The standard of the patient’s best interests is the main bioethical standard used in the decision-making process that involves incompetent patients (i.e. neonatology, pediatric patients and incompetent adults). This standard has been widely criticized as being self-destructive, individualistic, vague, unknown, dangerous and open to abuse. With the purpose of defending it, several reforms of this standard have been proposed, especially in the pediatric field. We propose a redefinition of the standard based on two concepts: 1) medical futility as a negative criterion, and 2) the principle of proportionality as a positive criterion. Our work includes a new relationship between concepts in classical moral theology (i.e. ordinary / extraordinary; proportionate / disproportionate) applied to the bioethics of life-sustaining treatments for incompetent patients.

González-Melado Fernim, J., Di Pietro, M. L., The therapeutic proportionality standard: a new content for the best interests standard., <<CUADERNOS DE BIOÉTICA>>, 2020; 31 (101): 19-42 [http://hdl.handle.net/10807/157436]

The therapeutic proportionality standard: a new content for the best interests standard.

Di Pietro, Maria Luisa
Secondo
2020

Abstract

The standard of the patient’s best interests is the main bioethical standard used in the decision-making process that involves incompetent patients (i.e. neonatology, pediatric patients and incompetent adults). This standard has been widely criticized as being self-destructive, individualistic, vague, unknown, dangerous and open to abuse. With the purpose of defending it, several reforms of this standard have been proposed, especially in the pediatric field. We propose a redefinition of the standard based on two concepts: 1) medical futility as a negative criterion, and 2) the principle of proportionality as a positive criterion. Our work includes a new relationship between concepts in classical moral theology (i.e. ordinary / extraordinary; proportionate / disproportionate) applied to the bioethics of life-sustaining treatments for incompetent patients.
Inglese
González-Melado Fernim, J., Di Pietro, M. L., The therapeutic proportionality standard: a new content for the best interests standard., <<CUADERNOS DE BIOÉTICA>>, 2020; 31 (101): 19-42 [http://hdl.handle.net/10807/157436]
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Utilizza questo identificativo per citare o creare un link a questo documento: https://hdl.handle.net/10807/157436
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