Download Artificial Nutrition and Hydration and the Permanently by Ronald P. Hamel, James J. Walter PDF

Medical Ethics

By Ronald P. Hamel, James J. Walter

ISBN-10: 1589011783

ISBN-13: 9781589011786

In past times few many years, high-profile circumstances like that of Terry Schiavo have fueled the general public debate over forgoing or taking flight synthetic nutrients and hydration from sufferers in a chronic vegetative nation (PVS). those situations, even if regarding adults or youngsters, have compelled many to start pondering in a measured and cautious method in regards to the ethical legitimacy of permitting sufferers to die. Can households forgo or withdraw man made hydration and foodstuff from their household whilst no desire of restoration turns out attainable? Many Catholics understand that Catholic ethical theology has formulated a well-developed and well-reasoned place in this and different end-of-life concerns, one who distinguishes among ''ordinary'' and ''extraordinary'' therapy. yet fresh occasions have prompted uncertainty and confusion or even acrimony one of the trustworthy. In his 2004 allocution, Pope John Paul II proposed that man made foodstuff and hydration is a kind of easy care, hence suggesting that the availability of such care to sufferers neurologically incapable of feeding themselves may be thought of an ethical legal responsibility. The pope's deal with, which appeared to have provided a brand new improvement to a long time of Catholic future health care ethics, sparked a contentious debate one of the devoted over how most sensible to regard completely subconscious sufferers in the tenets of Catholic morality. during this accomplished and balanced quantity, Ronald Hamel and James Walter current twenty-one essays and articles, contributed through physicians, clergy, theologians, and ethicists, to mirror the spectrum of views at the concerns that outline the Catholic debate. geared up into six elements, every one with its personal creation, the essays supply scientific info on PVS and feeding tubes; discussions at the Catholic ethical culture and the way it would be altering; ecclesiastical and pastoral statements on forgoing or retreating food and hydration; theological and moral analyses at the factor; observation on Pope John Paul II's 2004 allocution; and the theological observation, courtroom judgements, and public coverage as a result of the Clarence Herbert and Claire Conroy criminal circumstances. A invaluable source for college students and students, this teachable quantity invitations theological discussion and moral dialogue on the most contested matters within the church this day.

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Extra resources for Artificial Nutrition and Hydration and the Permanently Unconscious Patient: The Catholic Debate

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27. O’Rourke, Development of Church Teaching on Prolonging Life, p. 5; J. J. Walter makes a similar assessment of morally obligatory and morally optional means of prolonging life, though under a quality of life approach and not an ordinary–extraordinary means approach, in “The Meaning Catholic Teaching on Prolonging Life 49 and Validity of Quality of Life Judgments in Contemporary Roman Catholic Medical Ethics,” in Quality of Life: The New Medical Dilemma, ed. J. J. Walter and T. A. Shannon (New York: Paulist Press, 1990) 78–88.

Richard McCormick sketches a “fanciful scenario” that speaks to this point: Imagine a 46       300-bed Catholic hospital with all beds supporting PVS patients maintained for months, even years by gastrostomy tubes. . ” (p. 232). To circumvent this criticism, some authors maintain that medically assisted nutrition and hydration is not a medical treatment, subject to questions of benefit, but is a basic element of care and as such should always be provided to a patient.

Shannon and J. J. Walter, “The PVS Patient and the Forgoing/ Withdrawing of Medical Nutrition and Hydration,” in Quality of Life, pp. 203–23. 28. Congregation for the Doctrine of the Faith, “Declaration on Euthanasia,” in Quality of Life, pp. 259–64. 29. McCormick and Paris, “The Catholic Tradition on the Use of Nutrition and Fluids,” p. 358. Two other Catholic reports on the moral responsibility in prolonging life decisions not noted above have been advanced by pontifical agencies. First, the Pontifical Council Cor Unum issued a report in 1981 dealing with the ethical aspects of providing medical care to person at the end-of-life (Pontifical Council Cor Unum.

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