End-of-life ethics: an ecological approach

Kenneth J. Doka

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Keywords

Ética al final de la vida, modelo ecológico-social, autonomía individual End-of-life ethics, social ecological model, individual autonomy

How to Cite

Doka, K. J. (2023). End-of-life ethics: an ecological approach. HAEL. HEALTH, AGING & END OF LIFE, 1(1), 19–26. Retrieved from https://reunido.uniovi.es/index.php/hael/article/view/20345

Abstract

This paper explores the evolution of Western Ethics from a paternalistic model to a model emphasizing individual autonomy. The paper argues that, as the limits of autonomy become clear, a social ecological model of end-of-life ethics should emerge that is more congruent with both Western spiritual and cultural values.

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References

Beauchamp, T. & Childress, J. (2001). Principles of biomedical ethics, 5th Ed. New York: Oxford.

Doka, K.J. (1994). Caregiver distress: If it so ethical, why does feel so bad? Critical Issues in Clinical Care Nursing, 5:346-7.

Doka, K.J. (1995). “The awareness of mortality in mid-life: Implications for later life (revised). In J. Kauffman (Ed.). The awareness of mortality. Amityville, NY: Baywood.

Doka, K.J. (Ed.). (2002). Disenfranchised grief: New directions, challenges, and strategies for practice. Champaign, IL: Research Press.

Doka, K.J. (2012). Ethics, end-of-life decisions, and grief. Pps. 261-271 in K.

Doka, A. Tucci, C. Corr, B. Jennings (Eds.), Ethics: A case study approach. Washington, DC: The Hospice Foundation of America.

Halpern, J. & Arnold, R. (2008). Affective forecasting: An unrecognized challenge in making serious health decisions. Journal of General Internal Medicine, 23:1708–1712.

Jameton, A. (1993). Dilemmas of moral distress: Moral responsibility and nursing practice. AWHONNS Clinical Issues in Perinatal & Womens Health Nursing, 4:542-551.

Jennings, B. (2012). From rights to relationships: The ecological turn in ethics toward the end-of-life. Pps. 3-22 in K. Doka, A. Tucci, C. Corr, B. Jennings (Eds.), Ethics: A case study approach. Washington, DC: The Hospice Foundation of America.

Kapo, J. & Karlawish, J. (2004). Ethical challenges for end-of-life care for dementia patients. Pps. 255-267 in K.J. Doka (Ed.), Living with grief: Alzheimer’s disease. Washington, DC: The Hospice Foundation of America.

Searight, H.R. & Gafford, J. (2005). Cultural diversity at the end of life: issues and guidelines for family physicians. American Family Physician 71(3). 515-522.

Sorokin, P. (1937–41). Social and cultural dynamics. (Four Volumes). New York: American Book Company.

Weisman, A. (1972). On dying and denying: A psychiatric study of terminality. New York, NY: Behavioral Publications.

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