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Full-Text Articles in Medicine and Health Sciences
Harms And Responsibilities Associated With Battery-Operated Implants (Boi): Who Controls Postmortem Explantation?, Katrina Bramstedt
Harms And Responsibilities Associated With Battery-Operated Implants (Boi): Who Controls Postmortem Explantation?, Katrina Bramstedt
Katrina A. Bramstedt
The postmortem issues raised by battery-operated implants (BOI) are complex and issues of consent, setting (clinical vs research), and environmental risks have received little attention in bioethics literature. Analyzing the issues, the following are argued: (1) Patients receiving BOIs should sign a consent form that includes a requirement for postmortem explant of the device; (2) BOI consent forms should require the explanted devices be returned to their manufacturers for Returned Product Analysis; (3) Failure to explant and analyze devices from the research setting fails the research goal of generation of knowledge for the benefit of future patients; (4) Failure to …
Family Refusals Of Registered Consents: The Disruption Of Organ Donation By Double-Standard Surrogate Decision-Making, Katrina Bramstedt
Family Refusals Of Registered Consents: The Disruption Of Organ Donation By Double-Standard Surrogate Decision-Making, Katrina Bramstedt
Katrina A. Bramstedt
Some countries such as Australia, Spain, Norway, Italy and Canada allow next of kin to override the consent of registered organ donor candidates if they personally do not concur with the donation desire of their relative. This form of surrogate decision-making represents a double standard in terms of the principle of substituted judgment (the surrogate's duty). Further, double-standard surrogate decision-making in the setting of organ donation is a slippery slope to unethical surrogate decision-making while patients are alive. Concerns about family distress and donor candidate revocation of consent can still be managed without permitting double-standard surrogate decision-making.