title: A medical ethics assessment of the case of Terri Schiavo.
abstract: The social, legal, and political discussion about the decision to stop feeding and hydration for Terri Schiavo lacked a medical ethics assessment. The authors used the principles of medical indications, quality of life, patient preference, and contextual features as a guide to medical decision-making in this case. Their conclusions include the following: (a) the use of a feeding tube inserted directly in to the stomach constituted artificial treatment; (b) the treatment prolonged biological life but did not lead to a cure and did not restore health; (c) quality of life was absent for the patient, with no sensation and no motor or cognitive functioning; and (d) by preponderance of medical opinion, she would have chosen not to live in a persistent vegetative state. The authors find the withdrawal of treatment was permissible and correct. It was not a choice between living and dying, but a decision of when to allow dying consistent with the patient's choice.
authors.affiliation: University of Washington, Seattle, Washington, USA. t.mpreston@comcast.net
authors.forename: Tom
authors.initials: T
authors.lastname: Preston
authors.forename: Michael
authors.initials: M
authors.lastname: Kelly
mesh_terms: D000328:Adult; D016223:Advance Directives / Q000941:ethics / Q000331:legislation & jurisprudence; D001675:Bioethics; D004750:Enteral Nutrition / Q000941:ethics*; D004992:Ethics, Medical; D005260:Female; D006801:Humans; D026684:Personal Autonomy; D011057:Politics; D011788:Quality of Life / Q000331:legislation & jurisprudence; D012068:Religion and Medicine; D012297:Right to Die / Q000941:ethics* / Q000331:legislation & jurisprudence; D012959:Socioeconomic Factors; D014481:United States