Dignifying death and the morality of elective ventilation
In this paper we defend that elective ventilation (EV), even if conceived as the instrument to maximise the chances of organ recovery, is mainly the means to provide the patient who is dying with a dignified death in several ways, one of them being the possibility of becoming an organ donor. Because...
Gespeichert in:
| Veröffentlicht in: | Journal of medical ethics 2013-03, Vol.39 (3), p.145-148 |
|---|---|
| Hauptverfasser: | , |
| Format: | Artikel |
| Sprache: | eng |
| Schlagworte: | |
| Online-Zugang: | Volltext |
| Tags: |
Tag hinzufügen
Keine Tags, Fügen Sie den ersten Tag hinzu!
|
| container_end_page | 148 |
|---|---|
| container_issue | 3 |
| container_start_page | 145 |
| container_title | Journal of medical ethics |
| container_volume | 39 |
| creator | De Lora, Pablo Blanco, Alicia Pérez |
| description | In this paper we defend that elective ventilation (EV), even if conceived as the instrument to maximise the chances of organ recovery, is mainly the means to provide the patient who is dying with a dignified death in several ways, one of them being the possibility of becoming an organ donor. Because EV does not harm the patient and permits the medical team a better assessment of the patient's clinical trajectory and a better management of the dying process by the family, EV does not violate the principle of non-beneficence nor the principle of autonomy if we restrict the initiation of EV to those cases in which it is not known what the previous wishes of the patient were as regards to his or her care at the end of life. |
| doi_str_mv | 10.1136/medethics-2012-100995 |
| format | Article |
| fullrecord | <record><control><sourceid>gale_proqu</sourceid><recordid>TN_cdi_proquest_miscellaneous_1291596705</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><galeid>A323037708</galeid><jstor_id>43282685</jstor_id><sourcerecordid>A323037708</sourcerecordid><originalsourceid>FETCH-LOGICAL-b476t-188ee98b6ce28b55ab1f065d13e4176f142e2cc98b7b52ca70f0c06d4cf0cf1e3</originalsourceid><addsrcrecordid>eNqNkU1v1DAQhi1ERZfCTyiKxIVLYGzHHzlWCxTEqh9S4Wo5zmTXSxK3sbfq_ntcpSwSp85lDvPM6NG8hJxS-Egpl58GbDFtvIslA8pKClDX4gVZ0ErxsmJCvSQL4CBLqQGOyesYt5CL6foVOWacA6dKLUj92a9H3-39uC5atGlT2LEt0gaLIUy292lfhK7AHl3y91jc45h8b5MP4xty1Nk-4tunfkJ-fv1ys_xWri7Pvy_PVmVTKZlKqjVirRvpkOlGCNvQDqRoKceKKtnRiiFzLhOqEcxZBR04kG3lcu8o8hPyYb57O4W7HcZkBh8d9r0dMeyioaymopYKREbf_4duw24as52hSlOolaJ1psqZWtsejR9dGBM-JBf6Htdosvzy0pxxll-kFOjMi5l3U4hxws7cTn6w095QMI9ZmEMW5jELM2eR99492eyaTBy2_j4_A6czsI0pTId5xZlmUot_oj5mwcPcTr-NVFwJc_Fraa6vflxzWN0YyDzMfDNsn-n4B_TurZ0</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>1781097719</pqid></control><display><type>article</type><title>Dignifying death and the morality of elective ventilation</title><source>MEDLINE</source><source>BMJ Journals - NESLi2</source><source>JSTOR Archive Collection A-Z Listing</source><creator>De Lora, Pablo ; Blanco, Alicia Pérez</creator><creatorcontrib>De Lora, Pablo ; Blanco, Alicia Pérez</creatorcontrib><description>In this paper we defend that elective ventilation (EV), even if conceived as the instrument to maximise the chances of organ recovery, is mainly the means to provide the patient who is dying with a dignified death in several ways, one of them being the possibility of becoming an organ donor. Because EV does not harm the patient and permits the medical team a better assessment of the patient's clinical trajectory and a better management of the dying process by the family, EV does not violate the principle of non-beneficence nor the principle of autonomy if we restrict the initiation of EV to those cases in which it is not known what the previous wishes of the patient were as regards to his or her care at the end of life.