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The strange and harrowing sight of a person being awake but unaware with no evidence of a working mind - the characteristics of the vegetative state - provokes intense debate and raises profound questions for health professionals, ethicists, philosophers and lawyers. This unique account by an unrivalled expert in the field, who himself collaborated in coining the term 'persistent vegetative state', surveys the medical, ethical and legal issues that surround this controversial topic. The medical definition and criteria for diagnosis are discussed, as are its frequency and causes, and possible outcomes. Ethical arguments discussed include the conflict between sanctity of life and respect for the autonomy and best interests of the victim, and between killing and letting die. Legal issues are explored with details of landmark court cases from the USA, Britain and elsewhere. This well-informed and carefully constructed account will be a benchmark for medical specialists, ethicists, lawyers and philosophers.

Persistent vegetative state. --- Minimally conscious state --- Permanent vegetative state --- Persistent unawareness state --- Post-traumatic vegetative state --- Posttraumatic vegetative state --- PVS (Persistent vegetative state) --- Unawareness state, Persistent --- Vegetative state, Persistent --- Brain damage --- Loss of consciousness --- Coma --- Bioethics. --- Biology --- Biomedical ethics --- Life sciences --- Life sciences ethics --- Science --- Moral and ethical aspects

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During the past few decades, high-profile cases like that of Terry Schiavo have fueled the public debate over forgoing or withdrawing artificial nutrition and hydration from patients in a persistent vegetative state (PVS). These cases, whether involving adults or young children, have forced many to begin thinking in a measured and careful way about the moral legitimacy of allowing patients to die. Can families forgo or withdraw artificial hydration and nutrition from their loved ones when no hope of recovery seems possible?Many Catholics know that Catholic moral theology has formulated a well-

Religion and Medicine. --- Persistent Vegetative State --- Fluid Therapy --- Enteral Nutrition --- Catholicism. --- Euthanasia, Passive --- Euthanasia --- Artificial feeding. --- Fluid therapy --- Loss of consciousness. --- Persistent vegetative state --- Medical ethics. --- Fluid replacement therapy --- Fluids --- Therapeutics --- Water-electrolyte balance (Physiology) --- Blackouts (Loss of consciousness) --- Consciousness, Loss of --- Insensibility --- Unconscious state --- Unconsciousness --- Neurologic manifestations of general diseases --- Biomedical ethics --- Clinical ethics --- Ethics, Medical --- Health care ethics --- Medical care --- Medicine --- Bioethics --- Professional ethics --- Nursing ethics --- Social medicine --- Minimally conscious state --- Permanent vegetative state --- Persistent unawareness state --- Post-traumatic vegetative state --- Posttraumatic vegetative state --- PVS (Persistent vegetative state) --- Unawareness state, Persistent --- Vegetative state, Persistent --- Brain damage --- Loss of consciousness --- Coma --- Artificial nutrition --- Feeding, Artificial --- Nutrition --- Roman Catholic Ethics --- Roman Catholicism --- Roman Catholics --- Catholic, Roman --- Catholicism, Roman --- Catholics, Roman --- Ethic, Roman Catholic --- Ethics, Roman Catholic --- Roman Catholic --- Roman Catholic Ethic --- Medicine and Religion --- Parish Nursing --- therapy. --- ethics. --- Moral and ethical aspects. --- Religious aspects --- Catholic Church. --- Therapeutic use --- Moral and ethical aspects --- Patients --- Religious aspects. --- Health Workforce --- Comatose state

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During the past few decades, high-profile cases like that of Terry Schiavo have fueled the public debate over forgoing or withdrawing artificial nutrition and hydration from patients in a persistent vegetative state (PVS). These cases, whether involving adults or young children, have forced many to begin thinking in a measured and careful way about the moral legitimacy of allowing patients to die. Can families forgo or withdraw artificial hydration and nutrition from their loved ones when no hope of recovery seems possible?Many Catholics know that Catholic moral theology has formulated a well-

