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  1. Death as the Cessation of an Organism and the Moral Status Alternative.Piotr Grzegorz Nowak - 2023 - Journal of Medicine and Philosophy 48 (5):504-518.
    The mainstream concept of death—the biological one—identifies death with the cessation of an organism. In this article, I challenge the mainstream position, showing that there is no single well-established concept of an organism and no universal concept of death in biological terms. Moreover, some of the biological views on death, if applied in the context of bedside decisions, might imply unacceptable consequences. I argue the moral concept of death—one similar to that of Robert Veatch—overcomes such difficulties. The moral view identifies (...)
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  • The conceptual injustice of the brain death standard.William Choi - 2024 - Theoretical Medicine and Bioethics 45 (4):261-276.
    Family disputes over the diagnosis of brain death have caused much controversy in the bioethics literature over the conceptual validity of the brain death standard. Given the tenuous status of brain death as death, it is pragmatically fruitful to reframe intractable debates about the metaphysical nature of brain death as metalinguistic disputes about its conceptual deployment. This new framework leaves the metaphysical debate open and brings into focus the social functions that are served by deploying the concept of brain death. (...)
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  • Conflict Over Death by Neurologic Criteria: Caution, Consent, and Nursing Considerations.Sabrina F. Derrington & Brenda Barnum - 2023 - American Journal of Bioethics 23 (1):88-90.
    Maddie’s story illustrates the critical importance of healthcare teams (HCTs) having inclusive multidisciplinary provider meetings prior to siloed conversations with families. It is paramount that...
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  • Diagnosing death 50 years after the Harvard brain death report.Francis J. O’Keeffe & George L. Mendz - 2021 - The New Bioethics 27 (1):46-64.
    More than 50 years after the publication of the Harvard Committee Report that sought to define death according to whole-brain function criteria, this document continues to generate a diversity of o...
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  • Is ‘best interests’ the right standard in cases like that of Charlie Gard?Robert D. Truog - 2020 - Journal of Medical Ethics 46 (1):16-17.
    Savulescu and colleagues have provided interesting insights into how the UK public view the ‘best interests’ of children like Charlie Gard. But is best interests the right standard for evaluating these types of cases? In the USA, both clinical decisions and legal judgments tend to follow the ‘harm principle’, which holds that parental choices for their children should prevail unless their decisions subject the child to avoidable harm. The case of Charlie Gard, and others like it, show how the USA (...)
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  • Is informed consent required for the diagnosis of brain death regardless of consent for organ donation?Osamu Muramoto - 2021 - Journal of Medical Ethics 47 (12):e5-e5.
    In the half-century history of clinical practice of diagnosing brain death, informed consent has seldom been considered until very recently. Like many other medical diagnoses and ordinary death pronouncements, it has been taken for granted for decades that brain death is diagnosed and death is declared without consideration of the patient’s advance directives or family’s wishes. This essay examines the pros and cons of using informed consent before the diagnosis of brain death from an ethical point of view. As shared (...)
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