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Ethical Issues on Critically Ill Patients

  • Korean Journal of Medical Ethics
  • Abbr : 의료윤리
  • 2015, 18(1), pp.1-9
  • DOI : 10.35301/ksme.2015.18.1.1
  • Publisher : The Korean Society For Medical Ethics
  • Research Area : Medicine and Pharmacy > General Medicine
  • Published : March 31, 2015

Jae Young Moon 1

1충남대학교병원 중환자의학 및 호흡기내과

Accredited

ABSTRACT

Critically ill patients are vulnerable patient that could not speak for their interests due to their life-threatening condition. Sometimes they should get an invasive treatment in the intensive care unit (ICU) to overcome their fatal and serious illness, which involve pain they do not want. Thus the ethical conflict is common in the ICU and in particular, ethical issues related to the “right to life” or “death” are difficult and complex. Major sources of conflicts are behavioral issues among stakeholders, such as verbal abuse or poor communication between physicians and nurses, and end-of-life care issues including a lack of respect for the patient’s autonomy. These conflicts may cause ICU workers’ physical and mental exhaustion, which often result in threats to patient safety. When healthcare professionals lack knowledge to recognize the ethical implications, ethical conflicts occur frequently. The physicians themselves need to be more sensitive to behavioral conflicts and enable shared decision making in end-of-life care. At the same time, the institutions and administrators should develop their processes to find and resolve common ethical problems in their ICUs.

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