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needs to be addressable throughout this process where patients are more vulnerable
than doctors. The process of giving information for informed consent hereby has
a twofold task. The first task is to enable the patient to make a decision based
on all relevant facts. The second task is communication with the patient as a task
in itself. Especially in situations where risks are high and decisions might mean
decisions over live and death building a trust relationship is equally important for
the patient. Though decisions might be based on fuzzy concepts and risks that are
relevant for processing medical information the results - leaving the hospital cured
or suffering from side effects or even being dead - are not fuzzy for the patient
him/herself. From an ethical point of view the analysis shows that communication
over a problem and structuring a decision making process together can be seen as
part of a solution of an ethical problem already. Being listened to and the mutual
understanding of different perspectives on a problem built the basis of deliberation
and shared decisions. Therefore the application of fuzzy sets and algorithms can
only be implemented within these structures but not instead of them.
References
1. Alt-Epping, B., Nauck, F.: Der Wunsch des Patienten - ein eigenständiger normativer
Faktor in der klinischen Therapieentscheidung? Ethik in der Medizin 24, 19-28 (2011)
2. Bates, J.H.T., Young, M.P.: Applying Fuzzy Logic to Medical Decision Making in the
Intensive Care Unit. American Journal of Respiratory and Critical Care Medicine 167,
948-952 (2003)
3. Beauchamp, T.L., Childress, J.F.: Principles of Biomedical Ethics, 5th edn. Oxford Uni-
versity Press (2001)
4. Bowman, K.: What are the Limits of Bioethics in a Culturally Pluralistic Society? Jour-
nal of Law, Medicine & Ethics 32(4), 664-669 (2004)
5. Chochinov, H.M., Tataryn, D.J., Clinch, J.J., Dungeon, D.: Will to live in the terminally
ill. Lancet 354, 651-661 (1999)
6. Chung, G.S., Lawrence, R.E., Curlin, F.A., Arora, V., Meltzer, D.O.: Predictors of hos-
pitalised patients' preferences for physician-directed medical decision making. Journal
of Medical Ethics 38(2), 77-82 (2012)
7. Feuerstein, G., Kollek, R.: Flexibilisierung der Moral: Zum Verhältnis von biotechnis-
chen Innovationen und ethischen Normen. In: Honnegger, C., Hradil, S., Traxler, F.
(eds.) Grenzenlose Gesellschaft? Kongressband des Freiburger Kongresses der DGS,
ÖGS und SGS, part 2, 1st edn., Opladen, pp. 559-574 (1999)
8. Inthorn, J. (ed.): Richtlinien, Ethikstandards und kritisches Korrektiv. Eine Topogra-
phie ethischen Nachdenkens im Kontext der Medizin, 1st edn. Edition Ruprecht (Edition
Ethik Band 7), Göttingen (2010)
9. Marckmann, G., Mayer, F.: Ethische Fallbesprechungen in der Onkologie: Grundlagen
einer prinzipienorientierten Falldiskussion. Der Onkologe 15(10), 980-988 (2009)
10. Rid, A., Wendler, D.: Can we improve Treatment Decision-Making for Incapacitated
Patients? Hastings Center Report 40(5), 36-45 (2010)
11. Sadegh-Zadeh, K.: Handbook of Analytic Philosophy of Medicine. Springer, Dordrecht
(2012)
