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Euthanasia: Buddhist principles.

Religions provide various forms of motivation for moral action. This chapter takes Buddhism as an example from within the Indian "family' of religions and seeks to identify the doctrinal and cultural principles on which ethical decisions are taken. Although beginning from very different religious premises, it is argued that the conclusions to which Buddhism tends are broadly similar to those found within mainstream Christianity.

Buddhism↗

Can physicians' care be neutral regarding religion?

A recent critique of the growing field of spirituality and medicine suggests that physicians should foster a professional ethic that is deliberately neutral regarding religion. The critique reflects an anxiety that it is almost inherently coercive for physicians to engage their patient's spiritual concerns, and it expresses a parallel admonition to physicians not to impose their values on patients. Although the authors agree that religious coercion is never warranted, they argue that neutrality regarding religion is neither possible nor desirable. They suggest rather that the challenging interface between religion and medicine requires wisdom and character formed by deep self-awareness of the various commitments (religious or otherwise) that shape decisions regarding medical practice, policy, and professional conduct.

Attitude of Health Personnel↗

Experience with patients with burns who refuse blood transfusion for religious reasons.

Patients with extensive full-thickness burns who refuse blood transfusion present a challenge to the burn team. We have recently treated four such patients, and we achieved a successful outcome in three. Staged excision and skin graft operations with minimal blood loss were performed. Two patients were treated with erythropoietin. Patient autonomy should be accepted by the burn team, but opportunity should exist for reassessment of treatment plans.

Adult↗