کد مقاله کد نشریه سال انتشار مقاله انگلیسی نسخه تمام متن
2606801 1134220 2015 5 صفحه PDF دانلود رایگان
عنوان انگلیسی مقاله ISI
Do you have a right to decide? Or do we have a right to acquiesce?
ترجمه فارسی عنوان
آیا شما حق تصمیم گیری دارید؟ یا اینکه ما حق داریم تسلیم شویم؟
کلمات کلیدی
موضوعات مرتبط
علوم پزشکی و سلامت پزشکی و دندانپزشکی مراقبت های ویژه و مراقبتهای ویژه پزشکی
چکیده انگلیسی

Clinicians make decisions about patient management on a daily basis and are required to act in a way that is both legally and ethically correct. To act legally requires compliance with a set of rules which reflect the values and interests of society. Ethical decisions are based on what we believe as a group to be morally right. Morals are, however, unique to the individual. Balancing the legal, ethical and moral dimensions of clinical decisions has the potential, therefore, to generate conflict for the individual practitioner.In this paper we report a case study of a patient with a high cervical spine injury resulting in quadriplegia, without prospect of a ventilator independent life. The patient, who was assessed as having capacity to make decisions, subsequently elected to have treatment withdrawn. In this case, withdrawal of treatment constituted removal of mechanical ventilation which ultimately resulted in death. The patient also requested for his organs to be donated after he was deceased. This case study, to our knowledge, is the first report of donation after cardiac death following a high cervical spinal injury in a cognitively intact patient. As such, this case study allows us to discuss the moral, ethical and legal implications of donation after cardiac death following withdrawal of medical treatment.

ناشر
Database: Elsevier - ScienceDirect (ساینس دایرکت)
Journal: Australian Critical Care - Volume 28, Issue 2, May 2015, Pages 72–76
نویسندگان
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