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Prominent bioethicists whose work is rooted in philosophy, religion, medicine, nursing, literature, history, and policy analysis join together to discuss their methods and professional insights, as well as to better define the field and its future development. Writing from the perspective of their own specialties, the authors: review just how their personal disciplines have contributed to bioethics, debate the current and future bioethical issues they face, and identify the most significant strengths and weaknesses in the current practice of bioethics. Seeking a sound foundation for the discipline, they also consider what basic knowledge and skills are necessary to be competent in bioethics, what methods and theoretical approaches are most promising for its future development, and what issues or perspectives have been neglected.

Bioethics --- Medical ethics --- Methodology. --- bio-ethiek (medische, biomedische ethiek, bio-ethische aspecten) --- filosofie (filosofische aspecten) --- interdisciplinariteit (interdisciplinair onderzoek) --- methodologie --- narratieve ethiek --- #GBIB:CBMER --- Biomedical ethics --- Clinical ethics --- Ethics, Medical --- Health care ethics --- Medical care --- Medicine --- Biology --- Life sciences --- Life sciences ethics --- Methodology --- bioéthique (éthique médicale, biomédicale, aspects bioéthiques) --- philosophie (aspects philosophiques) --- interdisciplinarité (recherche interdisciplinaire) --- méthodologie --- éthique narrative --- Moral and ethical aspects --- Professional ethics --- Nursing ethics --- Social medicine --- Science --- Life sciences. --- Medical ethics. --- Life Sciences, general. --- Theory of Medicine/Bioethics. --- Biosciences --- Sciences, Life

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In Death, Dying, and Organ Transplantation: Reconstructing Medical Ethics at the End of Life, Miller and Truog challenge fundamental doctrines of established medical ethics. They argue that the routine practice of stopping life support technology in hospitals causes the death of patients and that donors of vital organs (hearts, lungs, liver, and both kidneys) are not really dead at the time that their organs are removed for life-saving transplantation. These practices are ethically legitimate but are not compatible with traditional rules of medical ethics that doctors must not intentionally cause the death of their patients and that vital organs can be obtained for transplantation only from dead donors. In this book Miller and Truog undertake an ethical examination that aims to honestly face the reality of medical practices at the end of life. They expose the misconception that stopping life support merely allows patients to die from their medical conditions, and they dispute the accuracy of determining death of hospitalized patients on the basis of a diagnosis of "brain death" prior to vital organ donation. After detailing the factual and conceptual errors surrounding current practices of determining death for the purpose of organ donation, the authors develop a novel ethical account of procuring vital organs. In the context of reasonable plans to withdraw life support, still-living patients are not harmed or wronged by organ donation prior to their death, provided that valid consent has been obtained for stopping treatment and for organ donation. Recognizing practical difficulties in facing the truth regarding organ donation, the authors also develop a pragmatic alternative account based on the concept of transparent legal fictions. In sum, Miller and Truog argue that in order to preserve the legitimacy of end-of-life practices, we need to reconstruct medical ethics.

Euthanasia --- Procurement of organs, tissues, etc. --- Withholding Treatment --- Ethics, Medical --- Euthanasia, Active --- Tissue and Organ Procurement --- Moral and ethical aspects --- ethics --- Procurement of organs, tissues, etc --- dood (vaststelling van overlijden, hersendood, hart- en longfalen) --- euthanasie --- orgaandonatie --- orgaantransplantatie (allocatie van organen, donorschaarste) --- stopzetting van behandeling --- Organ procurement (Surgery) --- Tissue procurement (Surgery) --- Tissue banks --- Transplantation of organs, tissues, etc. --- mort (constat de décès, mort cérébrale) --- don d'organes --- transplantation d'organes (greffe d'organes, pénurie d'organes, allocation d'organes) --- arrêt de traitement --- Euthanasia - Moral and ethical aspects --- Procurement of organs, tissues, etc. - Moral and ethical aspects --- Withholding Treatment - ethics --- Euthanasia, Active - ethics --- Tissue and Organ Procurement - ethics

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Hospice is the premiere end of life program in the United States, but its requirement that patients forgo disease-directed therapies and that they have a prognosis of 6 months or less means that it serves less than half of dying patients and often for very short periods of time. Palliative care offers careful attention to pain and symptom management, added support for patients and families, and assistance with difficult medical decision making alongside any and all desired medical treatments, but it does not include a comprehensive system of care as is provided by hospice. The practice of pall

Palliative treatment --- Terminal care --- End-of-life care --- Terminally ill --- Care of the sick --- Critical care medicine --- Death --- Palliation (Medical care) --- Palliative care --- Palliative medicine --- Therapeutics --- Care and treatment --- Medical care

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Human experimentation in medicine --- Clinical trials --- Medical ethics --- Human Experimentation --- Ethics Committees, Research --- Ethics, Research --- Research Subjects --- Moral and ethical aspects --- ethics --- legislation and jurisprudence --- Medical ethics. --- Ethics Committees, Research. --- Ethics, Research. --- Moral and ethical aspects. --- ethics. --- legislation & jurisprudence. --- experiment, experimenteel onderzoek (mensen) --- biomedisch, medisch-wetenschappelijk onderzoek --- ethiek (ethische aspecten) --- Biomedical ethics --- Clinical ethics --- Ethics, Medical --- Health care ethics --- Medical care --- Medicine --- Bioethics --- Professional ethics --- Nursing ethics --- Social medicine --- Controlled clinical trials --- Patient trials of new treatments --- Randomized clinical trials --- Trials, Clinical --- Clinical medicine --- expérimentation sur la personne humaine (chez l'humain) --- recherche biomédicale --- ethique (aspects éthiques) --- Research --- Human experimentation in medicine - Moral and ethical aspects --- Clinical trials - Moral and ethical aspects --- Human Experimentation - ethics --- Research Subjects - legislation and jurisprudence