title: The decision to prolong life: ethical perspectives of a clinical dilemma.
abstract: As a result of rapid developments in medical technology, health-care workers are increasingly faced with decisions regarding the prolongation of life and the withdrawal of treatment. Such decisions are often extremely complex and present a moral dilemma: they are further complicated by prevailing politico-economic, social and cultural influences. This article contrasts deontological and utilitarian philosophical perspectives, and discusses ethical principles which impinge on the decision making process. A knowledge and understanding of these philosophies and principles are essential to assist clinical practitioners in the examination of moral issues surrounding life and death.
authors.forename: P H
authors.initials: PH
authors.lastname: Trnobranski
mesh_terms: D003657:Decision Making; D028663:Ethical Theory; D004993:Ethics, Nursing; D028601:Euthanasia, Active; D006801:Humans; D008020:Life Support Care; D010358:Patient Participation; D028723:Personhood; D011788:Quality of Life; D040841:Resource Allocation; D012297:Right to Die; D013727:Terminal Care; D026712:Value of Life; D028761:Withholding Treatment