Literature DB >> 26507136

Should patients in a persistent vegetative state be allowed to die? Guidelines for a new standard of care in Australian hospitals.

Evie Kendal1, Laura-Jane Maher2.   

Abstract

In this article we will be arguing in favour of legislating to protect doctors who bring about the deaths of PVS patients, regardless of whether the death is through passive means (e.g. the discontinuation of artificial feeding and respiration) or active means (e.g. through the administration of pharmaceuticals known to hasten death in end-of-life care). We will first discuss the ethical dilemmas doctors and lawmakers faced in the more famous PVS cases arising in the US and UK, before exploring what the law should be regarding such patients, particularly in Australia. We will continue by arguing in favour of allowing euthanasia in the interests of PVS patients, their families, and finally the wider community, before concluding with some suggestions for how these ethical arguments could be transformed into a set of guidelines for medical practice in this area.

Entities:  

Keywords:  Euthanasia; MCS; Minimally conscious state; PVS; Persistent vegetative state

Mesh:

Year:  2015        PMID: 26507136     DOI: 10.1007/s40592-015-0039-6

Source DB:  PubMed          Journal:  Monash Bioeth Rev        ISSN: 1321-2753


  24 in total

Review 1.  The medical provision of hydration and nutrition: two very different outcomes in Victoria and Florida.

Authors:  Danuta Mendelson; Michael Ashby
Journal:  J Law Med       Date:  2004-02

2.  Withdrawal of artificial nutrition and hydration for patients in a permanent vegetative state: changing tack.

Authors:  Catherine Constable
Journal:  Bioethics       Date:  2010-10-06       Impact factor: 1.898

3.  From Quinlan to Schiavo: medical, ethical, and legal issues in severe brain injury.

Authors:  Robert L Fine
Journal:  Proc (Bayl Univ Med Cent)       Date:  2005-10

4.  The legal role of medical professionals in decisions to withhold or withdraw life-sustaining treatment: part 2 (Queensland).

Authors:  Lindy Willmott; Ben White; Malcolm Parker; Colleen Cartwright
Journal:  J Law Med       Date:  2011-03

5.  Diagnostic precision of PET imaging and functional MRI in disorders of consciousness: a clinical validation study.

Authors:  Johan Stender; Olivia Gosseries; Marie-Aurélie Bruno; Vanessa Charland-Verville; Audrey Vanhaudenhuyse; Athena Demertzi; Camille Chatelle; Marie Thonnard; Aurore Thibaut; Lizette Heine; Andrea Soddu; Mélanie Boly; Caroline Schnakers; Albert Gjedde; Steven Laureys
Journal:  Lancet       Date:  2014-04-15       Impact factor: 79.321

6.  Persistent vegetative state after brain damage. A syndrome in search of a name.

Authors:  B Jennett; F Plum
Journal:  Lancet       Date:  1972-04-01       Impact factor: 79.321

7.  More dead than dead: perceptions of persons in the persistent vegetative state.

Authors:  Kurt Gray; T Anne Knickman; Daniel M Wegner
Journal:  Cognition       Date:  2011-07-27

8.  End-of-life decision-making in the United States.

Authors:  R D Truog
Journal:  Eur J Anaesthesiol Suppl       Date:  2008

9.  Medical futility, treatment withdrawal and the persistent vegetative state.

Authors:  K R Mitchell; I H Kerridge; T J Lovat
Journal:  J Med Ethics       Date:  1993-06       Impact factor: 2.903

10.  Attitudes of Lay People to Withdrawal of Treatment in Brain Damaged Patients.

Authors:  Jacob Gipson; Guy Kahane; Julian Savulescu
Journal:  Neuroethics       Date:  2013-01-05       Impact factor: 1.480

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