Bioethical Issues on Patients in Persistent Vegetative State

Bibliographic Information

Other Title
  • 植物状態患者をめぐるバイオエシックス(第6回日本生命倫理学会年次大会分科会「医療・看護とバイオエシックス」発表 : 概説)

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Description

In 1994,the Science Council of Japan approved of withdrowal of nutrition and hydration from patients in persistent vegetative state (PVS), if they have had "living-will". The term "persistent vegetative state" was coined by Jennett and Plum in 1972 to describe the condition of patients with a state of wakefulness without detectable awareness, and the Japanese Neurosurgical Society proposed a clinical criteria of PVS for getting public financial help on these patient's family. In 1994,the American Multi-society Task Force on PVS expressed the consensus statement of the persistent vegetative state. Bioethical issuses concerning patients in PVS are 1) a vague conception, 2) obscure clinical criteria, 3) various prognosis, 4) possible very long survival (41 years), 5) usually unclear patient's will, 6) death with dignity. For each patient it is important to have a living-will, and medical staffs should be treating a patient in PVS same as conscious one, so if the patient had the living-will physician should respect it. Before deciding cease life-suporting measures physician had to have enough time to discuss about various conflicts among nureses and patient's family.

Journal

  • Bioethics

    Bioethics 5 (1), 31-35, 1995

    Japan Association for Bioethics

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Details 詳細情報について

  • CRID
    1390001204485143168
  • NII Article ID
    110001236873
  • NII Book ID
    AN10355291
  • DOI
    10.20593/jabedit.5.1_31
  • ISSN
    2189695X
    13434063
  • Text Lang
    ja
  • Data Source
    • JaLC
    • CiNii Articles
  • Abstract License Flag
    Disallowed

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