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Biomedical subjects

Lawrence J Nelson

Publications and source records attributed to Lawrence J Nelson.

12 recordsLinked to original sources

Respect for the developmentally disabled and forgoing life-sustaining treatment.

A developmentally disabled person should be treated at all times as a unique individual and not as some anonymous "disabled person." The developmentally disabled should not be subjected to invasive medical treatment that is unduly burdensome or nonbeneficial, or be forced to endure a quality of life not meaningful to them as individuals. They have a right to refuse or accept treatment that a surrogate must exercise on behalf of each individual in a responsible and careful manner. Three cases and a preliminary approach to the ethical analysis of decisions to allow developmentally disabled persons to die by forgoing medical treatment are offered. The "best interests" of a developmentally disabled individual, properly understood, can serve as a useful and ethically defensible standard for determining the ethical propriety of surrogate decision making about forgoing life-sustaining medical treatment of the disabled.

Adolescent↗

Preimplantation diagnosis.

Preimplantation genetic diagnosis is a valuable addition to the repertoire of reproductive medicine because it gives individuals with a documented history of a genetic disorder the opportunity to begin a wanted pregnancy with little or no fear that they are transmitting this disorder to their offspring. An outstanding example of this is the recent report of PGD being successfully used to avoid the conception of a child that could have inherited a predisposition to early-onset Alzheimer disease. However, if this service becomes embroiled in the detection of conditions having little or nothing to do with health and disease in order to satisfy patient demand or to be a profitable business, its activities will be much more ethically suspect.

Bioethics↗