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An obstructed death and medical ethics.

S Dunbar1

  • 1Cleveland Clinic Foundation, Ohio.

Journal of Medical Ethics
|June 1, 1990
PubMed
Summary

Lying to a dying patient, even when requested by family, violates the principle of veracity and erodes patient trust. This case highlights a surgeon's ethical duty to the patient above family wishes, emphasizing respect for the patient as a person.

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Area of Science:

  • Medical Ethics
  • Patient-Doctor Relationship
  • Bioethics

Background:

  • This case analysis explores deception in end-of-life care, focusing on the ethical dimensions within patient-provider and patient-family dynamics.
  • It examines the principle of veracity and its critical role in maintaining trust in the patient-doctor relationship.

Observation:

  • The case involves a surgeon deceiving a dying patient, influenced by the patient's husband.
  • This action is analyzed within the context of the patient's relationships with her family doctor, surgeon, and family.

Findings:

  • The principle of veracity is fundamental to the patient-doctor relationship and trust.
  • The surgeon's deception, despite the husband's request, breached the patient's trust and violated veracity.
  • The surgeon's primary ethical obligation was to the patient, not her family.

Implications:

  • Deception undermines the core tenets of medical ethics and patient autonomy.
  • Respect for the patient as an individual is paramount, especially in critical care situations.
  • Upholding veracity is essential for preserving the integrity of the patient-doctor relationship and ensuring patient dignity.
Keywords:
Analytical ApproachDeath and EuthanasiaProfessional Patient Relationship

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