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Complex Cases, Complex Choices: The Ethics of Intervention over Objection in Patients with Limited Capacity
The presentation addresses the challenging ethical dilemma of when it is appropriate to provide medical treatment to patients who lack full decision-making capacity and object to the proposed intervention. Dr. Kaplan provides a comprehensive framework for analyzing these complex cases, emphasizing the importance of a thorough assessment of capacity, clinical condition, potential for coercion, and the nature of the intervention (diagnostic or therapeutic).
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Deciding Alone: Unilateral Withdrawal of Life-Sustaining Interventions
The bioethics grand round, presented by the Center for Medical Ethics and Health Policy at Baylor College of Medicine, featured a debate on the ethical considerations surrounding the unilateral withdrawal of life-sustaining interventions, focusing particularly on ECMO (extracorporeal membrane oxygenation). This scenario raised the ethical dilemma of whether to continue ECMO support when it is deemed medically inappropriate, described as a "bridge to nowhere".
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