Ordinary and extraordinary care

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This is an article about ethical issues in health care. For other meanings, including those involved in tort law, see Standard of Care (disambiguation).

Contents

Ordinary and extraordinary care are distinguished by some bioethical theories, including the teaching of the Catholic Church. [1]

Catholic doctrine

In explaining the Catholic Church's attitude towards preserving life, Pope Pius XII, in a 1957 Address to Anaesthetists, stated: “[...] normally one is held to use only ordinary means – according to circumstances of persons, places, times and culture – that is to say, means that do not involve any grave burden for oneself or another.” [2]

A 1957 article by the Jesuit theologian Father Gerald Kelly provides further detail. Kelly maintains that medical professionals are morally obligated to use ordinary means to preserve the lives of their patients, but extraordinary care is not morally obligatory. He defined ordinary and extraordinary means as follows: [3]

Secular opinions

Ordinary means to preserve life have also been defined as "what is reasonable", taking into account "reasonable/proportionate hope of benefit/success; common diligence; and not unreasonably demanding." In this view, elements of extraordinary needs are "what is inappropriate", characterized by “certain impossibility; excessive effort; level of pain; extraordinarily expensive; and causing severe dread or revulsion." [4]

The American Life League maintains that ordinary care can become extraordinary care under certain situations. [5]

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References

  1. Wildes, Kevin J. (1996). "Ordinary and extraordinary means and the quality of life". Theological Studies. 57 (3): 500–12. doi:10.1177/004056399605700306. PMID   11658197 . Retrieved 20 July 2011.
  2. Kearns, Dr. Allen J. "Ordinary & Extraordinary Treatment: An Ethical Perspective" (PDF). Dublin City University. Retrieved 10 September 2022.
  3. Kelly, Gerard (February 1957). "Preserving Life" (PDF). The Linacre Quarterly. 24 (1): 2–5.
  4. Kearns op cit.
  5. "Ordinary vs. Extraordinary Care - Euthanasia | American Life League". American Life League. Retrieved 2016-12-04.