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Week 2: Respect for patient values: competent patient decisions

Cases for Discussion this Week:

Required: Dax (required video); Rita M.; Refusal of Surgery for Critical Aortic Stenosis (Lo, p. 28)

Supplemental Cases: Sarah Green; Mr. B.

Required Readings: Textbook

Lo, Resolving Ethical Dilemmas, 3rd ed.
Chapter 4, Promoting the Patient's Best Interests (pages 28-35)
Chapter 10, Decision-Making capacity (pages 67-74)
Chapter 11, Refusal of Treatment by Competent, Informed Patients (pages 75-78)

Required Readings: Articles (if no hyperlink is shown, can be found in coursepack; complete text, if not provided by hyperlink, can be found on ANGEL site)

Platt, Commentary: on asking to die  Fast Take
Miller, Autonomy and the refusal of lifesaving treatment  Fast Take  
Emanuel and Emanuel, Four models of...   Fast Take
Gawande, Whose body is it, anyway? 
Quill, Dying and decision making Complete Text

Recommended Readings: Textbook

Lo, Resolving Ethical Dilemmas, 3rd ed.
Chapter 19, Physician-Assisted Suicide and Active Euthanasia (pages 130-139)

Recommended Readings: Articles (unless a hyperlink is shown, recommended-but-not-required articles can be found on the ANGEL course site (Lessons tab, Week 2) as "pdf" files)

Miller, Autonomy and the refusal of lifesaving treatment 
Engelhardt, Commentary on "a demand to die"
Edwards and Tolle, Disconnecting a ventilator...
Dax Since 1984: Recent Interviews
Bascom and Tolle, "Responding to Requests for Physician-Assisted Suicide" Complete Text  (Note: One of the students who took the course earlier recommended this reading to be added to our list)

Recommended Videotape

"Whose Death Is It Anyway?" (available for independent viewing through the Echt Center

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