</description><identifier>ISSN: 0306-6800</identifier><identifier>EISSN: 1473-4257</identifier><identifier>DOI: 10.1136/medethics-2012-100995</identifier><identifier>PMID: 23303177</identifier><identifier>CODEN: JMETDR</identifier><language>eng</language><publisher>England: BMJ Publishing Group Ltd and Institute of Medical Ethics</publisher><subject>Allocation of Organs/Tissues ; Analysis ; Beneficence ; Bioethics ; Blood & organ donations ; Consent ; Critical care ; Death ; Definition/Determination of Death ; Donation of organs, tissues, etc ; Donation/Procurement of Organs/Tissues ; Elactive ventilation ; Emergency medical care ; End of Life Care ; Ethical Theory ; Humans ; Intensive care ; Intensive care units ; Intention ; Medical ethics ; Medical Futility ; Moral Obligations ; Morality ; Organ donation ; Patients ; Personal Autonomy ; Personhood ; Physicians ; Respiration, Artificial - ethics ; Right to Die ; Terminal Care - ethics ; Tissue donation ; Tissue Donors ; Transplantation ; Transplants & implants ; Ventilation systems ; Ventilators</subject><ispartof>Journal of medical ethics, 2013-03, Vol.39 (3), p.145-148</ispartof><rights>Published by the BMJ Publishing Group Limited. For permission to use (where not already granted under a licence) please go to http://group.bmj.com/group/rights-licensing/permissions</rights><rights>2013 BMJ Publishing Group Ltd and the Institute of Medical Ethics</rights><rights>Copyright: 2013 Published by the BMJ Publishing Group Limited. For permission to use (where not already granted under a licence) please go to http://group.bmj.com/group/rights-licensing/permissions</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-b476t-188ee98b6ce28b55ab1f065d13e4176f142e2cc98b7b52ca70f0c06d4cf0cf1e3</citedby></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://jme.bmj.com/content/39/3/145.full.pdf$$EPDF$$P50$$Gbmj$$H</linktopdf><linktohtml>$$Uhttps://jme.bmj.com/content/39/3/145.full$$EHTML$$P50$$Gbmj$$H</linktohtml><link.rule.ids>114,115,314,780,784,803,3196,23571,27924,27925,58017,58250,77600,77631</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/23303177$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>De Lora, Pablo</creatorcontrib><creatorcontrib>Blanco, Alicia Pérez</creatorcontrib><title>Dignifying death and the morality of elective ventilation</title><title>Journal of medical ethics</title><addtitle>J Med Ethics</addtitle><description>In this paper we defend that elective ventilation (EV), even if conceived as the instrument to maximise the chances of organ recovery, is mainly the means to provide the patient who is dying with a dignified death in several ways, one of them being the possibility of becoming an organ donor. Because EV does not harm the patient and permits the medical team a better assessment of the patient's clinical trajectory and a better management of the dying process by the family, EV does not violate the principle of non-beneficence nor the principle of autonomy if we restrict the initiation of EV to those cases in which it is not known what the previous wishes of the patient were as regards to his or her care at the end of life.</description><subject>Allocation of Organs/Tissues</subject><subject>Analysis</subject><subject>Beneficence</subject><subject>Bioethics</subject><subject>Blood & organ donations</subject><subject>Consent</subject><subject>Critical care</subject><subject>Death</subject><subject>Definition/Determination of Death</subject><subject>Donation of organs, tissues, etc</subject><subject>Donation/Procurement of Organs/Tissues</subject><subject>Elactive ventilation</subject><subject>Emergency medical care</subject><subject>End of Life Care</subject><subject>Ethical Theory</subject><subject>Humans</subject><subject>Intensive care</subject><subject>Intensive care units</subject><subject>Intention</subject><subject>Medical ethics</subject><subject>Medical Futility</subject><subject>Moral Obligations</subject><subject>Morality</subject><subject>Organ donation</subject><subject>Patients</subject><subject>Personal Autonomy</subject><subject>Personhood</subject><subject>Physicians</subject><subject>Respiration, Artificial - ethics</subject><subject>Right to Die</subject><subject>Terminal Care - ethics</subject><subject>Tissue donation</subject><subject>Tissue Donors</subject><subject>Transplantation</subject><subject>Transplants & implants</subject><subject>Ventilation