Conflicts of interest in the context of end of life care for potential organ donors in Australia.

van Haren, FMP; Carter, A; Cavazzoni, E; Chapman, M; D'Costa, RL; Jones, SL; McGee, A; Moodie, S; Nunnink, L; O'Leary, M; Opdam, H; Radford, S; Turner, AJ; Martin, D

Conflicts of interest in the context of end of life care for potential organ donors in Australia.

van Haren, FMP Carter, A Cavazzoni, E Chapman, M

D'Costa, RL Jones, SL McGee, A Moodie, S Nunnink, L O'Leary, M Opdam, H Radford, S Turner, AJ Martin, D

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Publisher:: W B SAUNDERS CO-ELSEVIER INC
Publication Type:: Journal Article
Citation:: Journal of critical care, 2020, 59, pp. 166-171
Issue Date:: 2020-10

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Field	Value	Language
dc.contributor.author	van Haren, FMP
dc.contributor.author	Carter, A
dc.contributor.author	Cavazzoni, E
dc.contributor.author	Chapman, M https://orcid.org/0000-0003-1333-3448
dc.contributor.author	D'Costa, RL
dc.contributor.author	Jones, SL
dc.contributor.author	McGee, A
dc.contributor.author	Moodie, S
dc.contributor.author	Nunnink, L
dc.contributor.author	O'Leary, M
dc.contributor.author	Opdam, H
dc.contributor.author	Radford, S
dc.contributor.author	Turner, AJ
dc.contributor.author	Martin, D
dc.date.accessioned	2021-05-22T07:32:49Z
dc.date.available	2020-06-22
dc.date.available	2021-05-22T07:32:49Z
dc.date.issued	2020-10
dc.identifier.citation	Journal of critical care, 2020, 59, pp. 166-171
dc.identifier.issn	0883-9441
dc.identifier.issn	1557-8615
dc.identifier.uri	http://hdl.handle.net/10453/149062
dc.description.abstract	End-of-life (EOL) care has become an integral part of intensive care medicine and includes the exploration of possibilities for deceased organ and tissue donation. Donation physicians are specialist doctors with expertise in EOL processes encompassing organ and tissue donation, who contribute significantly to improvements in organ and tissue donation services in many countries around the world. Donation physicians are usually also intensive care physicians, and thus they may be faced with the dual obligation of caring for dying patients and their families in the intensive care unit (ICU), whilst at the same time ensuring organ and tissue donation is considered according to best practice. This dual obligation poses specific ethical challenges that need to be carefully understood by clinicians, institutions and health care networks. These obligations are complementary and provide a unique skillset to care for dying patients and their families in the ICU. In this paper we review current controversies around EOL care in the ICU, including the use of palliative analgesia and sedation specifically with regards to withdrawal of cardiorespiratory support, the usefulness of the so-called doctrine of double effect to guide ethical decision-making, and the management of potential or perceived conflicts of interest in the context of dual professional roles.
dc.format	Print-Electronic
dc.language	eng
dc.publisher	W B SAUNDERS CO-ELSEVIER INC
dc.relation.ispartof	Journal of critical care
dc.relation.isbasedon	10.1016/j.jcrc.2020.06.016
dc.rights	info:eu-repo/semantics/closedAccess
dc.subject	1103 Clinical Sciences, 1110 Nursing
dc.subject.classification	Emergency & Critical Care Medicine
dc.title	Conflicts of interest in the context of end of life care for potential organ donors in Australia.
dc.type	Journal Article
utslib.citation.volume	59
utslib.location.activity	United States
utslib.for	1103 Clinical Sciences
utslib.for	1110 Nursing
pubs.organisational-group	/University of Technology Sydney
pubs.organisational-group	/University of Technology Sydney/Faculty of Health
utslib.copyright.status	closed_access	*
dc.date.updated	2021-05-22T07:32:47Z
pubs.publication-status	Published
pubs.volume	59

Abstract:

End-of-life (EOL) care has become an integral part of intensive care medicine and includes the exploration of possibilities for deceased organ and tissue donation. Donation physicians are specialist doctors with expertise in EOL processes encompassing organ and tissue donation, who contribute significantly to improvements in organ and tissue donation services in many countries around the world. Donation physicians are usually also intensive care physicians, and thus they may be faced with the dual obligation of caring for dying patients and their families in the intensive care unit (ICU), whilst at the same time ensuring organ and tissue donation is considered according to best practice. This dual obligation poses specific ethical challenges that need to be carefully understood by clinicians, institutions and health care networks. These obligations are complementary and provide a unique skillset to care for dying patients and their families in the ICU. In this paper we review current controversies around EOL care in the ICU, including the use of palliative analgesia and sedation specifically with regards to withdrawal of cardiorespiratory support, the usefulness of the so-called doctrine of double effect to guide ethical decision-making, and the management of potential or perceived conflicts of interest in the context of dual professional roles.

Please use this identifier to cite or link to this item:

http://hdl.handle.net/10453/149062