Comparison of patients' and health care professionals' attitudes towards advance directives

Journal of Medical Ethics

Volumn 24, Issue 5, 1998, Pages 328-335

  Blondeau, Danielle ^a   Valois, Pierre ^a,b   Keyserlingk, Edward W ^a,c   Hébert, Martin ^a,d   Lavoie, Mireille ^a  

^a UNIVERSITÉ LAVAL   (Canada)

^b UNIVERSITÉ DU QUÉBEC À TROIS RIVIÈRES   (Canada)

^c MCGILL UNIVERSITY   (Canada)

^d Guy and Gilbert   (Canada)

Author keywords

Advance directives; Bioethics; Durable power of attorney; Living will; Professionals' attitudes

Indexed keywords

ADMINISTRATIVE PERSONNEL; ARTICLE; CANADA; LIVING WILL; MULTIVARIATE ANALYSIS; NURSE; PATIENT ATTITUDE; PATIENT RIGHT; PHYSICIAN ATTITUDE; QUESTIONNAIRE; SCORING SYSTEM; VARIANCE;

EID: 0346943077     PISSN: 03066800     EISSN: None     Source Type: Journal    
DOI: 10.1136/jme.24.5.328     Document Type: Article

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5. A decision worth noting is that of the Ontario Court of Appeal in Malette v Shulman (1990). Georgette Malette was involved in an automobile collision. Suffering serious injury, she was brought to a hospital emergency room. In her purse, she had a Jehovah's Witness card, specifically refusing blood transfusion in any circumstances. She was unconscious and bleeding profusely. To save her life, Dr Shufman decided to do a blood transfusion, overriding Mrs Malette's advance directive. After she had recovered, she sued Dr Shulman. The court held that Dr Shulman was wrong to override Mrs Malette's directive and ordered him to pay $20, 000 for assault. This decision upholds the validity of a written advance directive and the obligation to respect the wishes expressed by the patient.
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