Christian moral theology --- Professional ethics. Deontology --- Artificial feeding. --- Coma --- Euthanasia --- Fluid therapy --- Loss of consciousness. --- Medical ethics. --- Persistent vegetative state --- Religion and medicine. --- Euthanasia, Passive --- Catholicism --- Catholicism. --- Enteral Nutrition --- Fluid Therapy --- Persistent Vegetative State --- Religion and Medicine --- Religion and Medicine. --- Patients --- Religious aspects --- Moral and ethical aspects. --- Catholic Church. --- ethics --- ethics. --- therapy --- therapy. --- -Loss of consciousness. --- -Religion and medicine. --- -Euthanasia, Passive --- 241.63*4 --- Medicine and Religion --- Parish Nursing --- Roman Catholic Ethics --- Roman Catholicism --- Roman Catholics --- Catholic, Roman --- Catholicism, Roman --- Catholics, Roman --- Ethic, Roman Catholic --- Ethics, Roman Catholic --- Roman Catholic --- Roman Catholic Ethic --- Assisted death (Euthanasia) --- Assisted dying (Euthanasia) --- Death, Assisted (Euthanasia) --- Death, Mercy --- Dying, Assisted (Euthanasia) --- Killing, Mercy --- Mercy death --- Mercy killing --- Homicide --- Medical ethics --- Assisted suicide --- Right to die --- Medicine and religion --- Religion and medicine --- Pastoral medicine --- Fluid replacement therapy --- Fluids --- Therapeutics --- Water-electrolyte balance (Physiology) --- Blackouts (Loss of consciousness) --- Consciousness, Loss of --- Insensibility --- Unconscious state --- Unconsciousness --- Neurologic manifestations of general diseases --- Comatose state --- Loss of consciousness --- Biomedical ethics --- Clinical ethics --- Ethics, Medical --- Health care ethics --- Medical care --- Medicine --- Bioethics --- Professional ethics --- Nursing ethics --- Social medicine --- -Religious aspects --- -Catholicism. --- Theologische ethiek: euthanasie --- Therapeutic use --- Moral and ethical aspects --- Artificial feeding --- Feeding Methods --- Christianity --- Drug Therapy --- Brain Damage, Chronic --- Morals --- Withholding Treatment --- Nutritional Support --- Religion --- Patient Care --- Terminal Care --- Brain Diseases --- Psychology, Social --- Consciousness Disorders --- Humanities --- Nutrition Therapy --- Neurobehavioral Manifestations --- Central Nervous System Diseases --- Behavior and Behavior Mechanisms --- Analytical, Diagnostic and Therapeutic Techniques and Equipment --- Health Services --- Health Care Facilities, Manpower, and Services --- Neurologic Manifestations --- Nervous System Diseases --- Psychiatry and Psychology --- Signs and Symptoms --- Health Care --- Diseases --- Pathological Conditions, Signs and Symptoms --- Ethics --- Health & Biological Sciences --- Pathology --- Catholic Church --- 241.63*4 Theologische ethiek: euthanasie --- Minimally conscious state --- Permanent vegetative state --- Persistent unawareness state --- Post-traumatic vegetative state --- Posttraumatic vegetative state --- PVS (Persistent vegetative state) --- Unawareness state, Persistent --- Vegetative state, Persistent --- Brain damage --- Artificial nutrition --- Feeding, Artificial --- Nutrition --- Religious aspects&delete& --- Religiosity Coping --- Spiritual Coping --- Coping, Religiosity --- Coping, Spiritual --- Religiosity Copings

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In recent decades the clinical condition of the permanent vegetative state has raised debates regarding the treatment of those patients who, as a result of brain damage, have irreversibly lost consciousness while biologically continuing to live. The media have also provided ample coverage of celebrated cases, such as those of Karen Quinlan, Anthony Bland, Terry Schiavo and Eluana Englaro. Behind these names are the stories of individuals, moral dilemmas that incite reflection and throw down challenges to the law. This book contains essays by experts in various disciplinary areas - philosophy, religion and law - and is designed to offer a contribution to the debate, so as to clarify which instruments can best protect human rights and dignity even in borderline clinical situations.

