Feb 11, 2016
/
(problem oriented) v.
19451945
Bioethics ()
vs.vs.vs.()()(universal)(global)()
/
/(Dilemmas)v./v.
DNA
Nonmaleficence Beneficence Respect Justice
/Above all, do no harm
//(1)(2)(3)(4)/(paternalism)
(distributive justice) (formal) (substantial)(retributive justice)
1TarasoffTarasoff
2Z45L25ZL
319981013RG50302
Outline PVS
PVS
1 211975414 120705.23MA1 7
7313 21Medicare450PVS 912
201976691985
1.Human Being 2.Person 1. 2. 3.
Human Being: Person 1. 2. 3.
person Homo Sapiens
Human Being Person
/X1969
219851110541Pelle LindberghPelle LindberghLindbergh,Lindbergh5
3Highland2817383
1959coma depassebeyond coma1968H. Beecher
Presidents Commission for the Study of Ethical Problems in Medicine and Biomedical and Behavioral Research12
ICU, Intensive Care Unit
PVS
PVS PVS
Persistent Vegetative State PVS Jennett Plum
PVSPVSPVS
123
1 5430199312199498
2 198519937199413115
1
123
4193991275,000
2
3 Euthanasia the act or practice of killing or permitting the death of hopelessly sick or injured individuals in a relatively painless way for reason of mercy.
4Tom Beauchamp
Tom Beauchamp
Euthanasia eu--; thanasia---
12345
A
1. BA
A
2. BAA
A
3. AAA
4. ABBA
A
5. A
1 BWA2 BAA3AAA.4ABBA5A5
natural deathaccident deathsuicide deathhomicide deatheuthanasia
---- ---- Aryan supremacy----
1.
2
beneficence ( autonomy ) ( justice)
beneficenceBeneficence----;
----
----
XY 1. Y 2 . X 3. X 4 . XX 5. YX
(autonomy )Autonomy----autos ( self ) nomos ( rule, governance, law
----
(justice) John Rawls
Quinlan person human beingperson H. Tristram Engelhardt human being self-reflexivity 1 Homo Sapiens23Engelhardtperson 2 PVS 3xuninteractionPVS Homo Sapiens
1 person
3
/19684424< 32.2oC22X1969
20 19851110541Pelle LindberghPelle LindberghLindberghPelle Lindbergh5 Pelle Lindbergh
1959coma depassebeyond coma H. Beecher1968 Presidents Commission for the Study of Ethical Problems in Medicine and Biomedical and Behavioral Research, Defining Death :Medical ,Legal and Ethical Issues in the Determination of Death, Washington: Government Printing Office, July 1981.
ICU, Intensive Care Unit
197010 ICU, letting diett1,3 PVSpersistent vegetative state PVS
1968PVS
PVS Jennett Plum1972 Jennett PlumvegetatevegetativeJennett Plum brain-stem199643 1 1persistent vegetative state1permanent vegetative state
20 8729process of dying 80030199696.53885.9287811.01%32.8 2000
123 15430199312199498
2 198519937199413115
1 2 3 193991275,000500
Euthanasia the act or practice of killing or permitting the death of hopelessly sick or injured individuals in a relatively painless way for reason of mercy.
Tom Beauchamp
Euthanasia
A 1. BA
ABAAAB A 2. BAABA
living willadvanced directiveA
3. AAA
killingmurdercausing death 4. ABBA
ABB
A 5. A
1 BWA2 BAA3AAA.4ABBA5A 5
natural deathaccident deathsuicide deathhomicide death
euthanasia program 19381942500 clinical context volkvolkAryan supremacy
. withholding or withdrawing life-support measures
1212 Daniel CallahanThe Goals of Medicine: Setting New Priorities1234
4 . slippery slope argumentsLeo Alexanderz
1. ABABAB731 2.ABAB
volk
1.
2.
4 1. 2. 3. 4
----beneficencebeneficencebeneficence 1234 XY 1. Y2 . X3. X4 . XX5. YX
(autonomy )autonomyautos ( self ) nomos ( rule, governance, law )self-rule
(justice) desertJohn Rawls //// Roe vs. WadeRoe vs. WadeReinhardt797