The ethical and legal implications of deactivating an implantable cardioverter-defibrillator in a terminally ill cancer patient
England, Ruth, England, Tim and Coggon, John (2007) The ethical and legal implications of deactivating an implantable cardioverter-defibrillator in a terminally ill cancer patient. Journal of Medical Ethics, 33, (9), 538-540. (doi:10.1136/jme.2006.017657). (PMID:17761824).
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In this paper, the ethical and legal issues raised by the deactivation of implantable cardioverter-defibrillators (ICDs) in patients with terminal cancer is considered. It is argued that the ICD cannot be well described either as a treatment or as a non-treatment option, and thus raises complex questions regarding how rules governing deactivation should be framed. A new category called “integral devices” is proposed. Integral devices require their own special rules, reflecting their position as a “halfway house” between a form of treatment and a part of the body. The practical problems faced by doctors working in palliative medicine with regard to the deactivation of ICDs are also considered.
|Digital Object Identifier (DOI):||doi:10.1136/jme.2006.017657|
|Subjects:||B Philosophy. Psychology. Religion > BJ Ethics
R Medicine > RA Public aspects of medicine > RA1001 Forensic Medicine. Medical jurisprudence. Legal medicine
R Medicine > RC Internal medicine > RC0254 Neoplasms. Tumors. Oncology (including Cancer)
|Divisions:||Faculty of Business and Law > Southampton Law School
|Date Deposited:||12 Nov 2012 16:18|
|Last Modified:||27 Mar 2014 20:26|
|RDF:||RDF+N-Triples, RDF+N3, RDF+XML, Browse.|
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