Advance planning in end-of-life care: legal and ethical considerations for neurologists.
Neurological illnesses can leave patients unable to make legally valid decisions about their medical treatment. However, this loss of decision making capacity can often be predicted in advance. The law in the UK now enables patients to make legally binding arrangements to either refuse specific treatments in advance or to appoint others to make decisions on their behalf. This article discusses the mechanics of advance planning under UK law and the role of the neurologist in helping patients to plan ahead.
Kerrigan
Simon
S
Solicitor and Specialist Registrar in Neurology, Edinburgh Centre for Neuro-oncology, Western General Hospital, Edinburgh, UK. simon.kerrigan@nhs.net
Ormerod
Ian
I
D006801:Humans; D007258:Informed Consent; D009422:Nervous System Diseases; D009462:Neurology / Q000331:legislation & jurisprudence*; D010347:Patient Care Planning / Q000941:ethics* / Q000331:legislation & jurisprudence*; D013727:Terminal Care / Q000941:ethics* / Q000331:legislation & jurisprudence*; D020458:Third-Party Consent