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Buddhism and Medical Futility

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Abstract

Religious faith and medicine combine harmoniously in Buddhist views, each in its own way helping Buddhists enjoy a more fruitful existence. Health care providers need to understand the spiritual needs of patients in order to provide better care, especially for the terminally ill. Using a recently reported case to guide the reader, this paper examines the issue of medical futility from a Buddhist perspective. Important concepts discussed include compassion, suffering, and the significance of the mind. Compassion from a health professional is essential, and if medical treatment can decrease suffering without altering the clarity of the mind, then a treatment should not be considered futile. Suffering from illness and death, moreover, is considered by Buddhists a normal part of life and is ever-changing. Sickness, old age, birth, and death are integral parts of human life. Suffering is experienced due to the lack of a harmonious state of body, speech, and mind. Buddhists do not believe that the mind is located in the brain, and, for Buddhists, there are ways suffering can be overcome through the control of one’s mind.

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References

  • Bagheri, A., A. Asai, and R. Ida. 2006. Experts’ attitudes towards medical futility: An empirical survey from Japan. BioMedCentral Medical Ethics 7(June): E8. doi:10.1186/1472-6939-7-8.

    Article  Google Scholar 

  • Chan, T.W., E. Poon, and D. Hegney. 2011. Care of the dying Buddhist. Progress in Palliative Care 19(2): 61–65.

    Article  Google Scholar 

  • Fissell, R.B., J.L. Bragg-Gresham, A.A. Lopes, et al. 2005. Factors associated with “do not resuscitate” orders and rates of withdrawal from hemodialysis in the international DOPPS. Kidney International 68(3): 1282–1288.

    Article  PubMed  Google Scholar 

  • Gabbay, E., J. Calvo-Broce, K.B. Meyer, T.A. Trikalinos, J. Cohen, and D.M. Kent. 2010. The empirical basis for determinations of medical futility. Journal of General Internal Medecine 25(1): 1083–1089.

    Article  Google Scholar 

  • Hakim, R.B., J.M. Teno, F.E. Harrell Jr., et al. 1996. Factors associated with do-not-resuscitate orders: Patients’ preferences, prognoses, and physicians’ judgments. SUPPORT investigators: Study to understand prognoses and preferences for outcomes and risks of treatment. Annals of Internal Medecine 125(4): 284–293.

    CAS  Google Scholar 

  • Halliday, R. 1997. Medical futility and the social context. Journal of Medical Ethics 23(3): 148–153.

    Article  PubMed  CAS  Google Scholar 

  • Keown, D. 1996. Karma, character, and consequentialism: An analysis of Western ethical concepts and challenges of Theravada Buddhism. Journal of Religious Ethics 24(2): 329–350.

    Google Scholar 

  • Keown, D. 2002. Buddhism and medical ethics: Principles and practice. In Buddhismus in Geschichte und Gegenwart, ed. L. Schmithausen and J. Sobisch, 39–70. Hamburg: Universität Hamburg.

    Google Scholar 

  • Loy, D. 1983. The difference between Samsara and Nirvana: Craving, conceptualization, and causality in Mahayana Buddhism. Philosophy East and West 33(4): 355–365.

    Article  Google Scholar 

  • Morgan, H. 2010. Self and no-self: Continuing the dialogue between Buddhism and psychotherapy. Journal of Analytical Psychology 55(5): 726–728.

    Article  Google Scholar 

  • Schneiderman, L.J., N.S. Jecker, and A.R. Jonsen. 1990. Medical futility: Its meaning and ethical implications. Annals of Internal Medecine 112(12): 949–954.

    CAS  Google Scholar 

  • Seale, C. 2010. The role of doctors’ religious faith and ethnicity in taking ethically controversial decisions during end-of-life care. Journal of Medical Ethics 36(11): 677–682.

    Article  PubMed  Google Scholar 

  • Shaku, S. 1993. The law of cause and effect, as taught by Buddha. Eastern Buddhist 26(2): 134–137.

    Google Scholar 

  • Tench, M. 2006. After Buddhist dies, legal battle continues. The Boston Globe, December 3. http://www.highbeam.com/doc/1P2-7991563.html.

  • Verpoorten, J.-M. 1985. Review of The four noble truths: Texts of early Buddhism [Die vier edlen Wahrheiten: Texte des ursprünglichen Buddhismus], trans. K. Mylius (from Pali to German). Indo-Iranian Journal 28(4): 304.

    Google Scholar 

  • Wijeselera, O.H. de A. 1982. The three signata: Annicca, dukkha, annatta (with extracts from the Buddha’s discourses). Kandy, Sri Lanka: Buddhist Publication Society. http://what-buddha-said.net/library/Wheels/wh020.pdf.

  • Zucker, M.B., and H.D. Zucker, eds. 1997. Medical futility and the evaluation of life-sustaining interventions. New York: Cambridge University Press.

    Google Scholar 

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Authors and Affiliations

  1. Institutional Review Board, National University of Singapore, Singapore, Singapore

    Tuck Wai Chan

  2. School of Nursing and Midwifery and Curtin Health Innovation Research Institute, Curtin University, Sir Charles Gairdner Hospital, GPO Box U1987, Perth, WA, 6845, Australia

    Desley Hegney

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  1. Tuck Wai Chan
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  2. Desley Hegney
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Correspondence to Desley Hegney.

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Chan, T.W., Hegney, D. Buddhism and Medical Futility. Bioethical Inquiry 9, 433–438 (2012). https://doi.org/10.1007/s11673-012-9392-9

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  • DOI: https://doi.org/10.1007/s11673-012-9392-9

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