期刊
SEMINARS IN NEUROLOGY
卷 42, 期 3, 页码 375-392出版社
THIEME MEDICAL PUBL INC
DOI: 10.1055/a-1883-0701
关键词
disorders of consciousness coma; minimally conscious state brain injury; vegetative state; unresponsive wakefulness syndrome; neuroethics
资金
- Greenwall Faculty Scholars Program
- NIH BRAIN Initiative [F32MH123001]
- American Academy of Neurology (AAN) Palatucci Advocacy Leadership Award
- Tiny Blue Dot Foundation
- [R21AG069805]
This review expands the ethical analysis of disorders of consciousness (DoC), covering various stages of care and addressing the impact of social and environmental conditions on recovery and societal reintegration.
This review provides an ethical analysis of disorders of consciousness (DoC) along the care continuum, from preinjury to injury, acute care to subacute care and early rehabilitation, and finally transitioning to chronic rehabilitation and societal reintegration. We provide an actionable, chronological assessment of ethical issues related to DoC care. This expands upon established ethics literature, which focuses almost exclusively on the clinical encounter for DoC. Our goal is to broaden the aperture of ethical analysis to address how social and environmental conditions predispose some persons to brain injury, and how such conditions might also pose barriers to meaningful societal reintegration after recovery.
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