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Analiza i Egzystencja
42 (2018)

Withholding and Withdrawing Life-Saving Treatment: Ordinary/Extraordinary Means, Autonomy & Futility

DOI: 10.18276/aie.2018.42-01
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ISSN:1734-9923
eISSN:2300-7621
Autorzy: Alan Kearns
Dublin City University

Bert Gordijn
Dublin City University
Słowa kluczowe: równoważenie środki nadzwyczajne daremność porządkowanie leksykalne środki zwyczajne autonomia pacjenta prima facie zaniechanie i zaprzestanie stosowania środków medycznych
Data publikacji całości:2018
Liczba stron:29 (5-33)
OAI-PMH:Metadane
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W artykule zarysowujemy trzy zasady określające refleksję etyczną nad zaniechaniem i zaprzestaniem stosowania środków medycznych podtrzymujących życie: 1) zasadę zwyczajnych i nadzwyczajnych środków medycznych 2) zasadę poszanowania autonomii pacjenta i 3) zasadę daremności. Gdy należy podjąć decyzję o stosowaniu albo zaniechaniu/zaprzestaniu stosowania środków medycznych, zasady te zapewniają perspektywę normatywną służącą stwierdzeniu, jakie postępowanie jest obowiązkowe. Każda z zasad ustanawia jednak inny obowiązek, co prowadzi do konfliktu i naglącym czyni pytanie, której z nich należy przyznać pierwszeństwo. Po naszkicowaniu powszechnie uznanych sposobów rozsądzania konfliktu zasad etycznych, stosujemy do zasad zwyczajnych i nadzwyczajnych środków medycznych, poszanowania autonomii pacjenta i daremności zaproponowaną przez Veatcha mieszaną strategię równoważenia i porządkowania leksykalnego. Przedstawiamy w naszym artykule opinię, że aczkolwiek rozwiązanie konfliktu zasad nigdy nie jest łatwe, to jednak przyjęcie mieszanej strategii równoważenia i porządkowania leksykalnego pozwala posunąć naprzód dyskusję nad obowiązkami etycznymi odnoszącymi się do zaniechania i zaprzestania stosowania środków medycznych podtrzymujących życie.

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