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Intensive care ethics in evolution.

Katherine Hall

    Bioethics
    |July 1, 1997
    PubMed
    Summary
    This summary is machine-generated.

    Historical medical ethics for critically ill patients evolved, with past traditions emphasizing prognosis over life prolongation. Understanding these precedents can inform future ethical approaches, especially with advancing technology.

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    Area of Science:

    • Medical Ethics
    • History of Medicine
    • Critical Care

    Background:

    • Twentieth-century medical ethics inherited a focus on diagnosis over prognosis and management.
    • This inherited approach is combined with a seventeenth-century duty to prolong life.
    • Earlier Hippocratic and Christian traditions emphasized medicine's limitations and the importance of prognosis.

    Observation:

    • The current paradigm for treating seriously and critically ill patients limits clinical practice.
    • This paradigm creates significant ethical tensions in modern medicine.
    • Historical ethical frameworks offer valuable insights into patient care.

    Findings:

    • Historical precedents show that ethical treatment of the critically ill has varied across different eras.
    Keywords:
    Death and EuthanasiaHealth Care and Public HealthProfessional Patient Relationship

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  • Past ethical traditions, respecting medical limitations and prognosis, offer alternatives to current practices.
  • Considering historical paradigms can broaden acceptance of future ethical approaches.

    • Implications:

    • Understanding historical ethical frameworks allows for wider consideration of alternatives in critical care.
    • Future ethical models must integrate the role of technology in treating critically ill patients.
    • Revisiting historical medical ethics can alleviate current ethical tensions in critical care settings.