Persistent vegetative state --- Medical laws and legislation. --- Medical ethics. --- Unconsciousness --- Brain Damage, Chronic --- Humanities --- Morals --- Philosophy --- Health Care Quality, Access, and Evaluation --- Consciousness Disorders --- Psychology, Social --- Brain Diseases --- Health Care --- Behavior and Behavior Mechanisms --- Neurobehavioral Manifestations --- Central Nervous System Diseases --- Neurologic Manifestations --- Psychiatry and Psychology --- Nervous System Diseases --- Signs and Symptoms --- Diseases --- Pathological Conditions, Signs and Symptoms --- Persistent Vegetative State --- Ethics --- Religion --- Medicine --- Health & Biological Sciences --- Pathology --- Moral and ethical aspects. --- Prayer --- Religious Beliefs --- Religious Ethics --- Beliefs, Religious --- Ethic, Religious --- Prayers --- Religions --- Religious Belief --- Spiritual Therapies --- Secularism --- Egoism --- Ethical Issues --- Metaethics --- Moral Policy --- Natural Law --- Situational Ethics --- Ethical Issue --- Ethics, Situational --- Issue, Ethical --- Issues, Ethical --- Law, Natural --- Laws, Natural --- Moral Policies --- Natural Laws --- Policies, Moral --- Policy, Moral --- Censorship, Research --- PVS (Persistent Vegetative State) --- Persistent Unawareness State --- Post-Comatose Unawareness State --- Post-Traumatic Unawareness State --- Postcomatose Unawareness State --- Posttraumatic Unawareness State --- Prolonged Post-Traumatic Unawareness --- Transient Vegetative State --- Vegetative State --- Minimally Conscious State --- Permanent Vegetative State --- Post-Traumatic Vegetative State --- Vegetative State, Persistent --- Minimally Conscious States --- PVSs (Persistent Vegetative State) --- Permanent Vegetative States --- Persistent Unawareness States --- Persistent Vegetative States --- Post Comatose Unawareness State --- Post Traumatic Unawareness State --- Post Traumatic Vegetative State --- Post-Comatose Unawareness States --- Post-Traumatic Unawareness States --- Post-Traumatic Unawareness, Prolonged --- Post-Traumatic Unawarenesses, Prolonged --- Post-Traumatic Vegetative States --- Postcomatose Unawareness States --- Posttraumatic Unawareness States --- Prolonged Post Traumatic Unawareness --- Prolonged Post-Traumatic Unawarenesses --- State, Minimally Conscious --- State, Permanent Vegetative --- State, Persistent Unawareness --- State, Persistent Vegetative --- State, Post-Comatose Unawareness --- State, Post-Traumatic Unawareness --- State, Post-Traumatic Vegetative --- State, Postcomatose Unawareness --- State, Posttraumatic Unawareness --- State, Transient Vegetative --- State, Vegetative --- States, Minimally Conscious --- States, Permanent Vegetative --- States, Persistent Unawareness --- States, Persistent Vegetative --- States, Post-Comatose Unawareness --- States, Post-Traumatic Unawareness --- States, Post-Traumatic Vegetative --- States, Postcomatose Unawareness --- States, Posttraumatic Unawareness --- States, Transient Vegetative --- States, Vegetative --- Transient Vegetative States --- Unawareness State, Persistent --- Unawareness State, Post-Comatose --- Unawareness State, Post-Traumatic --- Unawareness State, Postcomatose --- Unawareness State, Posttraumatic --- Unawareness States, Persistent --- Unawareness States, Post-Comatose --- Unawareness States, Post-Traumatic --- Unawareness States, Postcomatose --- Unawareness States, Posttraumatic --- Unawareness, Prolonged Post-Traumatic --- Unawarenesses, Prolonged Post-Traumatic --- Vegetative State, Permanent --- Vegetative State, Post-Traumatic --- Vegetative State, Transient --- Vegetative States --- Vegetative States, Permanent --- Vegetative States, Persistent --- Vegetative States, Post-Traumatic --- Vegetative States, Transient --- Akinetic Mutism --- Coma --- Symptoms and General Pathology --- Symptoms and Signs --- Nervous System Disorders --- Neurological Disorders --- Neurologic Disorders --- Disease, Nervous System --- Diseases, Nervous System --- Disorder, Nervous System --- Disorder, Neurologic --- Disorder, Neurological --- Disorders, Nervous System --- Disorders, Neurologic --- Disorders, Neurological --- Nervous System Disease --- Nervous System Disorder --- Neurologic Disorder --- Neurological Disorder --- Neurology --- Focal Neurologic Deficits --- Manifestations, Neurologic --- Manifestations, Neurological --- Neurologic Dysfunction --- Neurologic Findings --- Neurologic Manifestation --- Neurologic Signs --- Neurologic Symptoms --- Neurological Manifestations --- Neurologic Deficits --- Neurologic Signs and Symptoms --- Deficit, Focal Neurologic --- Deficit, Neurologic --- Deficits, Focal Neurologic --- Deficits, Neurologic --- Dysfunction, Neurologic --- Dysfunctions, Neurologic --- Finding, Neurologic --- Findings, Neurologic --- Focal Neurologic Deficit --- Manifestation, Neurologic --- Manifestation, Neurological --- Neurologic Deficit --- Neurologic Deficit, Focal --- Neurologic Deficits, Focal --- Neurologic Dysfunctions --- Neurologic Finding --- Neurologic Sign --- Neurologic Symptom --- Neurological Manifestation --- Sign, Neurologic --- Signs, Neurologic --- Symptom, Neurologic --- Symptoms, Neurologic --- Nervous System --- CNS Diseases --- Central Nervous System Disorders --- CNS Disease --- Cognitive Manifestations --- Neurobehavioral Signs and Symptoms --- Cognitive Symptoms --- Signs and Symptoms, Neurobehavioral --- Cognitive Manifestation --- Cognitive Symptom --- Manifestation, Cognitive --- Manifestation, Neurobehavioral --- Manifestations, Cognitive --- Manifestations, Neurobehavioral --- Neurobehavioral Manifestation --- Symptom, Cognitive --- Symptoms, Cognitive --- Altered Level of Consciousness --- Consciousness, Level Depressed --- Depressed Level of Consciousness --- Consciousness, Level Altered --- Semiconsciousness --- Consciousness Disorder --- Community-Based Distribution --- Contraceptive Distribution --- Delivery of Healthcare --- Dental Care Delivery --- Distribution, Non-Clinical --- Distribution, Nonclinical --- Distributional Activities --- Healthcare --- Healthcare Delivery --- Healthcare Systems --- Non-Clinical Distribution --- Nonclinical Distribution --- Delivery of Dental Care --- Health Care Delivery --- Health Care Systems --- Activities, Distributional --- Activity, Distributional --- Care, Health --- Community Based Distribution --- Community-Based Distributions --- Contraceptive Distributions --- Deliveries, Healthcare --- Delivery, Dental Care --- Delivery, Health Care --- Delivery, Healthcare --- Distribution, Community-Based --- Distribution, Contraceptive --- Distribution, Non Clinical --- Distributional Activity --- Distributions, Community-Based --- Distributions, Contraceptive --- Distributions, Non-Clinical --- Distributions, Nonclinical --- Health Care System --- Healthcare Deliveries --- Healthcare System --- Non Clinical Distribution --- Non-Clinical Distributions --- Nonclinical Distributions --- System, Health Care --- System, Healthcare --- Systems, Health Care --- Systems, Healthcare --- Brain Disorders --- CNS Disorders, Intracranial --- Central Nervous System Disorders, Intracranial --- Central Nervous System Intracranial Disorders --- Encephalon Diseases --- Encephalopathy --- Intracranial CNS Disorders --- Intracranial Central Nervous System Disorders --- Brain Disease --- Brain Disorder --- CNS Disorder, Intracranial --- Encephalon Disease --- Encephalopathies --- Intracranial CNS Disorder --- Psychology, Perceptual --- Social Psychology --- Perceptual Psychology --- Healthcare Quality, Access, and Evaluation --- Pharmacy Philosophy --- Philosophical Overview --- Hedonism --- Stoicism --- Overview, Philosophical --- Overviews, Philosophical --- Pharmacy Philosophies --- Philosophical Overviews --- Philosophies --- Philosophies, Pharmacy --- Philosophy, Pharmacy --- Morality --- Retrospective Moral Judgment --- Chronic Encephalopathy --- Encephalopathy, Chronic --- Chronic Brain Damage --- Consciousness, Loss of --- Unconscious State --- Loss of Consciousness --- State, Unconscious --- Unconscious States --- Consciousness --- Syncope --- Biomedical ethics --- Clinical ethics --- Ethics, Medical --- Health care ethics --- Medical care --- Bioethics --- Professional ethics --- Nursing ethics --- Social medicine --- Law, Medical --- Medical personnel --- Medical registration and examination --- Physicians --- Surgeons --- Medical policy --- Medical jurisprudence --- Minimally conscious state --- Permanent vegetative state --- Persistent unawareness state --- Post-traumatic vegetative state --- Posttraumatic vegetative state --- PVS (Persistent vegetative state) --- Unawareness state, Persistent --- Vegetative state, Persistent --- Brain damage --- Loss of consciousness --- Moral and ethical aspects --- Legal status, laws, etc. --- Law and legislation --- Central Nervous System Disease --- Central Nervous System Disorder --- Behavior And Behavior Mechanism --- Psychology --- Factors, Psychological --- Psychological Factors --- Psychological Side Effects --- Psychologists --- Psychosocial Factors --- Side Effects, Psychological --- Factor, Psychological --- Factor, Psychosocial --- Factors, Psychosocial --- Psychological Factor --- Psychological Side Effect --- Psychologist --- Psychosocial Factor --- Side Effect, Psychological --- Disorder of Consciousness --- Disorders of Consciousness --- Unconsciousness. --- Brain Damage, Chronic. --- Humanities. --- Morals. --- Philosophy. --- Health Care Quality, Access, and Evaluation. --- Consciousness Disorders. --- Psychology, Social. --- Brain Diseases. --- Delivery of Health Care. --- Behavior and Behavior Mechanisms. --- Neurobehavioral Manifestations. --- Central Nervous System Diseases. --- Neurologic Manifestations. --- Psychology. --- Nervous System Diseases. --- Signs and Symptoms. --- Disease. --- Pathological Conditions, Signs and Symptoms. --- Persistent Vegetative State. --- Ethics. --- Religion.