Reconciling autonomy and beneficence in treatment decision-making for animal patients

This article explores how the concept of consent to medical treatment applies in the veterinary context, and aims to evaluate normative justifications for owner consent to treatment of animal patients. We trace the evolution of the test for valid consent in human health decision-making, against a ba...

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Main Authors: Gray, Carol, Fox, Marie, Hobson-West, Pru
Format: Article
Published: Springer 2018
Online Access:https://eprints.nottingham.ac.uk/51834/
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author Gray, Carol
Fox, Marie
Hobson-West, Pru
author_facet Gray, Carol
Fox, Marie
Hobson-West, Pru
author_sort Gray, Carol
building Nottingham Research Data Repository
collection Online Access
description This article explores how the concept of consent to medical treatment applies in the veterinary context, and aims to evaluate normative justifications for owner consent to treatment of animal patients. We trace the evolution of the test for valid consent in human health decision-making, against a backdrop of increased recognition of the importance of patient rights and a gradual judicial espousal of a doctrine of informed consent grounded in a particular understanding of autonomy. We argue that, notwithstanding the adoption of a similar discourse of informed consent in professional veterinary codes, notions of autonomy and informed consent are not easily transferrable to the veterinary medicine context, given inter alia the tripartite relationship between veterinary professional, owner and animal patient. We suggest that a more appropriate, albeit inexact, analogy may be drawn with paediatric practice which is premised on a similarly tripartite relationship and where decisions must be reached in the best interests of the child. However, acknowledging the legal status of animals as property and how consent to veterinary treatment is predicated on the animal owner’s willingness and ability to pay, we propose that the appropriate response is for veterinary professionals generally to accept the client’s choice, provided this is informed. Yet such client autonomy must be limited where animal welfare concerns exist, so that beneficence continues to play an important role in the veterinary context. We suggest that this ‘middle road’ should be reflected in professional veterinary guidance.
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spelling nottingham-518342020-05-04T19:39:27Z https://eprints.nottingham.ac.uk/51834/ Reconciling autonomy and beneficence in treatment decision-making for animal patients Gray, Carol Fox, Marie Hobson-West, Pru This article explores how the concept of consent to medical treatment applies in the veterinary context, and aims to evaluate normative justifications for owner consent to treatment of animal patients. We trace the evolution of the test for valid consent in human health decision-making, against a backdrop of increased recognition of the importance of patient rights and a gradual judicial espousal of a doctrine of informed consent grounded in a particular understanding of autonomy. We argue that, notwithstanding the adoption of a similar discourse of informed consent in professional veterinary codes, notions of autonomy and informed consent are not easily transferrable to the veterinary medicine context, given inter alia the tripartite relationship between veterinary professional, owner and animal patient. We suggest that a more appropriate, albeit inexact, analogy may be drawn with paediatric practice which is premised on a similarly tripartite relationship and where decisions must be reached in the best interests of the child. However, acknowledging the legal status of animals as property and how consent to veterinary treatment is predicated on the animal owner’s willingness and ability to pay, we propose that the appropriate response is for veterinary professionals generally to accept the client’s choice, provided this is informed. Yet such client autonomy must be limited where animal welfare concerns exist, so that beneficence continues to play an important role in the veterinary context. We suggest that this ‘middle road’ should be reflected in professional veterinary guidance. Springer 2018-07-31 Article PeerReviewed Gray, Carol, Fox, Marie and Hobson-West, Pru (2018) Reconciling autonomy and beneficence in treatment decision-making for animal patients. Liverpool Law Review, 39 (1-2). pp. 47-69. ISSN 1572-8625 https://link.springer.com/article/10.1007/s10991-018-9211-4 doi:10.1007/s10991-018-9211-4 doi:10.1007/s10991-018-9211-4
spellingShingle Gray, Carol
Fox, Marie
Hobson-West, Pru
Reconciling autonomy and beneficence in treatment decision-making for animal patients
title Reconciling autonomy and beneficence in treatment decision-making for animal patients
title_full Reconciling autonomy and beneficence in treatment decision-making for animal patients
title_fullStr Reconciling autonomy and beneficence in treatment decision-making for animal patients
title_full_unstemmed Reconciling autonomy and beneficence in treatment decision-making for animal patients
title_short Reconciling autonomy and beneficence in treatment decision-making for animal patients
title_sort reconciling autonomy and beneficence in treatment decision-making for animal patients
url https://eprints.nottingham.ac.uk/51834/
https://eprints.nottingham.ac.uk/51834/
https://eprints.nottingham.ac.uk/51834/