Naslov
Death and Dying in Clinical Bioethics

Autori
Renata, Dobrila-Dintinjana

Vrsta, podvrsta i kategorija rada
Sažeci sa skupova, sažetak, stručni

Izvornik
Abstract Book / - Rijeka, 2004, 4-5

Skup
1st Symposium of International Society for Clinical Bioethics

Mjesto i datum
Rijeka, Hrvatska, 16.06.2004. - 18.06.2004

Vrsta sudjelovanja
Predavanje

Vrsta recenzije
Nije recenziran

Ključne riječi
death; dying; clinical bioethics

Sažetak
Death and decision making sourrounding the event of the death have been a primary focus of the evolving discpline of bioethics over the past 20-25 years. Based on philosophical reflection and legal analysis, an array of new bioethics practices have entered into routine Clinical Care, the most recent being the Patients Self Determination Act. The end of Life cannot be predicted for any of us. We do not know when it will happen, who will be with us, how it will occur or what we will feel. Preparing for the End of Life with a chronic illness (cancer etc) is different that with a sudden death. Many misconceptions exist about what can happen during the final days and weeks of a persons life. We cannot say exactly how long someone will live with a chronic illness. Doctors and nurses can give only predicitons. The last days of life are unique for each person and they are very personal and very private. What should be the goals of medical care for people who are dying ? What makes a "good death" ? Peacefull, painless, lucid with loved ones gathered around. But how much care should be given at the end of the life ? When ? And who decide ? Patients preferences are often not known. Predicting what treatments patients will want at the End of the Life is complicated by the patients age, the nature of hte ilness, the ability of the medicine to sustain life, the emotion families endure when their loved ones are sick and dying, disagreeement between different family members and at last do the patients always know that they will die ? What are our Clinical Goals when we care for someone near the End of Life ? W e can try to control pain and other physical symptoms, to involve the people important to patient, to achieve a degreee of acceptance by the patient and to guide him for decisions making. But how we deal with our own feelings ? Many of the ethical disagreements about end of life decisions can be seen as resulting from differing ethical frameworks especially Kantian versus Utilitarian. Use this models to understand where You stand, where Your patient stand and where Your organisation stand in regard to end of life issues.

Izvorni jezik
Engleski

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