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2 edition of ethical analysis of withdrawal from life-sustaining technologies and assisted death found in the catalog.

ethical analysis of withdrawal from life-sustaining technologies and assisted death

James F Childress

ethical analysis of withdrawal from life-sustaining technologies and assisted death

a report for the Office of Technology Assessment

by James F Childress

  • 200 Want to read
  • 28 Currently reading

Published by The Office in [Washington, D.C.? .
Written in English

    Subjects:
  • Euthanasia -- United States -- Moral and ethical aspects,
  • Assisted suicide -- United States -- Moral and ethical aspects,
  • Life support systems (Critical care) -- United States,
  • Terminal care -- United States -- Moral and ethical aspects,
  • Older people -- Medical care -- United States -- Moral and ethical aspects,
  • Medical ethics -- United States

  • Edition Notes

    StatementJames F. Childress
    ContributionsUnited States. Congress. Office of Technology Assessment
    The Physical Object
    Paginationv, 70, [11] leaves :
    Number of Pages70
    ID Numbers
    Open LibraryOL14677050M

    In contrast to the chapter on futile and non-beneficial treatments, this article concerns the beneficial effect of withholding such treatments, and how that may be the most appropriate step. The other issues to consider are matters of responsibility (i.e. who is responsible for making the decision). Consensus of medical experts is one of the preconditions which must be met, and even though.


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ethical analysis of withdrawal from life-sustaining technologies and assisted death by James F Childress Download PDF EPUB FB2

Get this from a library. An ethical analysis of withdrawal from life-sustaining technologies and assisted death: a report for the Office of Technology Assessment.

[James F Childress; United States. Congress. Office of Technology Assessment.]. Ethical and legal issues concerning physician-assisted suicide and euthanasia are very much ethical analysis of withdrawal from life-sustaining technologies and assisted death book the public agenda in many jurisdictions.

In this timely book L.W. Sumner addresses these issues ethical analysis of withdrawal from life-sustaining technologies and assisted death book the wider context of palliative care for patients in the dying process. His ethical conclusion is that a bright line between assisted death and other widely accepted ethical analysis of withdrawal from life-sustaining technologies and assisted death book practices, including.

Furthermore, there is no ethical or legal distinction between withholding a treatment and withdrawing a treatment after it has been initiated.6, 7, 8 In fact, withdrawal of life-sustaining interventions (eg, mechanical ventilation, hemo-dialysis, artificial hydration, and nutrition) from terminally ill patients is practiced widely.

9 Thus Cited by:   The ethical analysis proceeds in three stages. First, the difference between neglectful omission and passive acquiescence is explained. Next, the two necessary conditions for any medical treatment, i.e., that it is medically indicated and that consent is obtained, are applied to Cited by: 13 Unlike assisted death, which requires patients to be screened for depression, patients can ask for treatment withdrawal even if they have major depression or are suicidal.

14 Furthermore Author: David Orentlicher. A general rationale is presented for withholding and withdrawing medical treatment in end-of-life situations, and an argument is offered for the moral irrelevance of the distinction, both in the context of pharmaceutical treatments, such as chemotherapy in cancer, and in the context of life-sustaining treatments, such as the artificial ventilator in lateral amyotrophic by: 6.

Request PDF | Controlled Donation After Circulatory Determination of Death: Ethical Issues in Withdrawing Life-Sustaining Therapy | Controlled donation after circulatory determination of death. Withdrawing Life-Sustaining Treatment 1 ¢ 1 1 1 4 1 1 1 1 1 1 1 thics © by the Center for Practical Bioethics, Reviewed File Size: KB.

JAMA. ;, FebruDecisions to Withdraw Life-Sustaining Treatment: A Moral Algorithm, Edmund D. Pellegrino, MD. Withholding or withdrawing a life-sustaining treatment tends to be very challenging for health care providers, patients, and their family members alike.

When a patient’s life seems to be nearing its end, it is generally felt that the morally best approach is to try a new intervention, continue all treatments, attempt an experimental course of action, in short, do by: A number of these noted non‐ethical differences; for instance, psychologically, withdrawal of treatment may suggest patient abandonment 7; withdrawal of treatment may be perceived as more obviously connected to a hastened death, 7 religious and secular ethical understandings may differ, and call for greater sensitivity in dealing with Cited by: Orentlicher, David, The Alleged Distinction between Euthanasia and the Withdrawal of Life-Sustaining Treatment: Conceptually Incoherent and Impossible to Maintain (March 8, ).

