Search Full Text
Now showing items 1-10 of 148
Dutch Euthanasia: Background, Practice, and Present Justifications
Dutch developments on euthanasia have drawn much attention over the years. Defenders and opponents have been telling very different stories about the practice of euthanasia and the frequency of cases, and the Dutch government ...
Futility: Is Definition the Problem? Part I
A physician recently asked how to respond in the case of an 87-year-old patient with advanced Alzheimer's disease, who was unable to swallow or tolerate a nasogastric tube, when the family insisted a gastrostomy tube be ...
Futility in Practice
...Much of the resistance to the notion of futility, we believe, derives from the fear that it will serve as a masquerade for less defensible motivations. For example, will its acceptance revive discarded abuses of medical ...
Reports From the Netherlands: Dances With Data
Conclusion: Medical decisions concerning the end of life are a difficult matter and they evoke much emotional response. What is needed, however, is an open debate in order to improve the moral quality of decision making, ...
The Problem of Proxies With Interests of Their Own: Toward a Better Theory of Proxy Decisions
Patient autonomy is the cornerstone of our medical ethics. Given this commitment to autonomy, proxy decisions will always strike us as problematic: it is always more difficult to ensure that the wishes of the patient ...
Is the Patient Self-Determination Act Appropriate for Elderly Persons Hospitalized for Depression?
The goal of the PSDA is to foster communication between patients and physicians about patients' preferences for life-sustaining therapies. Compliance with the PSDA is a condition for reimbursement by Medicaid and Medicare. ...
Medical Futility: The Duty Not to Treat
In this paper, we examine in closer detail the ethical implications of medical futility. Section one introduces an illustrative case involving a clearly futile medical treatment. Section two outlines three contrasting positions ...
Position Statement: Certain Aspects of the Care and Management of Profoundly and Irreversibly Paralyzed Patients With Retained Consciousness and Cognition
(American Academy of Neurology. Ethics and Humanities Subcommittee, 1993-01)