Bioethics

The Limits of Advance Directives

By David Orentlicher While it is important for people to express their wishes about end-of-life care in advance, a court case in Hawaii reminds us that advance directives do not always ensure that patient’s wishes will be followed. Karen Okada wrote a living will, which the hospital ethics committee found to express a desire not…

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By David Orentlicher

While it is important for people to express their wishes about end-of-life care in advance, a court case in Hawaii reminds us that advance directives do not always ensure that patient’s wishes will be followed. Karen Okada wrote a living will, which the hospital ethics committee found to express a desire not to have a feeding tube in her current condition. A family member has objected, on the basis that he is acting in accordance with his authority as an appointed surrogate. Unfortunately, patients’ preferences can be frustrated by their families or their health care providers.

[Cross-posted from HealthLawProf Blog]

About the author

  • David Orentlicher

    David Orentlicher was a Bill of Health blog contributor. He was the Samuel R. Rosen Professor and co-director of the Hall Center for Law and Health at Indiana University Robert H. McKinney School of Law, where he specializes in health care law and constitutional law.