University of Illinois Law Review, Vol. No, 3, p. Cited by: 7. Ethical and legal issues concerning physician-assisted suicide and euthanasia are very much on the public agenda in many jurisdictions. In this timely book L.W.

Sumner addresses these issues within the wider context of palliative care for patients in the dying ethical analysis of withdrawal from life-sustaining technologies and assisted death book. His ethical conclusion is that a bright line between assisted death and other widely accepted end-of-life practices, including the withdrawal of life-sustaining treatment, pain control through high-dose opioids, and terminal sedation, cannot be justified.

In the course of the ethical argument many familiar themes are given careful and thorough Cited by: Physicians will receive requests from patients and/or their families to withdraw or withhold these life-sustaining treatments.

In a prospective survey of deaths in U.S. intensive care units, limiting life-sustaining treatments is a predominant practice.6 Withholding life-sustaining therapy is “the considered decision not to instituteFile Size: KB.

Many physicians are uncomfortable removing life-sustaining therapy or providing comfort-directed medication because of confusion about the ethical soundness of such treatments. In contrast to physician-assisted suicide or euthanasia, withdrawal of or withholding life-sustaining treatment and PS are ethically sound by: An ethical analysis of withdrawal from life-sustaining technologies and assisted death [microform]: a r A New dictionary of Christian ethics / edited by James F.

Childress and John Macquarrie Moral responsibility in conflicts: essays on nonviolence, war, and conscience / James F. Childress. An explanation and analysis of how world religions formulate their ethical decisions on withdrawing treatment and determining death Susan M Setta1* and Sam D Shemie2 Abstract Introduction: This paper explores definitions of death from the perspectives of several world and indigenousCited by: utilize life support and other medical technologies that have the ability to keep individuals alive have blurred the line between what constitutes imperative life sustaining treatment, and optional extraordinary measures.

Respect for patient autonomy includes efforts to provide patients with greater agency in end-of-life care decisions. Bernat J () Ethical aspects of determining and communicating prognosis in critical care. Neurocrit Care – PubMed CrossRef Google Scholar Curtis JR () Interventions to improve care during withdrawal of life-sustaining : Wendy L.

Wright. The Withdrawal of Life-Sustaining TreatmentPersistent Vegetative StateSurrogate Decision-MakersKaren Ann QuinlanArtificial FeedingNancy CruzanContinued DebateTerri SchiavoThe Government Steps InLearning from Terri SchiavoNeed for Legislation Source for information on The Withdrawal of Life-Sustaining Treatment: The Right to Die dictionary.

Families looking back: One year after discussion of withdrawal or withholding of life-sustaining support. Crit Care Med ; – PubMed CrossRef Google ScholarAuthor: Chere M. Chase, Michael A. Williams. # Euthanasia may be ethical, but it is not legal {#article-title-2} EDITOR—Street and Henderson invite debate about an accepted medical practice (withdrawing life sustaining treatment under the influence of paralysing agents) that is approved by an authoritative ethical advisory committee and yet is of questionable legality.1 It should be no surprise that a course of action that is ethically.

President's Commission for the Study of Ethical Problems in Medicine and Biomedical and Behavioral Research. Deciding to Forego Life-Sustaining Treatment: Ethical, Medical, and Legal Issues in Treatment Decisions.

Washington, DC: US Government Printing Office; Life-Sustaining Technologies and the Elderly. Washington, DC: US Congress File Size: KB. The analysis engages with the complicated notion of medical appropriateness, both in general and as it pertains to life-sustaining interventions in a critical care setting, and considers the ethical implications of the various ways in which one might understand this concept.

Two chapters treat what has been known as “end of life” decision making, including the legal and ethical norms for withdrawal of life-sustaining treatment and the legal and ethical status of medically assisted dying. Finally, the book closes with a chapter on Population Health and Public Health, analyzing the interaction between individual Book Edition: 8th.

