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Ethical and Legal Debates In Irish HealthcareConfronting complexities$
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Mary Donnelly and Claire Murray

Print publication date: 2016

Print ISBN-13: 9780719099465

Published to Manchester Scholarship Online: May 2016

DOI: 10.7228/manchester/9780719099465.001.0001

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Improving end-of-life care in intensive care units

Improving end-of-life care in intensive care units

Chapter:
(p.236) 16 Improving end-of-life care in intensive care units
Source:
Ethical and Legal Debates In Irish Healthcare
Author(s):

Barry Lyons

Publisher:
Manchester University Press
DOI:10.7228/manchester/9780719099465.003.0017

This chapter provides an analysis of the state of critical care provision in Ireland and of how the withdrawal or withholding of therapies usually happens. It argues that the withdrawal of life-sustaining therapies is not simply a medical matter, but one with considerable social and political dimensions. It identifies the need for public discourse on the subject and for the development of a public policy on critical care. It argues that the answers to the dilemmas that critical care raise cannot most effectively be attained through the courts, but rather the solution is to be found in a social contract on the use of expensive and resource intensive medical technology.

Keywords:   Intensive care, Critical care, Life-sustaining therapies, Medical technology, Resource intensive

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