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  • Do you have a right to decide? Or do we have a right to acquiesce?

    Author(s)
    Comadira, Gregory
    Hervey, Lucy
    Winearls, James
    Young-Jamieson, James
    Marshall, Andrea
    Griffith University Author(s)
    Marshall, Andrea
    Year published
    2015
    Metadata
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    Abstract
    Clinicians make decisions about patient management on a daily basis and are required to act in a way that is both legally and ethically correct. To act legally requires compliance with a set of rules which reflect the values and interests of society. Ethical decisions are based on what we believe as a group to be morally right. Morals are, however, unique to the individual. Balancing the legal, ethical and moral dimensions of clinical decisions has the potential, therefore, to generate conflict for the individual practitioner. In this paper we report a case study of a patient with a high cervical spine injury resulting in ...
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    Clinicians make decisions about patient management on a daily basis and are required to act in a way that is both legally and ethically correct. To act legally requires compliance with a set of rules which reflect the values and interests of society. Ethical decisions are based on what we believe as a group to be morally right. Morals are, however, unique to the individual. Balancing the legal, ethical and moral dimensions of clinical decisions has the potential, therefore, to generate conflict for the individual practitioner. In this paper we report a case study of a patient with a high cervical spine injury resulting in quadriplegia, without prospect of a ventilator independent life. The patient, who was assessed as having capacity to make decisions, subsequently elected to have treatment withdrawn. In this case, withdrawal of treatment constituted removal of mechanical ventilation which ultimately resulted in death. The patient also requested for his organs to be donated after he was deceased. This case study, to our knowledge, is the first report of donation after cardiac death following a high cervical spinal injury in a cognitively intact patient. As such, this case study allows us to discuss the moral, ethical and legal implications of donation after cardiac death following withdrawal of medical treatment.
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    Journal Title
    Australian Critical Care
    Volume
    28
    Issue
    2
    DOI
    https://doi.org/10.1016/j.aucc.2015.04.004
    Subject
    Medical and Health Sciences not elsewhere classified
    Clinical Sciences
    Nursing
    Publication URI
    http://hdl.handle.net/10072/167261
    Collection
    • Journal articles

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