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Bioethics in nephrology: guidelines for decision-making in Italy.

In 1998, the Italian Ministry of Health urged the Italian Society of Nephrology (SIN) to draft recommendations for uniform decision-making procedures in the field of dialysis. In accordance with the Ministry's specifications, at the time the Society approved diagnostic protocols regarding clinical questions, but without fully recognizing the multiple issues arising in complex medical situations where dialysis is likely to go on for a long time. The authors propose some guidelines for ethical conduct and their application, with special regard to medico-legal dilemmas, together with the principles of clinical guidelines that would further improve the "perceived quality" of chronic dialytic treatment.

Bioethics↗
PubMed1993

Prolegomena to any future code of ethics for bioethics.

If bioethicists, qua bioethicists, restrict themselves to the humble but honorable task of education and delimit their authority accordingly, they will be on solid ethical ground. Moreover, by adopting and professing this role, bioethicists should ensure that they will continue to be held in high regard by those who, suspicious of partisans and advocates, will turn to them for help, not for certainties and answers, to be sure, and certainly not for moral authority, but rather for a measure of clarity and distinctness in an increasingly complex world. What the bioethicist is rightfully authorized to do or say speaking-as-a-bioethicist is valuable enough and can make a difference.

Bioethics↗