Literature DB >> 20505981

Accessing the ethics of complex health care practices: would a "domains of ethics analysis" approach help?

Jeffrey Kirby1.   

Abstract

This paper explores how using a "domains of ethics analysis" approach might constructively contribute to an enhanced understanding (among those without specialized ethics training) of ethically-complex health care practices through the consideration of one such sample practice, i.e., deep and continuous palliative sedation (DCPS). For this purpose, I select four sample ethics domains (from a variety of possible relevant domains) for use in the consideration of this practice, i.e., autonomous choice, motives, actions and consequences. These particular domains were chosen because of their relevance to the analysis of DCPS and their relative ease of access to those without ethics training. The analysis demonstrates that such an approach could facilitate the emergence of accessible arguments and discussion points that could enhance the understanding and appreciation of this and other health care practices with strong ethics dimensions.

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Year:  2010        PMID: 20505981     DOI: 10.1007/s10730-010-9129-2

Source DB:  PubMed          Journal:  HEC Forum        ISSN: 0956-2737


  17 in total

Review 1.  Existential suffering and palliative sedation: a brief commentary with a proposal for clinical guidelines.

Authors:  P Rousseau
Journal:  Am J Hosp Palliat Care       Date:  2001 May-Jun       Impact factor: 2.500

2.  Sedation, alimentation, hydration, and equivocation: careful conversation about care at the end of life.

Authors:  Lynn A Jansen; Daniel P Sulmasy
Journal:  Ann Intern Med       Date:  2002-06-04       Impact factor: 25.391

Review 3.  Six domains of research ethics. A heuristic framework for the responsible conduct of research.

Authors:  Kenneth D Pimple
Journal:  Sci Eng Ethics       Date:  2002-04       Impact factor: 3.525

4.  Enhancing reflection: an interpersonal exercise in ethics education.

Authors:  Marian Verkerk; Hilde Lindemann; Els Maeckelberghe; Enne Feenstra; Rudolph Hartoungh; Menno De Bree
Journal:  Hastings Cent Rep       Date:  2004 Nov-Dec       Impact factor: 2.683

5.  Terminal sedation: source of a restless ethical debate.

Authors:  Johannes J M van Delden
Journal:  J Med Ethics       Date:  2007-04       Impact factor: 2.903

6.  To sedate or not to sedate?

Authors:  Sophie Pautex; Gilbert B Zulian
Journal:  J Pain Symptom Manage       Date:  2007-06-01       Impact factor: 3.612

7.  A national guideline for palliative sedation in the Netherlands.

Authors:  Marian Verkerk; Eric van Wijlick; Johan Legemaate; Alexander de Graeff
Journal:  J Pain Symptom Manage       Date:  2007-07-09       Impact factor: 3.612

8.  Physician-assisted death in the United States: are the existing "last resorts" enough?

Authors:  Timothy E Quill
Journal:  Hastings Cent Rep       Date:  2008 Sep-Oct       Impact factor: 2.683

9.  Terminal sedation and euthanasia: a comparison of clinical practices.

Authors:  Judith A C Rietjens; Johannes J M van Delden; Agnes van der Heide; Astrid M Vrakking; Bregje D Onwuteaka-Philipsen; Paul J van der Maas; Gerrit van der Wal
Journal:  Arch Intern Med       Date:  2006-04-10

10.  Managing intentions: the end-of-life administration of analgesics and sedatives, and the possibility of slow euthanasia.

Authors:  Charles Douglas; Ian Kerridge; Rachel Ankeny
Journal:  Bioethics       Date:  2008-06-28       Impact factor: 1.898

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  1 in total

1.  Morally-Relevant Similarities and Differences Between Assisted Dying Practices in Paradigm and Non-Paradigm Circumstances: Could They Inform Regulatory Decisions?

Authors:  Jeffrey Kirby
Journal:  J Bioeth Inq       Date:  2017-10-05       Impact factor: 1.352

  1 in total

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