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Báo cáo khoa học: "Clinical review: Moral assumptions and the process of organ donation in the intensive care unit"

Tuyển tập các báo cáo nghiên cứu về y học được đăng trên tạp chí y học Critical Care giúp cho các bạn có thêm kiến thức về ngành y học đề tài: Clinical review: Moral assumptions and the process of organ donation in the intensive care unit. | Critical Care October 2004 Vol 8 No 5 Streat Review Clinical review Moral assumptions and the process of organ donation in the intensive care unit Stephen Streat Intensivist Department of Critical Care Medicine Auckland Hospital New Zealand Corresponding author Stephen Streat stephens@adhb.govt.nz Published online 21 May 2004 This article is online at http ccforum.com content 8 5 382 2004 BioMed Central Ltd Critical Care 2004 8 382-388 DOI 10.1186 cc2876 Abstract The objective of the present article is to review moral assumptions underlying organ donation in the intensive care unit. Data sources used include personal experience and a Medline search and a nonMedline search of relevant English-language literature. The study selection included articles concerning organ donation. All data were extracted and analysed by the author. In terms of data synthesis a rational utilitarian moral perspective dominates and has captured and circumscribed the language and discourse of organ donation. Examples include the problem is organ shortage moral or social duty or responsibility to donate moral responsibility to advocate for donation requesting organs or asking for organs trained requesters pro-donation support persons persuasion and defining maximising donor numbers as the objective while impugning the moral validity of nonrational family objections to organ donation. Organ donation has recently been described by intensivists in a morally neutral way as an option that they should offer as part of good end-of-life care to families of appropriate patients. In conclusion the review shows that a rational utilitarian framework does not adequately encompass interpersonal interactions during organ donation. A morally neutral position frees intensivists to ensure that clinical and interpersonal processes in organ donation are performed to exemplary standards and should more robustly reflect societal acceptability of organ donation although it may or may not produce more donors . .