Disambiguating Clinical Intentions: The Ethics of Palliative Sedation  

Oleh:

Jansen, Lynn A.

Jenis: Article from Journal - ilmiah internasional
Dalam koleksi: The Journal of Medicine and Philosophy vol. 35 no. 1 (Feb. 2010), page 19-31.
Topik: Double effect; Intention; Intentionality; Palliative sedation

Ketersediaan

Perpustakaan Pusat (Semanggi) Nomor Panggil: MM80.23 Non-tandon: 1 (dapat dipinjam: 0) Tandon: tidak ada

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Isi artikel

It is often claimed that the intentions of physicians are multiple, ambiguous, and uncertain-at least with respect to end-of-life care. This claim provides support for the conclusion that the principle of double effects is of little or no value as a guide to end-of-life pain management. This paper critically discusses this claim. It argues that proponents of the claim fail to distingush two different sense of "intention," and that, as a result, they are led to exaggerate the extent to which clinical intentions in end-of-life contexts are ambiguous and uncertain. It argues further that physicians, like others who make life and death decisions, have a duty to get clear on what their intentions are. Finally, it argues that even if the principle of double effect should be rejected, clinical intentions remain ethically significant because they condition the meaning of extraordinary clinical interventions, such as thet of palliative sedation.

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