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In Death, Dying, and Organ Transplantation: Reconstructing Medical Ethics at the End of Life, Miller and Truog challenge fundamental doctrines of established medical ethics. They argue that the routine practice of stopping life support technology in hospitals causes the death of patients and that donors of vital organs (hearts, lungs, liver, and both kidneys) are not really dead at the time that their organs are removed for life-saving transplantation. These practices are ethically legitimate but are not compatible with traditional rules of medical ethics that doctors must not intentionally cause the death of their patients and that vital organs can be obtained for transplantation only from dead donors. In this book Miller and Truog undertake an ethical examination that aims to honestly face the reality of medical practices at the end of life. They expose the misconception that stopping life support merely allows patients to die from their medical conditions, and they dispute the accuracy of determining death of hospitalized patients on the basis of a diagnosis of "brain death" prior to vital organ donation. After detailing the factual and conceptual errors surrounding current practices of determining death for the purpose of organ donation, the authors develop a novel ethical account of procuring vital organs. In the context of reasonable plans to withdraw life support, still-living patients are not harmed or wronged by organ donation prior to their death, provided that valid consent has been obtained for stopping treatment and for organ donation. Recognizing practical difficulties in facing the truth regarding organ donation, the authors also develop a pragmatic alternative account based on the concept of transparent legal fictions. In sum, Miller and Truog argue that in order to preserve the legitimacy of end-of-life practices, we need to reconstruct medical ethics.
Euthanasia --- Procurement of organs, tissues, etc. --- Withholding Treatment --- Ethics, Medical --- Euthanasia, Active --- Tissue and Organ Procurement --- Moral and ethical aspects --- ethics --- Procurement of organs, tissues, etc --- dood (vaststelling van overlijden, hersendood, hart- en longfalen) --- euthanasie --- orgaandonatie --- orgaantransplantatie (allocatie van organen, donorschaarste) --- stopzetting van behandeling --- Organ procurement (Surgery) --- Tissue procurement (Surgery) --- Tissue banks --- Transplantation of organs, tissues, etc. --- mort (constat de décès, mort cérébrale) --- don d'organes --- transplantation d'organes (greffe d'organes, pénurie d'organes, allocation d'organes) --- arrêt de traitement --- Euthanasia - Moral and ethical aspects --- Procurement of organs, tissues, etc. - Moral and ethical aspects --- Withholding Treatment - ethics --- Euthanasia, Active - ethics --- Tissue and Organ Procurement - ethics
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Medical ethics. --- bio-ethiek (medische, biomedische ethiek, bio-ethische aspecten) --- gezondheidseconomie (gezondheidszorgeconomie) --- abortus (vrijwillige zwangerschapsafbreking) --- levenseinde (einde van het leven, levenseindebeslissing) --- pasgeborene (zuigeling, neonatus, pasgeboren kind) --- euthanasie --- voortplanting (reproductie) --- embryostatuut (moreel statuut van het embryo, juridisch statuut van het embryo, potentiële persoon) --- orgaandonatie --- lichaamsmateriaal (lichaam, menselijk lichaamsmateriaal) --- genetische screening --- genetische engineering (manipulatie) --- kloneren (klonen, therapeutisch kloneren, reproductief kloneren) --- bioéthique (éthique médicale, biomédicale, aspects bioéthiques) --- économie de la santé (économie des soins de santé) --- avortement (interruption volontaire de grossesse, IVG) --- fin de vie (décision de fin de vie) --- nouveau-né --- procréation (reproduction) --- statut de l'embryon (statut moral de l'embryon, statut juridique de l'embryon, personne potentielle) --- don d'organes --- matériel corporel humain, (corps humain) --- dépistage génétique --- génie génétique (ingénierie génétique) --- clonage (clonage thérapeutique, clonage reproductif) --- Medical ethics --- Biomedical ethics --- Clinical ethics --- Ethics, Medical --- Health care ethics --- Medical care --- Medicine --- Bioethics --- Professional ethics --- Nursing ethics --- Social medicine --- Moral and ethical aspects
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All investigators funded by the National Institutes of Health are now required to receive training about the ethics of clinical research. Based on a course taught by the editors at NIH, Ethical and Regulatory Aspects of Clinical Research is the first book designed to help investigators meet this new requirement. The book begins with the history of human subjects research and guidelines instituted since World War II. It then covers various stages and components of the clinical trial process: designing the trial, recruiting participants, ensuring informed consent, studying special populations, and conducting international research. Concluding chapters address conflicts of interest, scientific misconduct, and challenges to the IRB system. The appendix provides sample informed consent forms. This book will be used in undergraduate courses on research ethics and in schools of medicine and public health by students who are or will be carrying out clinical research. Professionals in need of such training and bioethicists also will be interested.
Human experimentation in medicine --- Clinical trials --- Medical ethics --- Moral and ethical aspects --- Medical ethics. --- Ethics, Research. --- Research Subjects. --- Moral and ethical aspects. --- Biomedical ethics --- Clinical ethics --- Ethics, Medical --- Health care ethics --- Medical care --- Medicine --- Bioethics --- Professional ethics --- Nursing ethics --- Social medicine --- Controlled clinical trials --- Patient trials of new treatments --- Randomized clinical trials --- Trials, Clinical --- Clinical medicine --- Research --- Human experimentation in medicine - Moral and ethical aspects --- Clinical trials - Moral and ethical aspects
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