Careful Conversation about Care at the End of Life
Authors: Lynn A. Jansen
Journal: Annals of Internal Medicine (2002)

Letters17 December 2002Careful Conversation about Care at the End of LifeLynn A. Jansen, RN, PhD and Daniel P. Sulmasy, OFM, MD, PhDLynn A. Jansen, RN, PhDSaint Vincent's Hospital and Medical Center; New York, NY 10011Search for more papers by this author and Daniel P. Sulmasy, OFM, MD, PhDSaint Vincent's Hospital and Medical Center; New York, NY 10011Search for more papers by this authorAuthor, Article, and Disclosure Informationhttps://doi.org/10.7326/0003-4819-137-12-200212170-00028 SectionsAboutFull TextPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissions ShareFacebookTwitterLinkedInRedditEmail IN RESPONSE:We do not believe that the rule of double effect can be reduced to the distinction between physical and existential suffering. This distinction is important in applying the proportionality clause in the rule of double effect, but the rule should not be identified with this clause. Nor do we deny that this rule is controversial or that it is sometimes difficult to apply. But like any other moral rule, neither the fact that it can be misapplied nor the fact that it has its origins in religious thought establishes it as invalid. Properly understood, the rule of double ...Reference1. Jonas H. The Phenomenon of Life. Evanston, IL: Northwestern Univ Pr; 2001:7-26. Google Scholar2. Jansen LA, Sulmasy DP. Proportionality, terminal suffering and the restorative goals of medicine. Theor Med Bioeth [In press]. Google Scholar3. Chapman CR, Gavrin J. Suffering: the contributions of persistent pain. Lancet. 1999;353:2233-7. [PMID: 10393002] CrossrefMedlineGoogle Scholar4. Breitbart W, Rosenfeld BD. Physician-assisted suicide: the influence of psychosocial issues. Cancer Control. 1999;6:146-161. [PMID: 10758543] CrossrefMedlineGoogle Scholar Author, Article, and Disclosure InformationAuthors: Lynn A. Jansen, RN, PhD; Daniel P. Sulmasy, OFM, MD, PhDAffiliations: Saint Vincent's Hospital and Medical Center; New York, NY 10011 PreviousarticleNextarticle Advertisement FiguresReferencesRelatedDetailsSee AlsoDiagnosis and Management of Delirium near the End of Life David J. Casarett and Sharon K. Inouye , for the American College of Physicians–American Society of Internal Medicine End-of-Life Care Consensus Panel*Sedation, Alimentation, Hydration, and Equivocation: Careful Conversation about Care at the End of Life Lynn A. Jansen and Daniel P. Sulmasy Physician Involvement in Voluntary Stopping of Eating and Drinking Bernard Gert , James L. Bernat , and R. Peter Mogielnicki Physician Involvement in Voluntary Stopping of Eating and Drinking Lynn A. Jansen and Daniel P. Sulmasy Careful Conversation about Care at the End of Life Charles G. Sasser Careful Conversation about Care at the End of Life Timothy E. Quill Careful Conversation about Care at the End of Life Paul Rousseau Careful Conversation about Care at the End of Life Tatsuya Morita , Satoru Tsuneto , and Yasuo Shima Careful Conversation about Care at the End of Life John H. Kvasnicka Metrics 17 December 2002Volume 137, Issue 12Page: 1010KeywordsConsciousnessDeliriumDrugsDyspneaEatingEnd of life careFoodHallucinationsPatientsSedation ePublished: 17 December 2002 Issue Published: 17 December 2002 Copyright & PermissionsCopyright © 2002 by American College of Physicians. All Rights Reserved.PDF downloadLoading ...