Conscientious Objection to Aggressive Interventions for Patients in a Vegetative State.
Some physicians refuse to perform life-sustaining interventions, such as tracheostomy, on patients who are very likely to remain permanently unconscious. To explain their refusal, these clinicians often invoke the language of "futility", but this can be inaccurate and can mask problematic forms of c...
| Publicado en: | American Journal of Bioethics Vol. 25; no. 3; pp. 10 - 22 |
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| Autores principales: | , , , |
| Formato: | case study Journal Article |
| Publicado: |
Taylor & Francis Ltd
Mar2025
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=183254033&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 183254033 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 15265161 FKZ jtl: American Journal of Bioethics issn: 15265161 maglogo: N pubinfo: dt: Mar2025 vid: 25 iid: 3 pid: 377 pub: Taylor & Francis Ltd place: Philadelphia, Pennsylvania artinfo: ui: 183254033 173907974 183254033 183254033 10.1080/15265161.2023.2280099 183254033 ppf: 10 ppct: 12 formats: fmt: – @attributes: type: T – @attributes: type: P tig: atl: Conscientious Objection to Aggressive Interventions for Patients in a Vegetative State. aug: au: Wasserman, Jason Adam Brummett, Abram L. Navin, Mark Christopher Menkes, Daniel Londyn affil: Oakland University William Beaumont School of Medicine sug: subj: Persistent Vegetative State Therapy Refusal to Treat Ethical Issues Conscience Physician Attitudes Respiratory Failure Heart Arrest Medical Futility Ethical Issues Tracheostomy Ethical Issues Ethics, Medical Invasive Procedures Unconsciousness Male Middle Age Physicians Ethical Issues Life Support Care Ethical Issues Middle Aged: 45-64 years Male ab: Some physicians refuse to perform life-sustaining interventions, such as tracheostomy, on patients who are very likely to remain permanently unconscious. To explain their refusal, these clinicians often invoke the language of "futility", but this can be inaccurate and can mask problematic forms of clinical power. This paper explores whether such refusals should instead be framed as conscientious objections. We contend that the refusal to provide interventions for patients very likely to remain permanently unconscious meets widely recognized ethical standards for the exercise of conscience. We conclude that conscientious objection to tracheostomy and other life-sustaining interventions on such patients can be ethical because it does not necessarily constitute a form of invidious discrimination. Furthermore, when a physician frames their refusal as conscientious objection, it makes transparent the value-laden nature of their objection and can better facilitate patient access to the requested treatment. pubtype: Academic Journal doctype: case study Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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