Treatment decisions at the end of life: What if they're still standing?

Vincent F. Maher, Mary Rosedale

Research output: Contribution to journalArticle

Abstract

Clinical and managerial decision-making have been traditionally mutually exclusive entities. Recent advances in medical technology and therapeutics however, including chemical nutrition and psychopharmacology, have prompted a questioning of this heretofore professional courtesy. This laissez faire approach to clinical professional turf is particularly problematic when patients' civil liberties are constrained in situations in which the patient has little, if any, real control, e.g. psychiatric inpatient admissions. This paper seeks to examine an area of managerial and clinical conflict-the realm of the care and involuntary treatment of patients with anorexia nervosa. Specifically addressed are the concerns raised by a conflict between competent psychiatric inpatients' refusals of treatment, medical management based on research protocols, and managerial distancing from the issue.

Original languageEnglish (US)
Pages (from-to)23-39
Number of pages17
JournalInternational Journal of Value-Based Management
Volume6
Issue number1
DOIs
StatePublished - Mar 1993

Fingerprint

anorexia
medical technology
physician's care
nutrition
decision making
management
End of Life
End of life
Inpatients
Decision Making
Psychopharmacology
Involuntary
Nutrition
Therapeutics
Questioning
Medical Technology
Civil Liberties
Courtesy
Distancing
Anorexia Nervosa

ASJC Scopus subject areas

  • Business, Management and Accounting(all)
  • Philosophy

Cite this

Treatment decisions at the end of life : What if they're still standing? / Maher, Vincent F.; Rosedale, Mary.

In: International Journal of Value-Based Management, Vol. 6, No. 1, 03.1993, p. 23-39.

Research output: Contribution to journalArticle

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