“Death Organized by the Doctor”: End-of-Life Decisions in Intensive Care Units

Intensive care and the intensive care techniques in use have considerably changed our attitude towards death and dying–a process that had already been medicalized and professionalized. This study of four intensive care units (ICUs) in France and Britain brings to light the reality of death-related p...

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Autore principale: Kentish-Barnes, Nancy
Natura: Article ou chapitre numérique
Lingua:Français
Pubblicazione: 2009
Accesso online:Accès Université d'Orléans et IFPM
Accès Université d'Orléans et IFPM
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spelling cairn-RFS_505_0159RFS1Revue française de sociologie https://shs.cairn.info/revue-francaise-de-sociologie-1-2009-5-page-159?lang=en https://doi.org/10.3917/rfs.505.0159 “Death Organized by the Doctor”: End-of-Life Decisions in Intensive Care Units Kentish-Barnes, Nancy2009 fre Revue française de sociologie | 50 | 5 | 2009-12-17 | p. 159-184 | 0035-2969 RFS_50510 Intensive care and the intensive care techniques in use have considerably changed our attitude towards death and dying–a process that had already been medicalized and professionalized. This study of four intensive care units (ICUs) in France and Britain brings to light the reality of death-related practices and resituates that reality at the core of professional relations and personal experience. Study results strongly suggest that the end-of-life decision is a genuine social construction: far from being purely objective and medical, it is heavily conditioned by context and actors’ commitment. The search for professional autonomy and self-regulation has increased the ambivalence of the dying process, already complex because governed by extremely heterogeneous types of logic. This study shows that patient’s death in an ICU is more dependant on the organization and culture of the ICU than on patient’s own wishes or those of close relatives.Cairn free access
language Français
format Article ou chapitre numérique
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description Intensive care and the intensive care techniques in use have considerably changed our attitude towards death and dying–a process that had already been medicalized and professionalized. This study of four intensive care units (ICUs) in France and Britain brings to light the reality of death-related practices and resituates that reality at the core of professional relations and personal experience. Study results strongly suggest that the end-of-life decision is a genuine social construction: far from being purely objective and medical, it is heavily conditioned by context and actors’ commitment. The search for professional autonomy and self-regulation has increased the ambivalence of the dying process, already complex because governed by extremely heterogeneous types of logic. This study shows that patient’s death in an ICU is more dependant on the organization and culture of the ICU than on patient’s own wishes or those of close relatives.
author Kentish-Barnes, Nancy
spellingShingle Kentish-Barnes, Nancy
“Death Organized by the Doctor”: End-of-Life Decisions in Intensive Care Units
author_facet Kentish-Barnes, Nancy
author_sort Kentish-Barnes, Nancy
title “Death Organized by the Doctor”: End-of-Life Decisions in Intensive Care Units
title_short “Death Organized by the Doctor”: End-of-Life Decisions in Intensive Care Units
title_full “Death Organized by the Doctor”: End-of-Life Decisions in Intensive Care Units
title_fullStr “Death Organized by the Doctor”: End-of-Life Decisions in Intensive Care Units
title_full_unstemmed “Death Organized by the Doctor”: End-of-Life Decisions in Intensive Care Units
title_sort “death organized by the doctor”: end-of-life decisions in intensive care units
publishDate 2009
container_title
container_issue
url https://ezproxy.univ-orleans.fr/login?url=https://shs.cairn.info/revue-francaise-de-sociologie-1-2009-5-page-159?lang=en
https://ezproxy.univ-orleans.fr/login?url=https://doi.org/10.3917/rfs.505.0159
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