy is understood as decisional privacy, or the right of an individual to make his or her own decisions, without duress or coercion, about which medical or other options to pursue. (nih.gov)
Patient7
- [ 18 , 19 ] For example, the primary nursing model, where one nurse is assigned the care responsibilities for an individual patient from the time of hospital admission until discharge, includes not only continuity of patient care but also increased opportunities for nurse autonomy and control. (medscape.com)
- Although it is well established that clinicians ought to respect patient autonomy, that obligation conflicted, in the present case, with the clinicians' sense of professional integrity. (nih.gov)
- Patient autonomy and clinician integrity in treatment decisions. (nih.gov)
- This implies, I contend, that a patient whose initial decision to undergo a given treatment satisfied plausible requirements of autonomy, but who is now unable to recognize that available evidence indicates the need to reconsider her medical situation and options has come to lack autonomy with respect to her desire to continue that treatment. (philpapers.org)
- Patient autonomy for the management of chronic conditions: A two-component re-conceptualization. (philpapers.org)
- Patient autonomy in emergency medicine. (philpapers.org)
- Privacy of information includes respect for confidentiality of personal information that is exchanged within the professional-patient relationship, thus assuring candor in communication and resulting in accrual of benefits to the individual. (nih.gov)
Importance1
- The aim of this research project is to contribute to a better understanding of the importance of privacy and the options available to better protect personal data. (lcfi.ac.uk)
Capacity3
- In developmental psychology and moral , political , and bioethical philosophy , autonomy [note 1] is the capacity to make an informed, uncoerced decision. (wikipedia.org)
- Institutional autonomy is having the capacity as a legislator to be able to implant and pursue official goals. (wikipedia.org)
- In summary, autonomy is the moral right one possesses, or the capacity we have in order to think and make decisions for oneself providing some degree of control or power over the events that unfold within one's everyday life. (wikipedia.org)
Subjects1
- The former showed the extent to which personal data has been shared without data subjects' knowledge and consent and many times for unacceptable purposes, such as swaying elections. (lcfi.ac.uk)
Institutional4
- From a legislator's point of view, to increase institutional autonomy, conditions of self-management and institutional self-governance must be put in place. (wikipedia.org)
- Institutional autonomy was often seen as a synonym for self-determination , and many governments feared that it would lead institutions to an irredentist or secessionist region. (wikipedia.org)
- Institutional autonomy can diffuse conflicts regarding minorities and ethnic groups in a society. (wikipedia.org)
- The government provides the Catholic Church with tax-exempt subsidies, institutional privileges such as school subsidies, significant autonomy for parochial schools, and licensing preferences for radio frequencies. (state.gov)
Practice2
- Descriptions of the meaning of autonomy and its explication in a nursing specialty practice can add to nursing knowledge by clarifying nurse autonomy and its relevance to nurses' work life. (medscape.com)
- The ethical principles of personal autonomy, personal privacy, and confidentiality of personal information now constitute the foundation of the practice of medicine. (nih.gov)
Safeguards1
- For the individual, the protection of their personal information safeguards their dignity and autonomy. (www.csiro.au)
Mastery1
- If, however, their findings reflect a true pattern, the likely explanation may be related to increases in mastery and autonomy that children experience as they grow. (psychologytoday.com)
Reflection1
- Autonomy, Experience, and Reflection. (philpapers.org)
Growth1
- The first step may be to consider self-knowledge, truthfulness, and other building blocks on the road to personal growth. (psychologytoday.com)
Consent3
- Autonomy, consent and the law. (philpapers.org)
- Precedent autonomy and subsequent consent. (philpapers.org)
- The doctrine of informed consent developed from principles of personal autonomy and personal privacy. (nih.gov)
Concept5
- In the sociology of knowledge , a controversy over the boundaries of autonomy inhibited analysis of any concept beyond relative autonomy, [3] until a typology of autonomy was created and developed within science and technology studies . (wikipedia.org)
- Autonomy is a key concept that has a broad impact on different fields of philosophy . (wikipedia.org)
- In metaphysical philosophy , the concept of autonomy is referenced in discussions about free will , fatalism , determinism , and agency . (wikipedia.org)
- The concept of autonomy is regarded as an essential element for gaining professional status. (medscape.com)
- The concept of personal privacy protects individuals within the private sphere of the body so that others are constrained from touching or viewing the person inappropriately. (nih.gov)
Perspective2
- Autonomy can also be defined from a human resources perspective, where it denotes a (relatively high) level of discretion granted to an employee in his or her work. (wikipedia.org)
- An Intercultural Nursing Perspective on Autonomy. (philpapers.org)
Healthcare2
- By taking the time to define your healthcare preferences, you assert your autonomy and ensure that your voice is heard. (arenacollective.com)
- Should healthcare professionals respect autonomy just because it promotes welfare? (philpapers.org)
Privacy11
- To find out more, and to find out how we protect your personal information, please read our privacy policy. (lcfi.ac.uk)
- The primary justification for protecting personal privacy is to protect the interests of individuals. (nih.gov)
- In the context of personal information, concepts of privacy are closely intertwined with those of confidentiality and security. (nih.gov)
- Privacy addresses the question of who has access to personal information and under what conditions. (nih.gov)
- Privacy is concerned with the collection, storage, and use of personal information, and examines whether data can be collected in the first place, as well as the justifications, if any, under which data collected for one purpose can be used for another (secondary) 2 purpose. (nih.gov)
- An important issue in privacy analysis is whether the individual has authorized particular uses of his or her personal information ( Westin, 1967 ). (nih.gov)
- Employees personal privacy and autonomy is not respected. (indeed.com)
