Category: Discussions
A theological perspective on the withdrawal of care
Decisions on the withdrawal of care are not made in abstraction. They impact on the meaning and understanding of life — the life of the individual in question as well as life in a wider communitarian sense. The web of life into which we are bound makes arbitrary decisions on the withdrawal of car...
Patient autonomy, advocacy and the critical care nurse
Ethics have always been an integral part of nursing on a daily basis. Exposure to frequent moral and ethical conflicts may affect the nurse, leading to burnout or resignation.
Organ Transplantation:ethical issues and the Indian scenario
There are many who believe that transplantation represents one of the most spectacular achievements of modern medical science. Advances from many fields of medicine have contributed to a tremendous improvement in results over the decades. This has lead to a steep rise in the numbers of transplant...
The ethics of organ selling: a libertarian perspective
As a libertarian, I believe that people own themselves. Any alternative would involve some form of slavery. And as owners of themselves, individuals have the right to sell their organs, give them away, and even to allow themselves to be 'harvested' of their organs in a productive form of suicide,...
Organs for sale
When evidence of trade in organs for transplantation from live vendors reached attention in the West, widely different groups indignantly denounced it. Restricting my remarks to kidneys, I suggest that this indignation is misplaced. Those criticising the rich for greed appear to lose sight of the...
The case against kidney sales
I am one of those who, according to Radcliffe-Richards et al, oppose the practice of buying kidneys from live vendors from a feeling of "outrage and disgust." These feelings are by no means irrational. They are based on a bedrock of moral principle: that no human being should exploit another.
Should brain death be recognised as a clinical…
In ancient times, before the realisation of the importance of the action of the heart and circulation of blood, a person was deemed to have died when he stopped breathing. The reflecting surface of a mirror was held before the face of the sick person. Death was diagnosed when the mirror was not f...
Why our cadaver donation programme doesn’t work
Six years since the passing of the Transplantation of Human Organs Act, 1994, recognising brain death, only 28 cadaver kidneys have been transplanted in Mumbai. Why is our cadaver organ transplant programme in such a sorry state?
Addressing the organ shortage: presumed consent and xenotransplants
The transplantation of organs is a triumph of modern medicine. Kidney transplantation provides a longer life expectancy and better quality of life than maintenance with dialysis does. Successful liver and heart transplantation are life saving. However, there is a wide gap between the need for org...
Values and obligations in qualitative research
Ethics, as a code of conduct, go beyond the law. Based on values and morals, they are grounded in the culture of the land, and are open to different interpretations. In addition, ethics in research are modulated to some extent by the culture of "science." It is encouraging that ethical guidelines...
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