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Response to Kuhse.

R M Perkin¹, D B Resnik

¹Department of Pediatrics, The Brody School of Medicine at East Carolina University, 3E-142 Brody Medical Sciences Building, Greenville, NC 27858-4354, USA. perkinr@mail.ecu.edu

Journal of Medical Ethics

|August 6, 2002

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Physician intentions are crucial in end-of-life care. Distinguishing between palliative and lethal use of neuromuscular blocking drugs hinges on the physician's intent, despite acknowledged moral complexities.

Area of Science:

Medical Ethics
Clinical Practice
Philosophy of Medicine

Background:

Critiques of "The agony of agonal respiration: is the last gasp necessary?" highlight challenges in moral distinctions.
Focus on the use of neuromuscular blocking drugs (NMBDs) for palliation versus euthanasia.

Discussion:

Addresses Hawryluck's and Kuhse's concerns regarding agent intentions with NMBDs.
Explores the moral ambiguity when NMBDs are used for both symptom relief and hastening death.
Reaffirms the significance of physician intent in end-of-life decision-making.

Key Insights:

Physician intent is a critical factor in ethically evaluating the use of NMBDs.
Moral distinctions in end-of-life care require careful consideration of the agent's intentions.

Keywords:

Analytical Approach Death and Euthanasia

Related Experiment Videos

Despite difficulties, intent remains a cornerstone for moral judgment in clinical end-of-life scenarios.

Outlook:

Further ethical discourse on the role of intent in clinical practice.
Potential refinement of guidelines for NMBD use in palliative and end-of-life care.
Continued exploration of the philosophical underpinnings of medical ethics in complex cases.