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Anticruelty care: commentary.

Susan S Braithwaite

    The Journal of Clinical Ethics
    |July 1, 1991
    PubMed
    Summary
    This summary is machine-generated.

    The anticruelty policy uses a best-interests test for incompetent patients, focusing on caregiver-assessed burdens and benefits of treatment, not patient

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    Area of Science:

    • Medical Ethics
    • Bioethics
    • Patient Care Policy

    Background:

    • The anticruelty policy serves as a best-interests standard for medical treatment plans.
    • It addresses decisions regarding life-sustaining therapy for incompetent patients.

    Purpose of the Study:

    • To analyze the framework of the anticruelty policy for treatment decisions.
    • To examine how the policy evaluates burdens and benefits of medical interventions for incompetent patients.

    Main Methods:

    • The policy shifts focus from patient's subjective experiences to caregiver's assessment of treatment burdens and benefits.
    • It replaces 'burden' and 'benefit' with 'cruelty' and 'beneficence' in decision-making.
    • The policy considers external indicators of patient well-being and societal values.
    Keywords:
    Analytical ApproachDeath and Euthanasia

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    Main Results:

    • The policy functions as a pro-treatment stance when medical goals are achievable.
    • It acts as an anticruelty measure when medical goals are unattainable.
    • A definition of 'hopeless injury' is presented, not requiring brain death or PVS, where timely death is considered appropriate.

    Conclusions:

    • The anticruelty policy prioritizes caregiver judgment and objective measures over unknowable patient values.
    • It frames end-of-life decisions by weighing potential cruelty against beneficence.
    • The policy advocates for a societal discussion on medical values, hopeless injury, and timely death.