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• W4327601814 endingPage "101216" @default.
• W4327601814 startingPage "101216" @default.
• W4327601814 abstract "Most hospitalized patients die following a decision to forgo life-sustaining treatment and/or focus on comfort care. Since “Do not kill” is a general ethical norm, many healthcare professionals (HCPs) are uncertain or troubled by such decisions. We propose an ethical framework to help clinicians to understand better their own ethical perspectives about four end-of-life practices: lethal injections, the withdrawal of life-sustaining therapies, the withholding of life-sustaining therapies, and the injection of sedatives and/or analgesics for comfort care. This framework identifies three broad ethical perspectives that may permit HCPs to examine their own attitudes and intentions. According to moral perspective A (absolutist), it is never morally permissible to be causally involved in the occurrence of death. According to moral perspective B (agential), it may be morally permissible to be causally involved in the occurrence of death, if HCPs do not have the intention to terminate the patient’s life and if, among other conditions, they ensure respect for the person. Three of the four end-of-life practices, but not lethal injection, may be morally permitted. According to moral perspective C (consequentialist), all four end-of-life practices may be morally permissible if, among other conditions, respect for persons is ensured, even if one intends to hasten the dying process. This structured ethical framework may help to mitigate moral distress among HCPs by helping them to understand better their own fundamental ethical perspectives, as well as those of their patients and colleagues." @default.
• W4327601814 created "2023-03-17" @default.
• W4327601814 creator A5071270866 @default.
• W4327601814 creator A5078545585 @default.
• W4327601814 date "2023-08-01" @default.
• W4327601814 modified "2023-09-28" @default.
• W4327601814 title "End-of-life practices: An ethical framework for clinicians" @default.
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• W4327601814 doi "https://doi.org/10.1016/j.accpm.2023.101216" @default.
• W4327601814 hasPubMedId "https://pubmed.ncbi.nlm.nih.gov/36933797" @default.
• W4327601814 hasPublicationYear "2023" @default.
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