Moral dilemmas and slow codes.
Slow codes—insincere attempts at resuscitation—are widely regarded in medicine and medical ethics as morally impermissible. My goal here is to enrich this special issue on the slow code with an argument for the permissibility of slow codes that is rooted in moral psychology. Specifically, if we take...
| Publicado en: | Bioethics Vol. 39; no. 4; pp. 359 - 368 |
|---|---|
| Autor principal: | |
| Formato: | Artículo |
| Publicado: |
Wiley-Blackwell
May2025
|
| Materias: | |
| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ssf&AN=185679522&site=ehost-live header: @attributes: shortDbName: ssf uiTerm: 185679522 longDbName: Social Sciences Full Text (H.W. Wilson) uiTag: AN controlInfo: bkinfo: jinfo: jid: 02699702 6PJ jtl: Bioethics issn: 02699702 maglogo: Y pubinfo: dt: May2025 vid: 39 iid: 4 pid: 480 pub: Wiley-Blackwell artinfo: ui: 185679522 10.1111/bioe.13399 ppf: 359 ppct: 9 formats: tig: atl: Moral dilemmas and slow codes. aug: au: Crutchfield, Parker affil: Department of Medical Ethics, Humanities, and Law, Western Michigan University Homer Stryker M.D. School of Medicine, Kalamazoo Michigan, , USA su: Do-not-resuscitate orders Codes of ethics Decision making Futile medical care Emotions Ethics Judgment (Psychology) Medical ethics Ethical problems Cardiopulmonary resuscitation Social distancing sug: subj: Do-not-resuscitate orders Codes of ethics Decision making Futile medical care Emotions Ethics Judgment (Psychology) Medical ethics Ethical problems Cardiopulmonary resuscitation Social distancing keyword: deception moral psychology slow code trolley problem deception moral psychology slow code trolley problem ab: Slow codes—insincere attempts at resuscitation—are widely regarded in medicine and medical ethics as morally impermissible. My goal here is to enrich this special issue on the slow code with an argument for the permissibility of slow codes that is rooted in moral psychology. Specifically, if we take seriously the results from moral psychology, the slow code is not only permissible, it is often the best option. The context of the decision about whether to perform a slow code is analogous to thoroughly investigated moral dilemmas such as the trolley problem. In particular, when the trolley problem is framed as a trilemma, it becomes clear that the decisional context of the slow code is analogous to the famous moral dilemma. Since in the trolley problem the choice analogous to the slow code is the best choice, the slow code may be the best choice when facing patient or family requests for futile CPR. In establishing this claim, I address a range of objections to the slow code. I conclude with an empirically supported explanation of the conventional wisdom. Resistance to the slow code doesn't sprout from the act's moral properties, but from moral judgments influenced by other factors, such as emotion, physical distance, and personal force. pubtype: Academic Journal doctype: Article src: R language: English refInfo: copyright: @attributes: flag: N holdings: @attributes: islocal: N |
|---|