Medical Ethics - End of Life Issues

This is another important and large area of ethics.

Decisions about medical treatment that have consequences for the timing and nature of a person’s death engender strong emotions in both health professionals and the public and raise difficult ethical issues for all concerned.

They can often be a source of conflict between health professionals and patients' families, or between health professionals in a health care team.

Ethical dilemmas arise when there is a perceived conflicting duty to the patient, such as a conflict between a duty to preserve life and a duty to act in a patient’s best interests, or when an ethical principle such as respect for autonomy conflicts with a duty not to harm.

Issues include:

  • Sanctity of Life doctrine
  • The distinction between acts and omissions
  • Doctrine of double effect
  • DNAR orders
  • Advance directives
  • Decisions to withhold and withdraw life-prolonging treatment

Again, rather than writing a series of web pages on this, I'll point you in the direction of an excellent webpage that covers the topic comprehensively and gives examples:

http://www.ethics-network.org.uk/Ethics/eendlife.htm

 

Next page: Relationships with patients

Back to:     Ethics study guide index page

 

Written by: Michael Harris

Last updated: 16 September 2006


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