Abstract
The basis for much of what we find to be ethics rests in theory and principles. Although the terms ethics and morality represent the same concept and therefore are interchangeable, we generally use the term ethics. Bioethics is the common term for ethics in the biosciences, which includes medicine. The term morality seems to have a religious overtone. We will examine the concepts from a Western perspective, but ethical principles should truly be considered universal and not dependent on location. Although this might not necessarily be true, discussion of that issue is beyond the scope of this chapter. The study of bioethics is based on four simple concepts – autonomy, beneficence, justice, and nonmaleficence – that we will review briefly.1,2
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References
Thompson DR, Kummer HB, editors. Critical care ethics: a practice guide from the ACCM Ethics Committee. Chicago: Society of Critical Care Medicine; 2005.
Thompson D. Principles in the ethics in managing a critical care unit. Crit Care Med. 2007;35(2 Suppl):S2–S10.
Munson R. Part V: foundations of bioethics: ethical theories, moral principles and medical decisions. intervention and reflection, basic issues in medical ethics. 7th ed. Belmont: Wadsworth/Thompson Learning; 2004.
Beauchamp T, Childress J. Principles of biomedical ethics. 5th ed. New York: Oxford University Press; 2001.
Suggs MJ, Sakenfeld KD, Mueller JR, editors. The Oxford Study Bible: Revised English Bible with Apocrypha. New York: Oxford University Press; 1992. No. Gospel of Luke, Chapter 10.
Jonsen AR, Siegler M, Winslade WJ. Clinical ethics: a practical approach to ethical decisions in clinical medicine. New York: McGraw-Hill Medical; 2002.
Thompson D, Thompson D. Ethics Committees. In: Crippen D, editor. End of life communications in the ICU: a global perspective. New York: Springer; 2008.
Ravitsky V. Timers on ventilators. BMJ. 2005;330:415–417.
Kelly G. The duty to preserve life. Theol Stud. 1951;12:550.
Grisso T, Appelbaum PS. Assessing competence of consent to treatment. New York: Oxford University Press; 1998.
Dubler NN, Liebman CB. Bioethics mediation: a guide to shaping shared solutions. New York: United Hospital Fund of New York; 2004.
Ganzini L, Goy E, Miller L, Harvath T, Jackson A, Delorit M. Nurses’ experiences with hospice patients who refuse food and fluids to hasten death. N Engl J Med. 2003;349(24):359–365.
Ganzini L. Artificial nutrition and hydration at the end of life: ethics and evidence. Palliat Support Care. 2006;4(2):135–143.
Muramoto O. Bioethical aspects of the recent changes in the policy of refusal of blood by Jehovah’s Witnesses. BMJ. 2001;322:37–39.
Luce J, Prendergast T. The changing nature of death in the ICU. In: Curtis J, Rubenfeld G, editors. Managing death in the intensive care unit: the transition from cure to comfort. New York: Oxford University Press; 2001. p. 19–29.
Finucane T. How gravely ill becomes dying: a key to end-of-life care. JAMA. 1999;282(17):1670–1672.
Truog RD, Campbell ML, Curtis JR, et al. Recommendations for end-of-life care in the intensive care unit. Crit Care Med. 2001;29(12):2332–2348.
Nuremberg Code: Directives for Human Experimentation. Washington, DC. Available at: http://ohsr.od.nih.gov/guidelines/nuremberg.html. Accessed Dec 21, 2007.
Williams P, Wallace D. Unit 731: Japan’s Secret Biological Warfare in World War II. New York: Free Press; 1989.
Beecher H. Ethics and clinical research. N Engl J Med. 1966;274:1354–1360.
Pappworth M. Human guinea pigs. Boston: Beacon Press; 1967.
The National Commission for the Protection of Human Subjects of Biomedical and Behavioral Research. The Belmont Report: Ethical Principles and Guidelines for the protection of human subjects of research. Department of Health, Education, and Welfare. Available at: http://ohsr.od.nih.gov/guidelines/belmont.html. Accessed Dec 21, 2007.
The Acute Respiratory Distress Syndrome Network. Ventilation with lower tidal volumes as compared with traditional tidal volumes for acute lung injury and the acute respiratory distress syndrome. N Engl J Med. 2000;342:1301–1308.
A definition of irreversible coma. Report of the Ad Hoc Committee of the Harvard Medical School to examine the definition of brain death. JAMA 1968;205:337.
Baron L, Shemie S, Teitelbaum J, Doig C. Brief review: history, concept and controversies in the neurological determination of death. Can J Anesth. 2006;53(6):602–608.
Lang CJG, Heckmann J. Apnea testing for the diagnosis of brain death. Acta Neurol Scand. 2005;112(6):358–369.
Task Force on Brain Death in Children. Guidelines for the determination of brain death in children. Pediatrics 1987;80:298–299.
Bleich J. Time of death in Jewish law. New York: Z. Berman Publishing Co; 1991.
http://cases.justia.com/us-court-of-appeals/F3/16/590/492033/, accessed June 6, 2008.
The Ethics Committee American College of Critical Care Medicine and Society of Critical Care Medicine. Recommendations for non heart beating organ donation: position paper. Crit Care Med 2001;29:1826–1831.
Strosberg MA, Teres D. Gatekeeping in the intensive care unit. Chicago: Health Administration Press; 1997.
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Thompson, D.R. (2010). Ethics and the End-of-Life Care. In: O’Donnell, J.M., Nácul, F.E. (eds) Surgical Intensive Care Medicine. Springer, Boston, MA. https://doi.org/10.1007/978-0-387-77893-8_57
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