Ethics consultants' recommendations for life-prolonging treatment of patients in persistent vegetative state: A follow-up study

Journal of Clinical Ethics

Volumn 18, Issue 1, 2007, Pages 64-71

  Fox, Ellen ^a   Daskal, Frona C ^b   Stocking, Carol ^b  

^a DEPARTMENT OF VETERANS AFFAIRS   (United States)

^b UNIVERSITY OF CHICAGO   (United States)

Author keywords

[No Author keywords available]

Indexed keywords

ADULT; ARTICLE; CANADA; ETHICIST; ETHICS; FEMALE; FOLLOW UP; HUMAN; LONG TERM CARE; MALE; MIDDLE AGED; PERSISTENT VEGETATIVE STATE; QUESTIONNAIRE;

ADULT; ETHICISTS; FEMALE; FOLLOW-UP STUDIES; HUMANS; LIFE SUPPORT CARE; MALE; MIDDLE AGED; PERSISTENT VEGETATIVE STATE; QUEBEC; QUESTIONNAIRES;

EID: 34447579226     PISSN: 10467890     EISSN: None     Source Type: Journal    
DOI: None     Document Type: Article

References (24)

1. E. Fox and C. Stocking, "Ethics Consultants' Recommendations for Life-Prolonging Treatment of Patients in a Persistent Vegetative State," Journal of the American Medical Association 270 (December 1993): 2578-82.
2. Ibid.
3. Ibid.
4. Multi-Society Task Force on PVS, "Medical aspects of the persistent vegetative state - first of two parts," New England Journal of Medicine 330 (1994): 1499-508; Multi-Society Task Force on PVS, "Medical aspects of the persistent vegetative state - second of two parts," New England Journal of Medicine 330 (1994): 1572-9.
5. http://www.aan.com/professionals/practice/pdfs/pdf_1995_thru_1998/ 1995.45.1015.pdf.
6. British Medical Association Medical Ethics Committee, BMA guidelines on treatment decisions for patients in a persistent vegetative state (London: British Medical Association, 1994).
7. Royal College of Physicians Working Group, "Recommendations and standards: the permanent vegetative state," Journal of the Royal College of Physicians of London 30, no. 2 (March/April 1996).
8. J.C. Fletcher and M. Siegler, "What Are the Goals of Ethics Consultation? A Consensus Statement," The Journal of Clinical Ethics 7, no. 2 (Summer 1996): 122-6.
9. E. Fox and R.M. Arnold, "Evaluating Outcomes in Ethics Consultation Research," The Journal of Clinical Ethics 7 (1996): 127-38.
10. http://www.ama-assn.org/amal/pub/upload/mm/369/ceja_3i97.pdf, accessed 15 October 2006.
11. Society for Health and Human Values - Society for Bioethics Consultation Task Force on Standards for Bioethics Consultation, Core Competencies for Health Care Ethics Consultation (Glenview, Ill.: American Society for Bioethics and Humanities, 1998); M.P. Aulisio, R.M. Arnold, and S.J. Youngner, "Health Care Ethics Consultation: Nature, Goals, and Competencies: A Position Paper from the Society for Health and Human Values - Society for Bioethics Consultation Task Force on Standards for Bioethics Consultation," Annals of Internal Medicine 133, no. 1 (July 2000): 59-69.
12. http://www.ethics.va.gov/integratedethics.asp, accessed 22 March 2007.
13. The corresponding variable in the 1993 study looked at recommendations made as an independent ethics consultant in the past three years.
14. As explained in our 1991 report, "The proportion of agreeing pairs statistic can be understood as follows. Let a randomly chosen respondent make a recommendation for variation 5. The chance that a second randomly selected respondent would agree with the first is 50%, because the proportion of agreeing pairs is 0.50 for that vignette. Although the proportion of agreeing pairs statistic does not adjust for chance agreement, it is clear that no consensus exists when there is only a 50/50 chance that two people will agree. See note 1 above, p. 2580.
15. See notes 4 through 7 above.
16. See note 7 above.
17. Multi-Society Task Force on PVS, "Medical aspects - second of two parts," see note 4 above.
18. See notes 8 through 12 above.
19. Fox and Arnold, see note 9 above.
20. See note 11 above.
21. See note 8 above.
22. See note 10 above.
23. See note 12 above.
24. See note 11 above.