End-of-life practices in patients with devastating brain injury in Spain: Implications for organ donation

2017 ◽  
Vol 41 (3) ◽  
pp. 162-173
Author(s):  
B. Domínguez-Gil ◽  
E. Coll ◽  
T. Pont ◽  
M. Lebrón ◽  
E. Miñambres ◽  
...  
Keyword(s):  
Brain Injury ◽  
Organ Donation ◽  
End Of Life

Conflicts of interest, end-of-life care and organ donation

2020 ◽  
Author(s):  
Cameron Stewart ◽  
Wendy Lipworth ◽  
Paul Komesaroff ◽  
Ian Kerridge
Keyword(s):  
Organ Donation ◽  
End Of Life ◽  
End Of Life Care ◽  
Conflicts Of Interest ◽  
Life Care

scholarly journals Transitions in decision-making authority at the end of life: a problem of law, ethics and practice in deceased donation

2020 ◽  
pp. medethics-2020-106572
Author(s):  
Shih-Ning Then ◽  
Dominique E Martin
Keyword(s):  
Decision Making ◽  
Organ Donation ◽  
End Of Life ◽  
Decision Maker ◽  
Legal Authority ◽  
Time Of Death ◽  
Medical Decisions ◽  
Ethical Concerns ◽  
Decision Making Capacity ◽  
Practical Implications

Where a person is unable to make medical decisions for themselves, law and practice allows others to make decisions on their behalf. This is common at the end of a person’s life where decision-making capacity is often lost. A further, and separate, decision that is often considered at the time of death (and often preceding death) is whether the person wanted to act as an organ or tissue donor. However, in some jurisdictions, the lawful decision-maker for the donation decision (the ‘donation decision-maker’) is different from the person who was granted decision-making authority for medical decisions during the person’s life. To date, little attention has been given in the literature to the ethical concerns and practical problems that arise where this shift in legal authority occurs. Such a change in decision-making authority is particularly problematic where premortem measures are suggested to maximise the chances of a successful organ donation. This paper examines this shift in decision-making authority and discusses the legal, ethical and practical implications of such frameworks.

End-of-life decisions in patients with severe acute brain injury

2014 ◽  
Vol 13 (5) ◽  
pp. 515-524 ◽  
Author(s):  
Marjolein Geurts ◽  
Malcolm R Macleod ◽  
Ghislaine J M W van Thiel ◽  
Jan van Gijn ◽  
L Jaap Kappelle ◽  
...  
Keyword(s):  
Brain Injury ◽  
End Of Life ◽  
Acute Brain Injury ◽  
End Of Life Decisions ◽  
Life Decisions
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