Kann Autonomie „fremdvertreten” werden?: Philosophische, medizinische und juristische Überlegungen zur Einstellung lebenserhaltender Therapie bei Schwerstkranken unter Wahrung der Autonomie der Betroffenen

Ethik in der Medizin 14 (3):160-169 (2002)
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Abstract

Zusammenfassung. Im Wandel vom paternalistischen zum partnerschaftlichen Arzt-Patient-Verhältnis werden auch Konfliktsituationen am Ende des Lebens aus einem anderen Blickwinkel gesehen. Der Fortschritt der Intensivmedizin und die zunehmende Zahl chronisch Kranker schaffen hier neue ethische Probleme. Am Fall eines Patienten, der an einer Amyotrophen Lateralsklerose litt, wird der Autonomiekonflikt zwischen Selbst- und Fremdbestimmung verdeutlicht. Juristische, medizinische und ethische Argumente werden fallbezogen dargestellt und der Stellenwert von Patientenverfügungen und das derzeitige deutsche Betreuungsrecht diskutiert.

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10.1007/s00481-002-0160-y

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