End-of-Life Decisions in Medical Care

Decisions relating to assisted dying, euthanasia, palliative care and the withdrawal of treatment must take into account a range of issues. Stephen W. Smith outlines an ethical theory for end-of-life decisions and provides a critical examination of regulatory practices at the end of life.

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Those involved in end-of-life decision making must take into account both legal and ethical issues. This book starts with a critical reflection of ethical principles including ideas such as moral status, the value of life, acts and omissions, harm, autonomy, dignity and paternalism. It then explores the practical difficulties of regulating end-of-life decisions, focusing on patients, healthcare professionals, the wider community and issues surrounding 'slippery slope' arguments. By evaluating the available empirical evidence, the author identifies preferred ways to regulate decisions and minimise abuses at the end of life, and outlines an ethical theory which can provide practical guidance for those engaged in end-of-life decisions.