-Life sustaining treatment is any intervention that is essential to maintenance of life: food/water/feeding tube/ventilator-Paternalism becomes a factor when death is the consequence and when factors such as prognosis, qol, and age are considered.

Start studying Ethical and legal issues in end-of-life care. Learn vocabulary, terms, and more with flashcards, games, and other study tools. The ethical concerns behind this question can be magnified in some cases, like Karen's, where the life-sustaining treatments do not help to cure or even treat the condition causing death.

This paper explores definitions of death from the perspectives of several world and indigenous religions, with practical application for health care providers in relation to end of life decisions and organ and tissue donation after death.

It provides background material on several traditions and explains how different religions derive their conclusions for end of life decisions from the Cited by:   Guidelines on the termination of life-sustaining treatment and the care of the dying, The Hastings Center, Briancliff Manor, NY p Wicclair MR.

Conscientious objection in medicine. Bioethics ; American Heart Association Guidelines for Cardiopulmonary Resuscitation and Emergency Cardiovascular Care.

Part 2: Ethical issues. Cruzan was a case directly related to withdrawing life-sustaining treatment. This case in supported the “distinction between letting a patient die and making that patient die.

3 There was “clear and convincing” evidence of Nancy Cruzan’s intent was not to be sustained on a. The articles in this section address ethical issues that arise surrounding end-of-life care including withholding and withdrawing of treatment, terminal sedation, determination of death, DNR (“do not resuscitate”) orders, artificial nutrition and hydration (“feeding tubes”), euthanasia, assisted suicide, as well as the availability and.

Analysis of an Ethical Dilemma. words (10 pages) Essay in Medical Law This essay analysis an ethical dilemma in relation to professional, ethical and legal issues it raises and its international perspective.

they do not have any proper guidelines on withholding and withdrawal of life-sustaining treatment and information on. An Act to Revise and Recast the Durable Powers of Attorney for Health Care Law and the Natural Death Act for Withholding or Withdrawal of Life-Sustaining Treatment as Part of a New Act, the Health Care Decisions Law, and Provide for Advance Health Care Directives and Health Care Decisions for Patients Without Surrogates .

Read chapter 8. Ethical and Legal Issues: The death of a child is a special sorrow. No matter the circumstances, a child’s death is a life-altering expe.

withdrawal results in death. When a patient lacks capacity, his/her legally-defined surrogate decision-maker has the same right to refuse or request withdrawal of treatment. Legally, carrying out a request to withdraw life-sustaining treatment is neither physician-assisted suicide.

Background People have fought for their civil rights, primarily the right to live in dignity. At present, the development of technology in medicine and healthcare led to an apparent paradox: many people are fighting for the right to die. This study was aimed at testing whether different moral principles are associated with different attitudes towards end-of-life decisions for patients with a Cited by: Withdrawing and withholding life-sustaining medical treatment.

Currently in the UK it is recognised that where death is inevitable life-sustaining treatments such as resuscitation, artificial ventilation, dialysis or artificial feeding may be withdrawn or withheld.

In such cases the goal of. Our objective was to investigate whether a consensus exists between the general public and health care providers regarding the reasoning and values at stake on the subject of life-sustaining treatment.

A postal questionnaire was sent to a random sample of members of the adult population (n = ) and to a random sample of intensive care doctors and neurosurgeons (n = ) practicing in Cited by:.

There pdf a fine distinction between life-saving measures and life-sustaining ones. In the case presented below the husband of a wife with cancer did not understand the continuation of life-sustaining treatment after the decision to reject life-saving measures was made. Death and life sustaining treatments AND MEDICAL AND LEGAL ETHICAL VIEW OVER IT.

1. BY VARDAN Download pdf 2. Contents Defining death in the law Medical defination of death Legal defination of death Determination of death UDDA Brain Death American Academy of Neurology Guidelines for Brain Death Determination Biological death and signs of biological death Quality Care.

See James L. Underwood, The Supreme Ebook Assisted Suicide Opinions in International Perspective: Avoiding a Bureaucracy of Death, 73 N.D.L. REV.(): Kathy L. Cerminara, Regulating How We Die: The Ethical Medical and Legal Issues Surrounding Physician-Assisted Suicide, 20 J.

LEGAL MED.() (book review).