- The Court has also briefly considered yet another aspect of privacy - the idea that certain personal activities that were otherwise unprotected could obtain some level of constitutional protection by being performed in particular private locations, such as the home. (cornell.edu)
- The potential significance of Stanley was enormous, as any number of illegal personal activities, such as drug use or illegal sex acts, could arguably be practiced in the privacy of one's home with little apparent effect on others. (cornell.edu)
- For a business, data privacy not only includes the personal information of its employees and customers, but information about company operations, research and development data, and financial information. (www.csiro.au)
- At the interface of technology and its applications and implications are questions derived from concepts of personal autonomy, personal privacy, and confidentiality of genetic information. (nih.gov)
Objective1
- In moral philosophy , autonomy refers to subjecting oneself to objective moral law. (wikipedia.org)
Principles1
- [2] In a medical context, respect for a patient's personal autonomy is considered one of many fundamental ethical principles in medicine . (wikipedia.org)
Doctrine1
- The argument for assisted suicide and euthanasia rests squarely on the doctrine of autonomy. (bioedge.org)
Conflicts1
- Through a descriptive study with a qualitative approach the goal was to describe the experience of contemporary women in the postpartum period, and check whether during this time conflicts arise resulting from their loss of personal autonomy and the demands arising from their role as mother. (bvsalud.org)
Individuals3
- without appropriate assessment of the agency of individuals would be a failure to respect their personal autonomy. (bioedge.org)
- Apple 's new Live Speech and Personal Voice features provide individuals like disability advocate. (yahoo.com)
- The western value system that was intended to uphold the constitutional liberties and human rights for all peoples is taking the last stand through those brave individuals who love personal freedom and recognize the many dangers behind the current draconian ordinances. (energeticsynthesis.com)
Consciousness1
- Advances in our understanding of the brain and ability to monitor and modulate brain function can raise unresolved ethical questions, such as those related to personal identity, consciousness, and autonomy. (nih.gov)
Aspect2
- I first critically review two of the few theories of autonomy that do address "evidence-responsiveness" so as to identify and elaborate what I take to be the most promising way in which to account for this aspect of autonomy. (philpapers.org)
- On a Neglected Aspect of Personal Autonomy. (philpapers.org)
Define1
- This is all part of the teenage experience of seeking autonomy and struggling to define personal identity. (oprah.com)
Experience1
- If you went back, why ?What did the mobility experience change in your professional and personal life? (mobgae.eu)
Clinical1
- Furthermore, nurses working in specialized areas such as oncology associate enhanced knowledge and skills with increased clinical responsibility and autonomy. (medscape.com)
Agency2
- They contend that depression, demoralisation, existential distress and family dysfunction can undermine agency, an essential component of autonomy. (bioedge.org)
- Without true agency, there can be no genuine autonomy. (bioedge.org)
Search1
- Results of search for 'su:{Personal autonomy. (who.int)
Data3
- This paper is concerned with how personal data is used. (lcfi.ac.uk)
- Any cookies that may not be particularly necessary for the website to function and is used specifically to collect user personal data via analytics, ads, other embedded contents are termed as non-necessary cookies. (mobgae.eu)
- In a post-Roe world, bodily autonomy must include control over personal data. (acm.org)
Research1
- To date, there is little research that has focused on exploring how nurses in different specialty areas perceive autonomy. (medscape.com)
Life2
- Life circumstances and personal perspectives may change over time, making it necessary to make revisions as needed. (arenacollective.com)
- Descriptive studies can identify nurse behaviors and attitudes related to autonomy that may be measurable and relevant to real life. (medscape.com)
Recognize1
- Circumstances often change in important and unexpected ways, after all, and it is reasonable to think that a crucial part of autonomy consists of the ability and disposition to recognize and properly respond to such changes. (philpapers.org)
Time1
- [ 1 ] Since that time, autonomy continues to receive much attention in the nursing literature, [ 2-12 ] and its acceptance as an essential attribute of professionalism is supported by nursing professional regulatory bodies. (medscape.com)
Increase1
- [1] In such cases, autonomy is known to generally increase job satisfaction . (wikipedia.org)
Study1
- In agreement with previous work, the present study also found that self-esteem begins increasing very quickly starting at age 15, perhaps because of adolescents' increasingly greater personal autonomy and freedom in choosing activities and relationships that are in harmony with their own personality . (psychologytoday.com)
Freedom1
- These arguments gained wider acceptance in the 1960s as the civil rights movement, the sexual revolution and other social movements helped to expand notions of personal freedom and autonomy. (pewresearch.org)
Social2
- A thousand professionals, including professors, researchers, workers from entities and institutions, and technology companies will participate in the University of Malaga in the coming days March 28, 29 and 30 at 'Tecnosocial', the first fair in Spain on technology in Social Services and Personal Autonomy . (meanpc.com)
- Results support the notion that parenting strategies that facilitate appropriate amounts of socioemotional competence and autonomy in children may be protective against social and emotional difficulties. (nih.gov)
Cases1
- An Extra Reason to Roll the Dice: Balancing Harm, Benefit and Autonomy in 'Futile' Cases. (philpapers.org)
Control1
- In addition, factors such attribute life's outcomes to personal at- as occupational stressors, socioeconomic tributes relating to ability, effort, and per- status, gender, age, etc. are likely to influ- sonal power of control [ 2 ]. (who.int)
Develop1
- a) carry out tasks, and (b) develop their autonomy while enriching their personal learning environments. (ecml.at)
Children1
- What's parenting got to do with it: emotional autonomy and brain and behavioral responses to emotional conflict in children and adolescents. (nih.gov)
Health1
- human health, human economic autonomy and personal sanity. (energeticsynthesis.com)