Consensus Guidelines on the Use of Analgesia and Sedation in Dying Intensive Care Unit (Icu) Patients

Hawryluck, Laura; Harvey, William R.; Lemieux‐Charles, Louise; Singer, P. Alonso

doi:10.1097/00003246-199912001-00210

Search citation statements

Order By: Relevance

Paper Sections

Select...

Direct and Foreseen Results1

Citation Types

Supporting

Mentioning

Contrasting

Year Published

2000

Publication Types

Select...

Article1

Relationship

Self Cite0

Independent1

Authors

Journals

Cited by 1 publication

(1 citation statement)

References 0 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…The lying health care provider administering analgesics and/ or sedatives may be difficult to detect in these cases, because the drugs are traditionally ones used to palliate. In some cases, the way the drugs were administered, whether in reponse to and in proportion to pain and sufferng, mayor may not be helpful in determining mtent (25). However, since acts do not always reflect intents and since intent remains fundamental in determining ethical permissibility, virtue-based ethics play a key role in overcoming this failing of the principle of double effect.…”

Section: Direct and Foreseen Resultsmentioning

confidence: 99%

Analgesia, Virtue, and the Principle of Double Effect

Hawryluck

Harvey

2000

J Palliat Care

View full text Add to dashboard Cite

The principle of double effect is widely used to permit the administration of narcotics and sedatives with the intent to palliate dying patients, even though the administration of these drugs may cause hastening of death. In recent medical literature, this principle's validity has been severely criticized, causing health care providers to fear providing good palliative care. Most of the criticisms levelled at the principle of double effect arise from misconceptions about its purpose and origins. This discussion will explore how virtue-based ethics can overcome the most important challenge to the principle of double effect's validity, that of its reliance on intention to determine whether the administration of analgesia is ethically acceptable.

show abstract

Section: Direct and Foreseen Resultsmentioning

confidence: 99%