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      Should an Advance Care Directive Refusing Life-Sustaining Treatment Be Respected after an Attempted Suicide? Development of an Algorithm to Aid Health Care Workers.

      1
      Journal of law and medicine
      advance care directive, ethics, resuscitation, suicide, withholding treatment

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          Abstract

          An advance care directive (ACD) is a written expression of a person's preferences in relation to health care, which can appoint a trusted substitute decision-maker, describe personal values, and make explicit decisions consenting to, or refusing, certain treatments. When a person with a directive refusing life-sustaining treatments attempts suicide, opinions are divided as to the degree to which health care staff are bound by such a directive. In this section, I will provide an example of a patient who presents to hospital after attempting suicide who has a valid ACD refusing life-sustaining treatment. I will then describe the legislation relevant to ACDs in Victoria, Australia and ethical arguments relating to the application of an ACD in this context. I will present a decision-making algorithm for health care staff faced with the difficult decisions arising from such a presentation.

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          Author and article information

          Journal
          J Law Med
          Journal of law and medicine
          1320-159X
          1320-159X
          Apr 2019
          : 26
          : 3
          Affiliations
          [1 ] Student, Melbourne Law Masters program; Intensive Care Specialist, Cabrini Hospital, Malvern, Victoria; Senior Adjunct Lecturer, Monash University, Victoria; National Lead Trainer, Organ and Tissue Authority, Canberra, Australian Capital Territory.
          Article
          30958649
          787603f1-01ed-462a-8d56-f3119225b1df
          History

          suicide,withholding treatment,advance care directive,resuscitation,ethics

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