Foreword | p. xiii |
Preface | p. xv |
Acknowledgments | p. xvii |
Frequently Asked Questions | p. xix |
Chapter 1 Five Counterintuitive Precepts | p. 1 |
1.01 Introduction | p. 1 |
1.02 Directives? Who Cares? | p. 2 |
1.03 Directives Breed Conflict | p. 2 |
1.04 Directives Are Vulnerable to Failure | p. 3 |
1.10 Directives Are Rights without Remedies | p. 6 |
1.11 Directives Won't Work in Most Emergency Situations | p. 7 |
1.12 Conclusion | p. 7 |
Chapter 2 What Are Advance Health Care Directives? | p. 9 |
2.01 Introduction | p. 9 |
2.02 Durable Power of Attorney (or Proxy) for Health Care | p. 9 |
2.03 Ancillary or Limited Use Directives | p. 10 |
2.10 Some Comments--and Cautions--about Durable Powers of Attorney | p. 16 |
2.16 Diversions | p. 19 |
2.17 Conclusion | p. 20 |
Chapter 3 The Ethics of Advance Health Care Directives | p. 23 |
3.01 Introduction | p. 23 |
3.02 Negotiating the Straits | p. 24 |
3.06 The Lighthouses | p. 26 |
3.11 Professional Ethics | p. 28 |
3.15 Institutional Ethics Committees | p. 29 |
3.16 Conclusion | p. 30 |
Chapter 4 Competence and Incompetence | p. 33 |
4.01 Introduction | p. 33 |
4.02 Check Applicable Statute | p. 34 |
4.03 The American Bar Association Position | p. 34 |
4.04 When in Doubt, Include a Medical Assessment | p. 35 |
4.06 The Lawyer-Client Interview | p. 36 |
4.07 Some Comments--and Cautions--about Lay Observations of Competence | p. 36 |
4.18 Legal Standards of Capacity | p. 41 |
4.19 Incapacity as the Effectuating Event | p. 42 |
4.20 Conclusion | p. 42 |
Chapter 5 Client Issues | p. 45 |
5.01 Introduction | p. 45 |
5.02 Summary of Literature | p. 46 |
5.08 Common Misconceptions | p. 49 |
5.16 Barriers to Acceptance | p. 52 |
5.24 Barriers to Implementation | p. 56 |
5.34 Critique of Case Study | p. 59 |
5.35 Conclusion | p. 62 |
Chapter 6 The Perspective of Family and Friends | p. 67 |
6.01 Introduction | p. 67 |
6.02 The Role of Immediate Family | p. 68 |
6.04 Literature Review | p. 70 |
6.07 Common Misconceptions | p. 72 |
6.08 Barriers to Acceptance | p. 73 |
6.09 Barriers to Implementation | p. 74 |
6.10 Critique of Case Study | p. 77 |
6.11 Conclusion | p. 77 |
Chapter 7 The Attorney Perspective | p. 79 |
7.01 Introduction | p. 79 |
7.02 The Genesis of Advance Health Care Directives | p. 80 |
7.03 The Lawyer's Role | p. 81 |
7.10 Critique of Case Study | p. 86 |
7.11 Conclusion | p. 87 |
Chapter 8 The Health Care Provider Perspective | p. 93 |
8.01 Introduction | p. 93 |
8.02 The Patient-Physician Relationship | p. 94 |
8.03 Review of Literature | p. 94 |
8.08 Common Professional Misconceptions | p. 98 |
8.09 Barriers to Acceptance among Medical Professionals | p. 98 |
8.10 Barriers to Implementation within the Medical Profession | p. 99 |
8.21 Legal Issues | p. 108 |
8.22 Countermanding or Overriding Patient Directives or Instructions of Agents | p. 109 |
8.23 Tailoring Clinical Situations to Directives | p. 109 |
8.24 The Ever-Changing Continuum of Health Care Directives | p. 111 |
8.25 Critique of Case Study | p. 112 |
8.26 Conclusion | p. 113 |
Chapter 9 Involvement of Clergy and Spiritual Advisors | p. 117 |
9.01 Introduction | p. 117 |
9.02 The Benefits of a Multidisciplinary Approach | p. 119 |
9.04 Religious and Spiritual Precepts about Advance Directives | p. 120 |
9.26 Barriers to Acceptance | p. 129 |
9.27 Barriers to Implementation | p. 130 |
9.28 Accomodation of Faith | p. 131 |
9.29 Critique of Case Study | p. 131 |
9.30 Conclusion | p. 131 |
Chapter 10 Alternatives in the Absence of Directives | p. 135 |
10.01 Introduction | p. 135 |
10.02 Diversions | p. 135 |
10.12 Conclusion | p. 141 |
Chapter 11 Special Circumstances | p. 143 |
11.01 Introduction | p. 143 |
11.25 Conclusion | p. 151 |
Chapter 12 The Future of Advance Health Care Directives | p. 153 |
12.01 Introduction | p. 153 |
12.05 Better Methods of Implementation | p. 155 |
12.13 Better Education | p. 158 |
12.16 Shifting Attitudes | p. 159 |
12.17 Dilemmas | p. 159 |
12.20 One Last Look | p. 161 |
12.21 Conclusion | p. 161 |
Afterword | p. 163 |
Appendices | p. 167 |
Appendix A Federal Statutes | p. 169 |
Appendix B Glossary | p. 175 |
Appendix C Uniform Health-Care Decisions Act | p. 183 |
Appendix D Values History Form Packets | p. 213 |
Appendix E Spanish Language Directives | p. 224 |
Appendix F Religious Directives | p. 233 |
Appendix G Mental Health Directives | p. 243 |
Appendix H Uniform Anatomical Gift Act (As Enacted by North Dakota) | p. 268 |
Appendix I The Oregon Death With Dignity Act | p. 276 |
Appendix J Statutory Citations (by State, with Analysis) | p. 288 |
Appendix K Consumer Education (How to Make a Community Presentation on Advance Directives) | p. 325 |
Appendix L Internet Resources | p. 328 |
Appendix M Selected Bibliography | p. 332 |
Appendix N Sample Wallet Cards | p. 334 |
Appendix O Sample Letter from Lawyer to Client Upon Execution of Advance Health Care Directives | p. 336 |
Appendix P Sample Instructions to My Agent About My Advance Health Care Directives | p. 338 |
About the Authors | p. 339 |
Index | p. 341 |