Mark G.
Kuczewski, PhD Irma
Fiedler, PhD ABSTRACT In the bioethics, medical, and disability studies literature, ethical issues in the rehabilitation care of adult patients have received sporadic interest over the last 20 years. This overview of the literature focuses on the cornerstone of contemporary bioethicsthe doctrine of informed consent. Problems in applying this doctrine to patients whose values and personal identity may be challenged by disease or injury, as well as radically altered life options, are addressed. Practical guidance regarding informed consent and decision-making capacity in the clinical setting is offered, highlighting the issues raised by evolving reimbursement structures, as well as the ethical issues involved in the quest for objective measures of quality of life.
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