Authors
Bryan Pilkington
University of Notre Dame
Abstract
In this article, I argue that there is a moral difference between deactivating an implantable cardioverter defibrillator and turning off a cardiac pacemaker. It is, at least in most cases, morally permissible to deactivate an ICD. It is not, at least in most cases, morally permissible to turn off a pacemaker in a fully or significantly pacemaker-dependent patient. After describing the relevant medical technologies—pacemakers and ICDs—I continue with contrasting perspectives on the issue of deactivation from practitioners involved with these devices: physicians, nurses, and allied professionals. Next, I offer a few possible analyses of the situation, relying on recent work in medical ethics. Considerations of intention, responsibility, and replacement support my distinguishing between ICDs and CPs. I conclude by recommending a change in policy of one of the leading cardiac societies.
Keywords No keywords specified (fix it)
Categories (categorize this paper)
DOI 10.1093/jmp/jhz031
Options
Edit this record
Mark as duplicate
Export citation
Find it on Scholar
Request removal from index
Revision history

Download options

PhilArchive copy


Upload a copy of this paper     Check publisher's policy     Papers currently archived: 70,008
External links

Setup an account with your affiliations in order to access resources via your University's proxy server
Configure custom proxy (use this if your affiliation does not provide a proxy)
Through your library

References found in this work BETA

Dignity, Health, and Membership: Who Counts as One of Us?Bryan C. Pilkington - 2016 - Journal of Medicine and Philosophy 41 (2):115-129.

View all 7 references / Add more references

Citations of this work BETA

Conceptual Clarity in Clinical Bioethical Analysis.J. Clint Parker - 2020 - Journal of Medicine and Philosophy 45 (1):1-15.
Considerations of Conscience.Bryan Pilkington - 2021 - HEC Forum 33 (3):165-174.

Add more citations

Similar books and articles

Deactivating Pacemakers at the End of Life.Benedict M. Guevin - 2015 - The National Catholic Bioethics Quarterly 15 (1):39-51.
The Total Artificial Heart and the Dilemma of Deactivation.Ben Bronner - 2016 - Kennedy Institute of Ethics Journal 26 (4):347-367.
The Ethics of Implantable Devices.E. B. Wu - 2007 - Journal of Medical Ethics 33 (9):532-533.

Analytics

Added to PP index
2019-12-31

Total views
6 ( #1,132,866 of 2,505,216 )

Recent downloads (6 months)
1 ( #416,705 of 2,505,216 )

How can I increase my downloads?

Downloads

My notes