When certain ailments are an overwhelming and irremediable encumbrance, treatment directed at other curable ailments, although life-saving, cannot effectively achieve the goals of medicine. We are morally constrained from perpetuating the effects of a hopeless injury without prospect of benefit to the patient. An anti-cruelty policy is proposed as a new guideline for foregoing life-sustaining treatment that transcends the doctrines of "substituted judgment" or "reasonable persons" for certain incompetent patients. We propose the use of änti-cruelty care" as an active chart order or progress note, and suggest that institutional ethics committees or governing bodies recommend its implementation.
%0 Journal Article
%1 Braithwaite1986
%A Braithwaite, S.
%A Thomasma, D. C.
%D 1986
%J Ann Intern Med
%K Adolescent; Cerebral Palsy; Emotions; Ethical Analysis; Ethics Committees, Clinical; Ethics, Medical; Euthanasia; Euthanasia, Passive; Family; Humans; Hypercalcemia; Life Support Care; Male; Mental Disorders; Retardation; Pain; Patient Advocacy; Selection; Personhood; Risk Assessment; Stress, Psychological; Testicular Neoplasms; Value of Life; Withholding Treatment
%N 5
%P 711--715
%T New guidelines on foregoing life-sustaining treatment in incompetent patients: an anti-cruelty policy.
%V 104
%X When certain ailments are an overwhelming and irremediable encumbrance, treatment directed at other curable ailments, although life-saving, cannot effectively achieve the goals of medicine. We are morally constrained from perpetuating the effects of a hopeless injury without prospect of benefit to the patient. An anti-cruelty policy is proposed as a new guideline for foregoing life-sustaining treatment that transcends the doctrines of "substituted judgment" or "reasonable persons" for certain incompetent patients. We propose the use of änti-cruelty care" as an active chart order or progress note, and suggest that institutional ethics committees or governing bodies recommend its implementation.
@article{Braithwaite1986,
abstract = {When certain ailments are an overwhelming and irremediable encumbrance, treatment directed at other curable ailments, although life-saving, cannot effectively achieve the goals of medicine. We are morally constrained from perpetuating the effects of a hopeless injury without prospect of benefit to the patient. An anti-cruelty policy is proposed as a new guideline for foregoing life-sustaining treatment that transcends the doctrines of "substituted judgment" or "reasonable persons" for certain incompetent patients. We propose the use of "anti-cruelty care" as an active chart order or progress note, and suggest that institutional ethics committees or governing bodies recommend its implementation.},
added-at = {2014-07-19T19:10:48.000+0200},
author = {Braithwaite, S. and Thomasma, D. C.},
biburl = {https://www.bibsonomy.org/bibtex/2eefbc8c7b3723b27f78e76001e7ce5eb/ar0berts},
groups = {public},
interhash = {5f303e9452871160bb784a8a5ff3fe13},
intrahash = {eefbc8c7b3723b27f78e76001e7ce5eb},
journal = {Ann Intern Med},
keywords = {Adolescent; Cerebral Palsy; Emotions; Ethical Analysis; Ethics Committees, Clinical; Ethics, Medical; Euthanasia; Euthanasia, Passive; Family; Humans; Hypercalcemia; Life Support Care; Male; Mental Disorders; Retardation; Pain; Patient Advocacy; Selection; Personhood; Risk Assessment; Stress, Psychological; Testicular Neoplasms; Value of Life; Withholding Treatment},
month = May,
number = 5,
pages = {711--715},
pmid = {3963666},
timestamp = {2014-07-19T19:11:24.000+0200},
title = {New guidelines on foregoing life-sustaining treatment in incompetent patients: an anti-cruelty policy.},
username = {ar0berts},
volume = 104,
year = 1986
}