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Related Concept Videos

Ethical Issues01:27

Ethical Issues

Nurses are essential in patient care, upholding the ethical principles of their profession and effectively navigating ethical dilemmas. Neglecting ethical issues can lead to inadequate patient care, compromised therapeutic relationships, and moral distress among healthcare workers.
Ethical Concerns in Healthcare:
Ethical Dilemmas I01:17

Ethical Dilemmas I

Ethical dilemmas in nursing are of utmost importance, as they often arise from the tension between adhering to core ethical principles and the practical realities of healthcare delivery. These dilemmas require nurses to navigate complex situations where competing ethical considerations pull them in different directions.
Let us explore some examples to understand the potentially complex moral decisions nurses face.
Take the case of caring for minors, particularly in areas related to reproductive...
Ethical Dilemmas II01:30

Ethical Dilemmas II

Resolving an ethical dilemma in healthcare involves a systematic approach that considers every aspect of the issue, respecting both the patient's needs and values and the healthcare professional's ethical obligations. Here are potential steps to resolve an ethical dilemma:
Nursing Ethical Principles II01:27

Nursing Ethical Principles II

Ethical principles are essential in guiding nurses to fulfill their responsibilities, focusing on the quality of nursing care and decision-making. These principles, including autonomy, beneficence, non-maleficence, justice, and fidelity, shape the ethical framework within healthcare settings.
Consider the following scenario, which illustrates how these principles are applied in the care of Mr. John, a fifty-year-old teacher diagnosed with metastatic liver cancer.
Initially, Mr. John's cancer...
Ethics and Bioethics01:22

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Ethics is a philosophical study of moral actions. Ethics attempts to determine what is valuable for individuals and society. It examines the rational justification of moral judgments and analyzes what is morally just, fair, and right. Bioethics is a sub-discipline of applied ethics that analyzes the philosophical, social, and legal issues in life sciences and medicine. Ethical theories serve as a foundation for decision-making and represent the viewpoints from which people seek direction. They...
Standards of Care II01:19

Standards of Care II

Nurses bear specific legal responsibilities under several federal statutes, including:

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Autonomy-based arguments against physician-assisted suicide and euthanasia: a critique.

Manne Sjöstrand1, Gert Helgesson, Stefan Eriksson

  • 1Centre for Healthcare Ethics, Department of Learning, Informatics, Management and Ethics, Karolinska Institutet, Berzelius väg 3, 171 77, Stockholm, Sweden. manne.sjostrand@ki.se

Medicine, Health Care, and Philosophy
|December 14, 2011
PubMed
Summary

Physician assisted suicide and euthanasia are often justified by autonomy. However, this paper argues that viewing autonomy as a value does not make these practices impermissible in end-of-life care.

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Area of Science:

  • Bioethics
  • Medical Ethics
  • Philosophy of Medicine

Background:

  • Autonomy is a cornerstone ethical principle supporting physician assisted suicide (PAS) and euthanasia.
  • Recent scholarship questions the normative relevance of autonomy in end-of-life decisions.
  • Arguments suggest that valuing autonomy could render PAS and euthanasia impermissible.

Purpose of the Study:

  • To evaluate the claim that physician assisted suicide and euthanasia are wrong because they destroy patient autonomy.
  • To investigate the concept of 'valuable autonomy' within the context of end-of-life care.
  • To critically assess two interpretations of valuable autonomy and their implications for PAS and euthanasia.

Main Methods:

  • Analysis of philosophical arguments concerning the value of autonomy.
  • Examination of two distinct interpretations of valuable autonomy: personal prudential value and Kantian unconditional value.
  • Application of these interpretations to end-of-life care scenarios.

Main Results:

  • The interpretation of autonomy as a personal prudential value suggests PAS/euthanasia might conflict with a patient's best interests.
  • The Kantian interpretation of autonomy as unconditionally valuable implies a duty to preserve it.
  • Both interpretations face limitations when applied to complex end-of-life situations.

Conclusions:

  • Neither viewing autonomy as a personal prudential value nor as an unconditionally valuable Kantian concept definitively prohibits physician assisted suicide or euthanasia.
  • The ethical permissibility of PAS and euthanasia in end-of-life care requires nuanced consideration beyond a simple destruction of autonomy.
  • Existing arguments based on valuable autonomy are insufficient to universally condemn PAS and euthanasia.