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PHLB09H3 Lecture Notes - James Rachels, Palliative Sedation

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Kelin Emmett

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Biomedical - Tutorial #8.
1) What (describe) is the moral doctrine of double effect
2) What is “terminal sedation” and how does it relate to 1.?
a) give a high dose of medication to relieve pain
i) will kill the patient
b) intention is to relieve pain and the action will kill in the process
3) Is terminal sedation indistinguishable from active and passive euthanasia?
a) euthanasia
i) death is the aim of the action
ii) one is not necessarily near dead in all cases
b) terminal sedation
i) death is not the aim of the action
ii) near dead
4) What is the goal of the physician in cases concerning terminal sedation?
a) provide beneficence by relieving the suffering of the patient in cases of near death
5) What is James Rachels’ argument (thesis)?
a) wants to suggest something else
b) letting die (passive euthanasia) and active euthanasia
i) both are the same because both contend on killing
ii) no moral distinction
c) highlights that killing is bad in many situations
d) the distinction is dubious and curious
6) How does James Rachels defend his argument (thesis)?
a) defends by showing that there is no moral distinction
7) What is the objection to James Rachels’ argument (thesis)?
a) causality
b) important difference between active and passive euthanasia
i) killing and withholding
c) it’s not just the disease
d) Rachels says to look at the cause
What makes an action passive and active?
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