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The ‘window of opportunity’ for death after severe brain injury: family experiences
Author(s) -
Kitzinger Jenny,
Kitzinger Celia
Publication year - 2013
Publication title -
sociology of health and illness
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.146
H-Index - 97
eISSN - 1467-9566
pISSN - 0141-9889
DOI - 10.1111/1467-9566.12020
Subject(s) - window of opportunity , bioethics , therapeutic window , window (computing) , psychology , medicine , social psychology , gerontology , political science , law , engineering , computer science , pharmacology , aerospace engineering , operating system
Abstract This article builds on and develops the emerging bioethics literature on the ‘window of opportunity’ for allowing death by withholding or withdrawing treatment. Our findings are drawn from in‐depth interviews with 26 people (from 14 different families) with severely brain injured relatives. These interviews were specifically selected from a larger study on the basis of interviewees’ reports that their relatives would not have wanted to be kept alive in their current condition (e.g. in vegetative or minimally conscious states). Our analysis tracks the decision‐making processes that have led to the situation in which life‐sustaining treatments continue to be delivered to these patients – maintaining them in a state that some families describe as a ‘fate worse than death’. We show how the medico‐legal ‘window of opportunity’ for allowing the patient to die structures family experience and fails to deliver optimal outcomes for patients. We end with some suggestions for change.