Ideology and Politicization in Public Bioethics

2011 ◽  
Vol 20 (1) ◽  
pp. 73-84 ◽  
Author(s):  
SUMMER McGEE
Keyword(s):  
Stem Cell ◽  
End Of Life ◽  
Stem Cell Research ◽  
End Of Life Care ◽  
Ethical Issues ◽  
Party Politics ◽  
Culture Wars ◽  
Human Cloning ◽  
Life Care ◽  
Made In

Recently, concern has been raised regarding the politicization of public bioethics. Party politics has increasingly influenced public debate on ethical issues like stem cell research, human cloning, and end-of-life care. These debates have put bioethics “smack in the middle” of the culture wars. These recent events confirm Daniel Callahan’s prescient claim made in 1996 that “bioethical debates are beginning to reflect those culture wars … the larger moral struggles of our society.”

Palliative and end-of-life care in Egypt: overview and recommendations for improvement

2020 ◽  
Vol 26 (6) ◽  
pp. 284-291 ◽  
Author(s):  
Sameh Eltaybani ◽  
Ayumi Igarashi ◽  
Noriko Yamamoto-Mitani
Keyword(s):  
End Of Life ◽  
End Of Life Care ◽  
Cultural Context ◽  
Ethical Issues ◽  
Clear Picture ◽  
Life Care ◽  
Health And Illness ◽  
Care Situation ◽  
Country Specific ◽  
Made In

Background: The literature on the situation of palliative and end-of-life care in the Arab and Islamic world, including Egypt, is limited and does not present a clear picture of the cultural context. This report aims to portray the palliative and end-of-life care situation in Egypt, focusing on the nursing viewpoint. First, we describe health- and illness-related cultural, religious, and ethical issues. Second, we present an overview of the healthcare and nursing system in Egypt. Third, we discuss the situation of palliative and end-of-life care, highlighting the shortcomings of existing literature. Finally, we delineate country-specific recommendations to improve the palliative and end-of-life care situation at the level of policy, education, and research. Countries with similar healthcare, cultural, legal, religious, economic, or ethical contexts may benefit from the recommendations made in this study.

Situating requests for medical aid in dying within the broader context of end-of-life care: ethical considerations

2018 ◽  
Vol 45 (2) ◽  
pp. 106-111 ◽  
Author(s):  
Lori Seller ◽  
Marie-Ève Bouthillier ◽  
Veronique Fraser
Keyword(s):  
End Of Life ◽  
End Of Life Care ◽  
Ethical Issues ◽  
Retrospective Chart Review ◽  
Median Number ◽  
Life Care ◽  
Ethical Considerations ◽  
Term Care ◽  
Medical Aid ◽  
Aid In Dying

BackgroundMedical aid in dying (MAiD) was introduced in Quebec in 2015. Quebec clinical guidelines recommend that MAiD be approached as a last resort when other care options are insufficient; however, the law sets no such requirement. To date, little is known about when and how requests for MAiD are situated in the broader context of decision-making in end-of-life care; the timing of MAiD raises potential ethical issues.MethodsA retrospective chart review of all MAiD requests between December 2015 and June 2017 at two Quebec hospitals and one long-term care centre was conducted to explore the relationship between routine end-of-life care practices and the timing of MAiD requests.ResultsOf 80 patients requesting MAiD, 54% (43) received the intervention. The median number of days between the request for MAiD and the patient’s death was 6 days. The majority of palliative care consults (32%) came less than 7 days prior to the MAiD request and in another 25% of cases occurred the day of or after MAiD was requested. 35% of patients had no level of intervention form, or it was documented as 1 or 2 (prolongation of life remains a priority) at the time of the MAiD request and 19% were receiving life-prolonging interventions.InterpretationWe highlight ethical considerations relating to the timing of MAiD requests within the broader context of end-of-life care. Whether or not MAiD is conceptualised as morally distinct from other end-of-life options is likely to influence clinicians’ approach to requests for MAiD as well as the ethical importance of our findings. We suggest that in the wake of the 2015 legislation, requests for MAiD have not always appeared to come after an exploration of other options as professional practice guidelines recommend.

scholarly journals End-of-life care for older AML patients relapsing after allogeneic stem cell transplant at a dedicated cancer center

2018 ◽  
Vol 54 (5) ◽  
pp. 700-706 ◽  
Author(s):  
Richard J. Lin ◽  
Theresa A. Elko ◽  
Miguel-Angel Perales ◽  
Koshy Alexander ◽  
Ann A. Jakubowski ◽  
...  
Keyword(s):  
Stem Cell ◽  
End Of Life ◽  
End Of Life Care ◽  
Stem Cell Transplant ◽  
Cancer Center ◽  
Cell Transplant ◽  
Life Care ◽  
Allogeneic Stem Cell Transplant

scholarly journals From Warnock to the Stem Cell Bank—Evaluating the UK's Regulatory Measures for Stem Cell Research

2005 ◽  
Vol 2 (1) ◽  
pp. 1-14 ◽  
Author(s):  
Richard Twine
Keyword(s):  
Stem Cell ◽  
Stem Cell Research ◽  
Ethical Issues ◽  
Cell Bank ◽  
The United Kingdom ◽  
Institutional Learning ◽  
Regulatory Measures ◽  
United Kingdom Government ◽  
The Uk ◽  
Made In

AbstractThe United Kingdom government regards its regulations for stem cell research as some of the most rigorous in the world. This paper chronologically outlines the important stages in the evolution of these regulatory measures over the past twenty years, including the Warnock Report, the Human Fertilisation and Embryology Act 1990, the subsequent series of reports and consultations, and the establishment of the UK stem cell bank. Attending both to the discursive framing of stem cell research and the ethical issues faced, an assessment is made in terms of the appropriateness, adequacy and effectiveness of the UK's regulatory measures. Although institutional learning is detected in areas such as improving public engagement, the UK regulatory process has been open to the accusation of a scientific community regulating itself. This paper recommends that in order to avoid any possible complacency further improvements in public inclusiveness and interdisciplinary representation on regulatory committees should be sought.

Ethical issues in palliative and end-of-life care

2018 ◽  
pp. 91-118
Author(s):  
Anne Halli-Tierney ◽  
Amy Albright ◽  
Deanna Dragan ◽  
Megan Lippe ◽  
Rebecca S. Allen
Keyword(s):  
End Of Life ◽  
End Of Life Care ◽  
Ethical Issues ◽  
Life Care

scholarly journals The bioethics of end-of-life care in Internal Medicine: decision making and setting of care

2013 ◽  
pp. 133-138
Author(s):  
Giancarlo Traisci
Keyword(s):  
Internal Medicine ◽  
Decision Making ◽  
End Of Life ◽  
End Of Life Care ◽  
Ethical Issues ◽  
Present Report ◽  
Clinical Care ◽  
Terminal Phase ◽  
Life Care ◽  
Physician Patient Relationship

Introduction In the field of Internal Medicine, the management of the terminal phase of an illness raises important issues involving clinical care, with particular reference to the physician-patient relationship. The present report describes the professional code of conduct relative to the assessments and decision making involved in end-of-life care. Materials and methods The article summarizes and discusses Italian common deontological low and the current positions of national and international experts in the field of end-of-life care. Results The ethical issues regarding euthanasia, withdrawal/withholding of health care, and medical treatment that uselessly prolongs the life of a terminal patient are defined and analyzed in conjunction with the outcomes suggested by the palliative medicine. Discussion Physicians caring for patients at the end of their lives must give consideration to bioethical approach.

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