Bioethics Mediation at the End of Life: Opportunities and Limitations
Cardozo Journal of Conflict Resolution, Vol. 15, No. 2, p. 449, 2014
24 Pages Posted: 11 Jun 2014
Date Written: June 9, 2014
Decision-making at the end of life requires the inclusion of many voices. Patients speak directly or indirectly through their advance directives. Families assume the patient’s voice where advance directives are absent or unclear, and clinicians speak from the podium of professional authority, urging those outcomes they believe to be most medically and ethically appropriate. The opportunities for conflict are legion.
This article discusses the mechanics of bioethics mediation, its constituent parts and distinctive attributes. Using a case-study of an elderly patient with end-stage dementia and the question of whether a feeding tube should be placed, the article discusses both the promise and practical limits of mediation in the end of life context.
Keywords: bioethics, mediation, end of life, dispute resolution, terminal illness, right to die
JEL Classification: K49
Suggested Citation: Suggested Citation