A transcultural, preventive ethics approach to critical-care medicine: Restoring the critical care physician's power and authority
David Bourget (Western Ontario)
David Chalmers (ANU, NYU)
Rafael De Clercq
Ezio Di Nucci
Jonathan Jenkins Ichikawa
Jack Alan Reynolds
Learn more about PhilPapers
Journal of Medicine and Philosophy 23 (6):628 – 642 (1998)
This article comments on the treatment of critical-care ethics in four preceding articles about critical-care medicine and its ethical challenges in mainland China, Hong Kong, Japan, and the Philippines. These articles show how cultural values can be in both synchrony and conflict in generating these ethical challenges and in the constraints that they place on the response of critical-care ethics to them. To prevent ethical conflict in critical care the author proposes a two-step approach to the ethical jus tification of critical-care management: (1) the decision to resuscitate and initiate critical-care management, which is based on the obligation to prevent imminent mortality without permanent loss of consciousness; and (2) the decision to continue critical-care management, which is based on the obligation both to prevent imminent death without permanent loss of consciousness and to avoid unnecessary, significant iatrogenic costs to the patient and psychosocial costs to the family when the reduction of morta lity risk is marginal. Physicians and hospitals should restore the critical-care physician's authority and power - against prevailing cultural values, if necessary - to control when critical-care intervention is offered, when it is recommended to continue, and when it is recommended to be discontinued and the patient allowed to die.
|Keywords||No keywords specified (fix it)|
|Categories||categorize this paper)|
Setup an account with your affiliations in order to access resources via your University's proxy server
Configure custom proxy (use this if your affiliation does not provide a proxy)
|Through your library|
References found in this work BETA
No references found.
Citations of this work BETA
No citations found.
Similar books and articles
Kath M. Melia (2004). Health Care Ethics: Lessons From Intensive Care. Sage Publications.
F. Cheng, Mary Ip, K. K. Wong & W. W. Yan (1998). Critical Care Ethics in Hong Kong: Cross-Cultural Conflicts as East Meets West. Journal of Medicine and Philosophy 23 (6):616 – 627.
Yoshinori Nakata, Takahisa Goto & Shigeho Morita (1998). Serving the Emperor Without Asking: Critical Care Ethics in Japan. Journal of Medicine and Philosophy 23 (6):601 – 615.
Leonardo D. de Castro & Peter A. Sy (1998). Critical Care in the Philippines: The "Robin Hood Principle" Vs. Kagandahang Loob. Journal of Medicine and Philosophy 23 (6):563 – 580.
Laura Hawryluck, Redouane Bouali & Nathalie Danjoux Meth (2011). Multi-Professional Recommendations for Access and Utilization of Critical Care Services: Towards Consistency in Practice and Ethical Decision-Making Processes. Journal of Law, Medicine & Ethics 39 (2):254-262.
Douglas N. Walton (1983). Ethics of Withdrawal of Life-Support Systems: Case Studies on Decision-Making in Intensive Care. Greenwood Press.
Robert F. Weir (1989). Abating Treatment with Critically Ill Patients: Ethical and Legal Limits to the Medical Prolongation of Life. Oxford University Press.
Tristram H. Engelhardt Jr (1998). Critical Care: Why There is No Global Bioethics. Journal of Medicine and Philosophy 23 (6):643 – 651.
Ruth McCorkle (1980). An Ethical Dilemma: Information Control in Cancer Care. [REVIEW] Bioethics Quarterly 2 (3):148-158.
Yali Cong (1998). Ethical Challenges in Critical Care Medicine: A Chinese Perspective. Journal of Medicine and Philosophy 23 (6):581 – 600.
Sorry, there are not enough data points to plot this chart.
Added to index2009-01-28
Total downloads3 ( #679,630 of 1,941,042 )
Recent downloads (6 months)1 ( #458,101 of 1,941,042 )
How can I increase my downloads?