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Polemical Note: Can it Be Unethical to Provide Nutrition and Hydration to Patients with Advanced Dementia?

100%
Haliburton R.
Diametros
|
2016
|
issue 50
152-160
EN
Patients suffering from advanced dementia present ethicists and caregivers with a difficult issue: we do not know how they feel or how they want to be treated, and they have no way of telling us. We do not know, therefore, whether we ought to prolong their lives by providing them with nutrition and hydration, or whether we should not provide them with food and water and let them die. Since providing food and water to patients is considered to be basic care that is morally required, it is usually only the provision of nutrition and hydration by artificial means that is considered to require ethical justification. Building on what I call a virtue-based conception of autonomy, I argue that, at least for some patients suffering from advanced dementia, even providing food and liquid by hand is morally wrong.
2
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Terminalna sedacja - między opieką paliatywną a eutanazją

100%
Wach B.
Analiza i Egzystencja. Czasopismo Filozoficzne
|
2017
|
vol. 37
25-41
EN
The aim of this article is a presentation of the problem of terminal sedation as a special medical procedure, an alternative to euthanasia and physician assisted death. Terminal sedation is consist in narcotizing the patient in the last stage of terminal disease, sometimes with discontinued nutrition and hydration until death. The goal of this procedure is to eliminate pain and suffering without causing death of the patient. The opponents of this method claim that terminal sedation is a form of euthanasia. The supporters see the difference because the intention of physician must relieve unbearable suffering when the other procedures are useless. The terminal sedation has to be last resort in palliative care and the decision making process must be very careful. In case of applying this radical method the basis should be always the informed consent of the patient and the respect for the dying person.
3
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Eutanazja w opinii studentów kierunku Pielęgniarstwo

100%
Romanowska U., Edyta Laska E., Foryś Z.
Państwo i Społeczeństwo
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2016
|
issue 4
37-53
PL
Wprowadzenie: Fundamentalnym prawem człowieka jest prawo do życia. Eutanazja definiowana jako przyspieszenie śmierci w celu skrócenia cierpień chorego na jego życzenie, czyli śmierć zadana, sprzeciwiająca się śmierci naturalnej jest bardzo kontrowersyjnym tematem. Celem badań było poznanie opinii studentów na temat eutanazji. Materiał i metody: W badaniach zastosowano metodę sondażu diagnostycznego, jako technikę wykorzystano kwestionariusz ankiety własnej konstrukcji. Badania przeprowadzono wśród 100 studentów studiów niestacjonarnych II stopnia, kierunku Pielęgniarstwo, Wydziału Zdrowia i Nauk Medycznych Krakowskiej Akademii im. Andrzeja Frycza Modrzewskiego. Wyniki: Analiza materiału badanego wykazała, że większość ankietowanych sprzeciwia się prawnej legalizacji: eutanazji czynnej (60%), eutanazji biernej (56%), eutanazji dzieci (83%), samobójstwa wspomaganego (82%), eutanazji dokonywanej bez zgody i wiedzy chorego (95%). Stwierdzono istotną zależność między popieraniem legalizacji eutanazji czynnej a uznawanymi wartościami chi2(1) = 6,42; p = 0,011 oraz między popieraniem legalizacji samobójstwa wspomaganego a uznawanymi wartościami chi2(1) = 8,63; p = 0,003.Wnioski: 1) Większość badanych nie popiera legalizacji eutanazji oraz samobójstwa wspomaganego; 2) Uznawane wartości miały wpływ na opinie ankietowanych dotyczące legalizacji eutanazji i samobójstwa wspomaganego.
EN
Introduction: The fundamental human right is the right to life. Euthanasia is defined as intentionally ending a life in order to end the suffering of the sick person at his request. This is a very controversial topic. The aim of the study was to examine attitudes of students towards euthanasia. Material and methods: In the study, a diagnostic survey method and a questionnaire of our own design were used. The study was conducted among 100 part-time students of the nursing second degree at Andrzej Frycz Modrzewski Krakow University. Results: Analysis of the research material showed that the majority of respondents opposed legalization: active euthanasia (60%), passive euthanasia (56%), euthanasia of children (83%), assisted suicide (82%), euthanasia carried out without the knowledge and agreement of the patient (95%). There was a significant correlation between promoting legalization of active euthanasia and recognized values (chi2 (1) = 6.42; p = 0.011) and promoting the legalization of assisted suicide and recognized values (chi2 (1) = 8.63; p = 0.003). Conclusions: 1) Most respondents do not support the legalization of euthanasia and assisted suicide; 2) Recognized values infl uence the opinions of respondents regarding the legalization of euthanasia and assisted suicide.
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Ethical Issues related to End of Life Treatment in Patients with Advanced Dementia – The Case of Artificial Nutrition and Hydration

84%
Marcus E.-L., Golan O., Goodman D.
Diametros
|
2016
|
issue 50
118-137
EN
Patients with advanced dementia suffer from severe cognitive and functional impairment, including eating disorders. The focus of our research is on the issue of life-sustaining treatment, specifically on the social and ethical implications of tube feeding. The treatment decision, based on values of life and dignity, involves sustaining lives that many people consider not worth living. We explore the moral approach to caring for these patients and review the history of the debate on artificial nutrition and hydration showing the impact of the varying perceptions of the value of these patients' lives on changing norms. We argue that in light of the value of solidarity, decisions about life-sustaining treatment for patients with advanced dementia should be made on a case by case basis, as with any other patient, in consideration of the medical implications of the intervention which might best serve the goals of care (i.e., care and respect for dignity) for the individual patient.
5
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Thinking About End of Life in Teleological Terms

84%
Biondi P., Haliburton R.
Diametros
|
2015
|
issue Diametros 45
1-18
EN
This brief paper presents an Aristotelian-inspired approach to end-of-life decision making. The account focuses on the importance of teleology, in particular, the telos of eudaimonia understood as the goal of human flourishing as well as the telos of medicine when a person’s eudaimonia is threatened by serious illness and death. We argue that an Aristotelian bioethics offers a better alternative to a “fundamentalist bioethics” since the telos of eudaimonia (i) offers a more realistic conception of the self and the realities of frailty and mortality, (ii) provides a more objective basis for making decisions regarding end-of-life treatment and care, and (iii) is better able to resist the pull of the Technological Imperative. In addition, this teleological concept is flexible enough for it to be employed in multicultural and pluralistic societies.
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