Medical Care at the End of Life: A Catholic Perspective (Google eBook)
For over thirty years, David F. Kelly has worked with medical practitioners, students, families, and the sick and dying to confront the difficult and often painful issues that concern medical treatment at the end of life. In this short and practical book, Kelly shares his vast experience, providing a rich resource for thinking about life's most painful decisions. Kelly outlines eight major issues regarding end-of-life care as seen through the lens of the Catholic medical ethics tradition. He looks at the distinction between ordinary and extraordinary means; the difference between killing and allowing to die; criteria of patient competence; what to do in the case of incompetent patients; the meaning and use of advance directives; the morality of hydration and nutrition; physician-assisted suicide and euthanasia; and medical futility. Kelly's analysis is sprinkled with significant legal decisions and, throughout, elaborations on how the Catholic medical ethics tradition -- as well as teachings of bishops and popes -- understands each issue. He provides a helpful glossary to supplement his introduction to the terminology used by philosophical health care ethics. Included in Kelly's discussion is his lucid description of why the Catholic tradition supports the discontinuation of medical care in the Terry Schiavo case. He also explores John Paul II's controversial papal allocution concerning hydration and nutrition for unconscious patients, arguing that the Catholic tradition does not require feeding the permanently unconscious. Medical Care at the End of Life addresses the major issues that inform this last stage of caregiving. It offers a critical guide to understanding the medical ethics and relevant legal cases needed for clear thinking when individuals are faced with those crucial decisions.
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Page 165 - Position of the American Academy of Neurology on certain aspects of the care and management of the persistent vegetative state patient...
Page 6 - Discontinuing medical procedures that are burdensome, dangerous, extraordinary, or disproportionate to the expected outcome can be legitimate; it is the refusal of "over-zealous" treatment. Here one does not will to cause death; one's inability to impede it is merely accepted.
Page 165 - Culture of life" politics at the bedside: the case of Terri Schiavo.
Page 166 - ... New England Journal of Medicine 310:1089-1093, 1984. 5. Bellotti, FX, "Investigating and Prosecuting Patient Abuse and Neglect in Nursing Homes: The Massachusetts Perspective, " Attorney General's Office, Medicaid Fraud Control Unit, Commonwealth of Massachusetts, February 1985. 6. Billings, AJ, "Comfort Measures for the Terminally 111: Is Dehydration Painful?