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dc.contributor.authorvan Haren, Frank M P-
dc.contributor.authorCarter, Angus-
dc.contributor.authorCavazzoni, Elena-
dc.contributor.authorChapman, Michael-
dc.contributor.authorD'Costa, Rohit L-
dc.contributor.authorJones, Sarah L-
dc.contributor.authorMcGee, Andrew-
dc.contributor.authorMoodie, Stewart-
dc.contributor.authorNunnink, Leo-
dc.contributor.authorO'Leary, Michael-
dc.contributor.authorOpdam, Helen I-
dc.contributor.authorRadford, Samuel T-
dc.contributor.authorTurner, Andrew J-
dc.contributor.authorMartin, Dominique-
dc.identifier.citationJournal of Critical Care 2020; 59: 166-171en
dc.description.abstractEnd-of-life (EOL) care has become an integral part of intensive care medicine and includes the exploration of possibilities for deceased organ and tissue donation. Donation physicians are specialist doctors with expertise in EOL processes encompassing organ and tissue donation, who contribute significantly to improvements in organ and tissue donation services in many countries around the world. Donation physicians are usually also intensive care physicians, and thus they may be faced with the dual obligation of caring for dying patients and their families in the intensive care unit (ICU), whilst at the same time ensuring organ and tissue donation is considered according to best practice. This dual obligation poses specific ethical challenges that need to be carefully understood by clinicians, institutions and health care networks. These obligations are complementary and provide a unique skillset to care for dying patients and their families in the ICU. In this paper we review current controversies around EOL care in the ICU, including the use of palliative analgesia and sedation specifically with regards to withdrawal of cardiorespiratory support, the usefulness of the so-called doctrine of double effect to guide ethical decision-making, and the management of potential or perceived conflicts of interest in the context of dual professional roles.en
dc.subjectConflict of interesten
dc.subjectDonation physicianen
dc.subjectDual rolesen
dc.subjectEnd of lifeen
dc.subjectOrgan donationen
dc.subjectPalliative careen
dc.titleConflicts of interest in the context of end of life care for potential organ donors in Australia.en
dc.typeJournal Articleen
dc.identifier.journaltitleJournal of Critical Careen
dc.identifier.affiliationAustralian National University, Medical School, University of Canberra, Faculty of Health, Intensive Care Unit, Canberra Hospital, Canberra, Australiaen
dc.identifier.affiliationDepartment of Critical Care Medicine, Royal Hobart Hospital, Hobart, Australiaen
dc.identifier.affiliationSchool of Medicine, Faculty of Health, Deakin University. Geelong, Australiaen
dc.identifier.affiliationCairns and Hinterland Hospital and Health Service, James Cook University School of Medicine and Dentistry, Cairns, Australiaen
dc.identifier.affiliationUniversity of Sydney, Children's Hospital at Westmead, Sydney, Australiaen
dc.identifier.affiliationAustralian National University, Medical School, University of Technology Sydney, ImPaCCT, Department of Palliative Care, Canberra Hospital, Canberra, Australiaen
dc.identifier.affiliationIntensive Care Unit, Royal Melbourne Hospital, Melbourne, Australiaen
dc.identifier.affiliationIntensive Care Unit, the Northern Hospital, Epping, Australiaen
dc.identifier.affiliationAustralian Centre for Health Law Research, Faculty of Law, Queensland University of Technology, Brisbane, Australiaen
dc.identifier.affiliationDepartment of Intensive Care, Royal Adelaide Hospital, Adelaide, Australiaen
dc.identifier.affiliationUniversity of Queensland, Brisbane, Australiaen
dc.identifier.affiliationIntensive Care Service, Royal Prince Alfred Hospital, Sydney, Australiaen
dc.identifier.affiliationIntensive Careen
dc.identifier.affiliationIntensive Care Unit, Austin Health, Faculty of Medicine, Dentistry and Health Science, Melbourne University, Y, Australiaen
dc.identifier.pubmedid32674003-, Helen I
item.fulltextNo Fulltext-
item.openairetypeJournal Article-
item.languageiso639-1en- Care- Care-
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