Legal Evaluation of Do Not Resuscitate Instruction (DNR) in Turkish and American Laws

Pelin Çavdar

Makale detayları

Legal Evaluation of Do Not Resuscitate Instruction (DNR) in Turkish and American Laws

Yazarlar:

Pelin Çavdar

Yayıncı:

Ankara Yildirim Beyazit University

Ana Başlıklar:

Tıbbi ve Sağlık Hukuku

Dergi:

Yıldırım Beyazıt Hukuk Dergisi Issue 1, pp.197-239

Belge Tipi:

Makale

Yayın Tarihi:

1/2024

Belge Dili:

Türkçe

Document ID (Org No.):

2001311234

pISSN:

2149-5831

Anahtar kelimeler:

Özet:

 When the patients heart or breathing stops, heshe has the right to demand not to be resuscitated DNR by CPR in American law. In particular, the patient is given such an opportunity, taking into account the basic principles that dominate medical law, such as the right to self-determination, the right to live with dignity and respect for patient autonomy. In the USA, the form sought for the legal validity of the patients DNR requests differs according to the states. In the USA, DNR requests are mostly made at the request of the patientlegal representative and in cases of medical futility. The principles for the proper use of DNR instructions are also guiding for the physician and the patient. In Turkish law, however, DNR requests do not have legal validity and the issue is highly controversial. In the doctrine, the subject is examined within the framework of the autonomy of the physician, the patients right to self-determination, patients right to refuse treatment and passive euthanasia. However, when the border with passive euthanasia is not drawn, legal and criminal liability of the physician who applies the DNR instruction may arise. Most researchers in the literature are of the opinion that it would be more appropriate for the physician and the patient to give validity to the DNR instructions and to establish a legal basis in Turkish law, taking into account the medical law principles and ethics.

 When the patients heart or breathing stops, heshe has the right to demand not to be resuscitated DNR by CPR in American law. In particular, the patient is given such an opportunity, taking into account the basic principles that dominate medical law, such as the right to self-determination, the right to live with dignity and respect for patient autonomy. In the USA, the form sought for the legal validity of the patients DNR requests differs according to the states. In the USA, DNR requests are mostly made at the request of the patientlegal representative and in cases of medical futility. The principles for the proper use of DNR instructions are also guiding for the physician and the patient. In Turkish law, however, DNR requests do not have legal validity and the issue is highly controversial. In the doctrine, the subject is examined within the framework of the autonomy of the physician, the patients right to self-determination, patients right to refuse treatment and passive euthanasia. However, when the border with passive euthanasia is not drawn, legal and criminal liability of the physician who applies the DNR instruction may arise. Most researchers in the literature are of the opinion that it would be more appropriate for the physician and the patient to give validity to the DNR instructions and to establish a legal basis in Turkish law, taking into account the medical law principles and ethics.

 When the patients heart or breathing stops, heshe has the right to demand not to be resuscitated DNR by CPR in American law. In particular, the patient is given such an opportunity, taking into account the basic principles that dominate medical law, such as the right to self-determination, the right to live with dignity and respect for patient autonomy. In the USA, the form sought for the legal validity of the patients DNR requests differs according to the states. In the USA, DNR requests are mostly made at the request of the patientlegal representative and in cases of medical futility. The principles for the proper use of DNR instructions are also guiding for the physician and the patient. In Turkish law, however, DNR requests do not have legal validity and the issue is highly controversial. In the doctrine, the subject is examined within the framework of the autonomy of the physician, the patients right to self-determination, patients right to refuse treatment and passive euthanasia. However, when the border with passive euthanasia is not drawn, legal and criminal liability of the physician who applies the DNR instruction may arise. Most researchers in the literature are of the opinion that it would be more appropriate for the physician and the patient to give validity to the DNR instructions and to establish a legal basis in Turkish law, taking into account the medical law principles and ethics.

 Amerikan hukukunda hasta kalbi veya solunumu durduğunda kendisine kalp masajı yapılarak CPR yeniden canlandırma yapılmamasını DNR talep etme hakkına sahiptir. Özellikle kendi geleceğini belirleme hakkı, onurlu yaşama hakkı ve hasta özerkliğine saygı gösterilmesi gibi tıp hukukuna egemen olan temel ilkeler dikkate alınarak hastaya böyle bir imkân tanınmaktadır. Amerikada hastanın DNR taleplerinin hukuki geçerliliği için aranan şekil eyaletlere göre farklılık göstermektedir. Amerikada DNR talepleri büyük çoğunlukla hastanınyasal temsilcinin talebiyle ve tıbbi yararsızlık söz konusu olduğunda düzenlenmektedir. DNR talimatlarının uygun kullanımına yönelik ilkeler de hekim ve hastaya yol gösterici niteliktedir. Türk hukukunda ise, DNR taleplerinin yasal bir geçerliliği bulunmamaktadır ve konu oldukça tartışmalıdır. Doktrinde konu hekimin mesleki özerkliği, hastanın kendi geleceğini belirleme hakkı, hastanın tedaviyi reddetme hakkı ve pasif ötanazi çerçevesinde incelenmektedir. Ancak pasif ötanazi ile sınırının çizilmemesi sebebiyle DNR talimatını uygulayan hekimin hukuki ve cezai sorumluluğu doğabilmektedir. Literatürdeki mevcut araştırmacılar, tıp hukuku ilkeleri ve etiği dikkate alınarak DNR talimatlarına geçerlilik tanınmasının ve Türk hukukunda da yasal bir zemine oturulmasının hekim ve hasta açısından daha uygun olacağı kanaatini taşımaktadırlar.

Makale detayları

Legal Evaluation of Do Not Resuscitate Instruction (DNR) in Turkish and American Laws

Yazarlar:

Pelin Çavdar

Yayıncı:

Ankara Yildirim Beyazit University

Ana Başlıklar:

Tıbbi ve Sağlık Hukuku

Dergi:

Yıldırım Beyazıt Hukuk Dergisi Issue 1, pp.197-239

Belge Tipi:

Makale

Yayın Tarihi:

1/2024

Belge Dili:

Türkçe

Document ID (Org No.):

2001311234

pISSN:

2149-5831

Patient autonomy

do not resuscitate instruction (DNR)

cardiopulmonary resuscitation

(CPR)

medical futulity

request of the patient

Patient’s Right to Self Determination

medical ethicsHasta özerkliği

yeniden canlandırmama talimatı (DNR)

kalp masajı (KPR)

tıbbi yararsızlık

hastanın talebi

Hastanın kendi geleceğini belirleme hakkı

Tıp etiği

Sayı

Makale detayları

Yazarlar: Pelin Çavdar

Yayıncı: Ankara Yildirim Beyazit University

Ana Başlıklar: Tıbbi ve Sağlık Hukuku

Dergi: Yıldırım Beyazıt Hukuk Dergisi Issue 1, pp.197-239

Belge Tipi: Makale

Yayın Tarihi: 1/2024

Belge Dili: Türkçe

Document ID (Org No.): 2001311234

pISSN: 2149-5831

Sayı

Yazarlar:

Pelin Çavdar

Yayıncı:

Ankara Yildirim Beyazit University

Ana Başlıklar:

Tıbbi ve Sağlık Hukuku

Dergi:

Yıldırım Beyazıt Hukuk Dergisi Issue 1, pp.197-239

Belge Tipi:

Makale

Yayın Tarihi:

1/2024

Belge Dili:

Türkçe

Document ID (Org No.):

2001311234

pISSN:

2149-5831