Proxies should be competent, adequately informed, emotionally stable and committed to your interests. They're expected to decide as if they were you -- that is, based on their best knowledge of your values and your beliefs and not based on their own values and beliefs or some kind of abstract best interest.
More Quotes from Dr. Tepperman:
I don't think there's any question in ethical thinking that if treatment is medically futile, you don't continue it. But what is 'medically futile' Often there's no clear line.Dr. Tepperman
Every treatment can potentially have an adverse effect. Everybody knows even two aspirins for a headache has a bad effect for someone somewhere. On balance, positive effects have to outweigh the negative.
Dr. Tepperman
It's the patient's expression of their values.
Dr. Tepperman
He's there to offer expertise, to explain options and to keep explaining until everything is clearly understood. But the patient, sitting on the examining table in a paper gown with the wind whipping around his knees, is the only person in the room with a decision to make. As such, he makes the decision and gives consent based on the information, which includes risks and benefits weighed against his personal values.
Dr. Tepperman
The family needs to know whether they want to be on a ventilator or not. Discuss those issues with your friends, your family, with anyone who is likely to have significant input when the time comes. Don't leave it to the courts to designate your proxy.
Dr. Tepperman
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