20.500.12556/DKUM-98290 Vnaprej izražena volja skozi prizmo pravice do življenja in nujne medicinske pomoči magistrsko delo Advance healthcare directive through the lens of the right to life and emergency medical care Klasični model zdravniškega paternalizma, ki je v ospredje postavljal dobrobit pacienta brez upoštevanja njegove dejanske volje, se danes umika načelu avtonomije volje pacienta. To načelo pacientu podeljuje pravico do samoodločbe in mu daje zadnjo besedo pri sprejemanju odločitev o posegih v lastno telo. Načelo avtonomije volje presega le odločanje pacienta o aktualnih posegih. Na področju medicinskega prava se je razvil institut vnaprej izražene volje, ki daje pacientu pravico, da vnaprej zavrne agresivne terapevtske posege, ki bi zgolj podaljševali njegovo preživetje v primeru neozdravljive bolezni, ter na njih nikakor ne bi pristal v kolikor bi bil zmožen izjaviti svojo voljo. Vzpostavitev tovrstnega mehanizma je izrednega pomena, saj po eni strani zdravniku olajša odločanje o zdravljenju pacienta, ki ne more podati veljavne privolitve, po drugi strani pa pacientu omogoča, da do konca ohrani svoje dostojanstvo ter ni podvržen posegom, ki bi mu povzročili stisko ali sram. Pri tem je treba poudariti, da tovrstno odklanjanje zdravja ne pomeni privolitve v aktivno končanje življenja, saj je to v slovenski zakonodaji še vedno strogo prepovedano. Vnaprej izražena volja zgolj omogoča pacientu, da odkloni medicinske ukrepe, ki bi le podaljševali njegov naravni proces umiranja. The traditional model of medical paternalism, which prioritized the patient’s well-being without regard for their actual wishes, is now giving way to the principle of patient autonomy. This principle grants the patient the right to self-determination and gives them the final say in decisions regarding interventions on their own body. The principle of autonomy extends beyond the patient’s decisions regarding current interventions. In the field of medical law, the concept of advance directives has developed, granting the patient the right to refuse in advance aggressive therapeutic interventions that would merely prolong their survival in the event of an incurable illness, and which they would in no way consent to had they been capable of expressing their will. The establishment of such a mechanism is of extraordinary importance, as on the one hand it facilitates the physician’s decision-making regarding the treatment of a patient who cannot give valid consent, and on the other hand it allows the patient to maintain their dignity until the end and not be subjected to interventions that would cause them distress or shame. It is important to emphasize that this type of refusal of medical treatment does not constitute consent to active euthanasia, as this remains strictly prohibited under Slovenian law. An advance directive merely allows the patient to refuse medical interventions that would merely prolong their natural dying process. avtonomija dostojanstvo pacient privolitev razsodnost pogoji poklicni kodeks paliativna oskrba pojasnilo skrbnik autonomy dignity patient consent reasonableness requirements professional code of conduct palliative care clarification guardian true true false B. Čas Slovenski jezik Angleški jezik Magistrsko delo/naloga 2026-06-03 12:29:20 2026-07-17 10:20:26 2026-07-18 03:13:01 0000-00-00 00:00:00 2026 0 Maribor 0 Maribor 1 spletni vir (1 datoteka PDF (82 str.)) 0000-00-00 NiDoloceno NiDoloceno NiDoloceno 0000-00-00 0000-00-00 0000-00-00 342.7:614.235(043.3) 285211139 MAG_Cas_Blazka_2026.pdf MAG_Cas_Blazka_2026.pdf 1 617C62D2D1AB44B531C7B29FFDA88AC3 0679f837bce7c59847ce976f6680b6cd97889bb643f102a154a7407603d6018d 525719c4-5f38-11f1-8a3a-00155d580e34 https://dk.um.si/Dokument.php?lang=slv&id=206674 Pravna fakulteta 0 0 0