Who plays what role in decisions about withholding and withdrawing life-sustaining treatment?
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Biomedical subjects
Publications and source records attributed to J B Reckling.
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A philosophic approach to analysis reveals that the concept of right(s), with 10 identified attributes, is subject to ambiguous and inconsistent interpretation. This lack of clarity in interpretation contributes to controversy when rights are used for resolution of ethical conflict. Characteristics of rights contributing to their misinterpretation include their origins and the diverse ranges of their intended scope. Rights may be self-evident or derived from a contract. Although they are inalienable, they may not be operational. Furthermore, having a right does not entail having the power to attain it. This philosophic analysis yields a theoretic definition intended to guide nurses in rational interpretation and use of rights in their practices.
Home health care nurses are facing the ethical dilemma of discontinuing care to nonpaying needy patients or facing agency economic demise. Nurses perceive discontinuing care under such circumstances as patient abandonment. Ethical analysis of the dilemma yields two conclusions: (1) discontinuing care under non-life-threatening circumstances is not abandonment and does not violate the duty of beneficence, and (2) nurses do have an obligation to inform society of such instances so that public policy decision makers can be armed with that information when making allocation decisions.
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