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Rola świadomości w decyzjach dotyczących zaprzestania podtrzymywania funkcji życiowych

100%
Żuradzki T.
Rocznik Kognitywistyczny
|
2011
|
vol. 5
191-198
EN
Recent fMRI research suggests that at least some patients diagnosed as being in the permanent vegetative state can be more aware than it was previously thought. In this paper I briefly discuss the aforementioned research; then I consider to which of several kinds of consciousness they appeal to; and finally I analyze the ethical implications of these findings. In particular I consider whether having higher forms of consciousness must always be an additional reason against the withdrawal of life-sustaining treatment. In my paper I also highlight the general importance of cognitive science for the ethical evaluations of some medical practices.
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Czy rodzice powinni mieć prawo do decydowania o życiu i śmierci krytycznie chorych noworodków?

72%
Szewczyk K.
Diametros
|
2012
|
issue 34
154-178
PL
Tekst nawiązuje do internetowej dyskusji pt. „O racjonalne decyzje w opiece neonatalnej”, odbytej w dniach 15. 09.-15. 10. 2012 r. na stronie Polskiego Towarzystwa Bioetycznego. Uzasadniam w nim trzy postulaty: (I) propozycję zdefiniowania grupy noworodków krytycznie chorych jako pacjentów, u których niepodjęcie lub zaprzestanie leczenia przedłużającego życie będzie działaniem etycznie usprawiedliwionym, (II) objęcia tą kategorią wszystkich pięciu sytuacji wymienionych w dokumencie Royal College of Pediatrics and Child Health Withholding or Withdrawing Life Sustaining Treatment in Children. A Framework for Practice z 2004 r., (III) postulat zagwarantowania rodzicom noworodków krytycznie chorych nie tylko moralnej, ale także prawnej możliwość niezgody na leczenie przedłużające życie tych dzieci.
EN
The article is a follow-up to an online debate, “On Rational Decision Making in Neonatal Care”, which was held within between 15th September and 15th October 2012 on the website of the Polish Bioethics Society. In it I provide justifications for the following three proposals: (I) the creation of a category for critically ill infants as patients in whose case withholding or withdrawing life-sustaining treatment would be a morally justified action, (II) that this category subsume all the five cases mentioned in the document of the Royal College of Pediatrics and Child Health, entitled Withholding or Withdrawing Life-Sustaining Treatment in Children. A Framework for Practice (2004), and (III) that parents of critically ill infants be provided not only the moral, but also the legal possibility of refusing life-sustaining treatment.
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