Every one of us will die, and the processes we go through will be
our own unique to our own experiences and life stories. It is
reasonable to reflect on what kinds of dying processes may be
better or worse for us as we move toward our end. Such
consideration, however, can raise troubling ethical concerns for
patients, families, and healthcare providers. Even after forty
years of concerted focus on biomedical ethics, these moral concerns
persist in the care of lethally impaired, terminally ill, and
inured patients. End-of-Life Care and Pragmatic Decision Making
provides a pragmatic philosophical framework based on a radically
empirical attitude toward life and death. D. Micah Hester takes
seriously the complexities of experiences and argues that when
making end-of-life decisions healthcare providers ought to pay
close attention to the narratives of patients and the communities
they inhabit so that their dying processes embody their life
stories. He discusses three types of end-of-life patient
populations adults with decision-making capacity, adult without
capacity, and children (with a strong focus on infants) to show the
implications of pragmatic empiricism and the scope of decision
making at the end of life for different types of patients.
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