Life and Death Decisions in the Clinical Setting

Beschreibung

This book moves away from the frameworks that have traditionally guided ethical decision-making in the Western clinical setting, towards an inclusive, non-coercive and, reflective dialogic approach to moral decision-making. Inspired in part by Jürgen Habermas’s discourse theory of morality and principles of communicative action, the book offers a proportionist approach as a way of balancing out the wisdom in traditional frameworks, set in the actual reality of the clinical situation at hand. Putting this approach into practice requires having a conversation, a dialogue or a discourse, with collaboration amongst all the stakeholders. The aim of the dialogue is to reach consensus in the decision, via mutual understanding of the values held by the patient and others whom they see as significant. This book aims to underscore the moral philosophical foundations for having a meaningful conversation. Life and Death Decision in the Clinical Setting is especially relevant in our contemporary era, characterised medically by an ever-increasing armamentarium of life-sustaining technology, but also by increasing multiculturalism, a multiplicity of faiths, and increasing value pluralism.
This book moves away from the frameworks that have traditionally guided ethical decision-making in the Western clinical setting, towards an inclusive, non-coercive and, reflective dialogic approach to moral decision-making. Inspired in part by Jürgen Habermas’s discourse theory of morality and principles of communicative action, the book offers a proportionist approach as a way of balancing out the wisdom in traditional frameworks, set in the actual reality of the clinical situation at hand. Putting this approach into practice requires having a conversation, a dialogue or a discourse, with collaboration amongst all the stakeholders. The aim of the dialogue is to reach consensus in the decision, via mutual understanding of the values held by the patient and others whom they see as significant. This book aims to underscore the moral philosophical foundations for having a meaningful conversation. Life and Death Decision in the Clinical Setting is especially relevant in our contemporary era, characterised medically by an ever-increasing armamentarium of life-sustaining technology, but also by increasing multiculturalism, a multiplicity of faiths, and increasing value pluralism.
Captures the dilemma often faced in moral decision-making in clinical settings Offers an ethical approach to the tension between technological capacity and morality in life and death decisions Recognizes and takes account of value pluralism and multiculturalism in medical decision making Includes supplementary material: sn.pub/extras

Autor*in

Paul Walker

Themen in »Life and Death Decisions in the Clinical Setting«

Ethical decisions in the clinical context Ethics of life and death Medical morality Moral aspects of clinical practice Impact of multiculturalism on medicine Value pluralism in clinical settings Proportionalism in medicine Proportionalism vs Principalism Discourse morality in clinical settings Discourse ethics in clinical settings Dialogic consensus in clinical decision-making Consensus in clinical decision-making Impact of medical technology on medical ethics Life-prolonging technologies and moral decision making Jürgen Habermas

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“The authors offer a brief yet robust overview of moral philosophy and propose a novel process of dialogic consensus for the resolution of moral dilemmas in the clinical setting. … written for healthcare professionals who lack a background in philosophy. It is most relevant to those who work in acute care settings where a majority of moral disagreements arise, but the method of dialogic consensus is relevant to all members of the healthcare field as well as interdisciplinary professionals.” (Sarah Sawicki, Doody’s Book Reviews, June, 2017) 

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