systems</subject><subject>Ventilators</subject><issn>0306-6800</issn><issn>1473-4257</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2013</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>8G5</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>AVQMV</sourceid><sourceid>AZQEC</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><sourceid>DWQXO</sourceid><sourceid>GNUQQ</sourceid><sourceid>GUQSH</sourceid><sourceid>K50</sourceid><sourceid>M1D</sourceid><sourceid>M2O</sourceid><recordid>eNqNkU1v1DAQhi1ERZfCTyiKxIVLYGzHHzlWCxTEqh9S4Wo5zmTXSxK3sbfq_ntcpSwSp85lDvPM6NG8hJxS-Egpl58GbDFtvIslA8pKClDX4gVZ0ErxsmJCvSQL4CBLqQGOyesYt5CL6foVOWacA6dKLUj92a9H3-39uC5atGlT2LEt0gaLIUy292lfhK7AHl3y91jc45h8b5MP4xty1Nk-4tunfkJ-fv1ys_xWri7Pvy_PVmVTKZlKqjVirRvpkOlGCNvQDqRoKceKKtnRiiFzLhOqEcxZBR04kG3lcu8o8hPyYb57O4W7HcZkBh8d9r0dMeyioaymopYKREbf_4duw24as52hSlOolaJ1psqZWtsejR9dGBM-JBf6Htdosvzy0pxxll-kFOjMi5l3U4hxws7cTn6w095QMI9ZmEMW5jELM2eR99492eyaTBy2_j4_A6czsI0pTId5xZlmUot_oj5mwcPcTr-NVFwJc_Fraa6vflxzWN0YyDzMfDNsn-n4B_TurZ0</recordid><startdate>201303</startdate><enddate>201303</enddate><creator>De Lora, Pablo</creator><creator>Blanco, Alicia Pérez</creator><general>BMJ Publishing Group Ltd and Institute of Medical Ethics</general><general>BMJ Publishing Group</general><general>BMJ Publishing Group Ltd</general><general>BMJ Publishing Group LTD</general><scope>BSCLL</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>0-V</scope><scope>3V.</scope><scope>7RV</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>88I</scope><scope>88J</scope><scope>8AF</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>8G5</scope><scope>AABKS</scope><scope>ABSDQ</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>ALSLI</scope><scope>AVQMV</scope><scope>AZQEC</scope><scope>BENPR</scope><scope>BTHHO</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>GUQSH</scope><scope>HCIFZ</scope><scope>K50</scope><scope>K9.</scope><scope>KB0</scope><scope>M0S</scope><scope>M1D</scope><scope>M1P</scope><scope>M2O</scope><scope>M2P</scope><scope>M2R</scope><scope>MBDVC</scope><scope>NAPCQ</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>Q9U</scope><scope>7X8</scope></search><sort><creationdate>201303</creationdate><title>Dignifying death and the morality of elective ventilation</title><author>De Lora, Pablo ; Blanco, Alicia Pérez</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-b476t-188ee98b6ce28b55ab1f065d13e4176f142e2cc98b7b52ca70f0c06d4cf0cf1e3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2013</creationdate><topic>Allocation of Organs/Tissues</topic><topic>Analysis</topic><topic>Beneficence</topic><topic>Bioethics</topic><topic>Blood & organ donations</topic><topic>Consent</topic><topic>Critical care</topic><topic>Death</topic><topic>Definition/Determination of Death</topic><topic>Donation of organs, tissues, etc</topic><topic>Donation/Procurement of Organs/Tissues</topic><topic>Elactive ventilation</topic><topic>Emergency medical care</topic><topic>End of Life Care</topic><topic>Ethical Theory</topic><topic>Humans</topic><topic>Intensive care</topic><topic>Intensive care units</topic><topic>Intention</topic><topic>Medical ethics</topic><topic>Medical Futility</topic><topic>Moral Obligations</topic><topic>Morality</topic><topic>Organ donation</topic><topic>Patients</topic><topic>Personal Autonomy</topic><topic>Personhood</topic><topic>Physicians</topic><topic>Respiration, Artificial - ethics</topic><topic>Right to Die</topic><topic>Terminal Care - ethics</topic><topic>Tissue donation</topic><topic>Tissue Donors</topic><topic>Transplantation</topic><topic>Transplants & implants</topic><topic>Ventilation systems</topic><topic>Ventilators</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>De Lora, Pablo</creatorcontrib><creatorcontrib>Blanco, Alicia Pérez</creatorcontrib><collection>Istex</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Social Sciences Premium Collection</collection><collection>ProQuest Central (Corporate)</collection><collection>Nursing & Allied Health Database</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>Science Database (Alumni Edition)</collection><collection>Social Science Database (Alumni Edition)</collection><collection>STEM Database</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>Research Library (Alumni Edition)</collection><collection>Philosophy Collection</collection><collection>Philosophy Database</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>Social Science Premium Collection</collection><collection>Arts Premium Collection</collection><collection>ProQuest Central Essentials</collection><collection>ProQuest Central</collection><collection>BMJ Journals</collection><collection>ProQuest One Community College</collection><collection>ProQuest Central Korea</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Central Student</collection><collection>Research Library Prep</collection><collection>SciTech Premium Collection</collection><collection>Art, Design & Architecture Collection</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Database (Alumni Edition)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Arts & Humanities Database</collection><collection>Medical Database</collection><collection>Research Library</collection><collection>Science Database</collection><collection>Social Science Database</collection><collection>Research Library (Corporate)</collection><collection>Nursing & Allied Health Premium</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>ProQuest Central Basic</collection><collection>MEDLINE - Academic</collection><jtitle>Journal of medical ethics</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>De Lora, Pablo</au><au>Blanco, Alicia Pérez</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Dignifying death and the morality of elective ventilation</atitle><jtitle>Journal of medical ethics</jtitle><addtitle>J Med Ethics</addtitle><date>2013-03</date><risdate>2013</risdate><volume>39</volume><issue>3</issue><spage>145</spage><epage>148</epage><pages>145-148</pages><issn>0306-6800</issn><eissn>1473-4257</eissn><coden>JMETDR</coden><abstract>In this paper we defend that elective ventilation (EV), even if conceived as the instrument to maximise the chances of organ recovery, is mainly the means to provide the patient who is dying with a dignified death in several ways, one of them being the possibility of becoming an organ donor. Because EV does not harm the patient and permits the medical team a better assessment of the patient's clinical trajectory and a better management of the dying process by the family, EV does not violate the principle of non-beneficence nor the principle of autonomy if we restrict the initiation of EV to those cases in which it is not known what the previous wishes of the patient were as regards to his or her care at the end of life.</abstract><cop>England</cop><pub>BMJ Publishing Group Ltd and Institute of Medical Ethics</pub><pmid>23303177</pmid><doi>10.1136/medethics-2012-100995</doi><tpages>4</tpages></addata></record> |
| fulltext | fulltext |
| identifier | ISSN: 0306-6800 |
| ispartof | Journal of medical ethics, 2013-03, Vol.39 (3), p.145-148 |
| issn | 0306-6800 1473-4257 |
| language | eng |
| recordid | cdi_proquest_miscellaneous_1291596705 |
| source | MEDLINE; BMJ Journals - NESLi2; JSTOR Archive Collection A-Z Listing |
| subjects | Allocation of Organs/Tissues Analysis Beneficence Bioethics Blood & organ donations Consent Critical care Death Definition/Determination of Death Donation of organs, tissues, etc Donation/Procurement of Organs/Tissues Elactive ventilation Emergency medical care End of Life Care Ethical Theory Humans Intensive care Intensive care units Intention Medical ethics Medical Futility Moral Obligations Morality Organ donation Patients Personal Autonomy Personhood Physicians Respiration, Artificial - ethics Right to Die Terminal Care - ethics Tissue donation Tissue Donors Transplantation Transplants & implants Ventilation systems Ventilators |
| title | Dignifying death and the morality of elective ventilation |
| url | https://sfx.bib-bvb.de/sfx_tum?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2024-12-25T20%3A31%3A33IST&url_ver=Z39.88-2004&url_ctx_fmt=infofi/fmt:kev:mtx:ctx&rfr_id=info:sid/primo.exlibrisgroup.com:primo3-Article-gale_proqu&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.genre=article&rft.atitle=Dignifying%20death%20and%20the%20morality%20of%20elective%20ventilation&rft.jtitle=Journal%20of%20medical%20ethics&rft.au=De%20Lora,%20Pablo&rft.date=2013-03&rft.volume=39&rft.issue=3&rft.spage=145&rft.epage=148&rft.pages=145-148&rft.issn=0306-6800&rft.eissn=1473-4257&rft.coden=JMETDR&rft_id=info:doi/10.1136/medethics-2012-100995&rft_dat=%3Cgale_proqu%3EA323037708%3C/gale_proqu%3E%3Curl%3E%3C/url%3E&disable_directlink=true&sfx.directlink=off&sfx.report_link=0&rft_id=info:oai/&rft_pqid=1781097719&rft_id=info:pmid/23303177&rft_galeid=A323037708&rft_jstor_id=43282685&rfr_iscdi=true |