Awake but unaware. Analysis of a case of vegetative state and different decision-making models
DOI:
https://doi.org/10.1344/rbd2017.40.19171Keywords:
bioethics, vegetative state, end-of-life decision-making, artificial nutrition and hydrationAbstract
This article analyzes the case of a patient in a vegetative state that ―after the request of the family to withdraw artificial nutrition― was presented to the Ethics Committee of the Vall d'Hebron University Hospital, Barcelona. Starting from this case, and a review of some other media cases, it is intended to reflect on the different models commonly used in the decision-making process, emphasizing in its limitations and ethical implications. The paper concludes with the analysis of a deliberative and shared decision-making model that includes both, health care providers and family, thus avoiding the omission of circumstantial and relational characteristics of each patient.
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