Mempertahankan Kehidupan Dalam Koma: Telaah Dari Sisi Etika Kristani Pada Kasus Koma Vegetatif
Abstract
In the age of significant medical technology advancements, the management of complex medical conditions such as vegetative states presents profound ethical dilemmas for families, healthcare providers, and the community. This study explores the role of Christian theology in guiding ethical decision-making amidst these challenges, focusing on the concept of "imago Dei," which asserts that every human being is created in the image and likeness of God. Employing a qualitative-descriptive approach, this research integrates theological insights with medical dilemmas, emphasizing the importance of honoring human dignity and addressing ethical challenges in medical decision-making. The findings suggest that theological principles not only enrich medical understanding but also provide ethical and holistic guidance, these principles support decisions that honor the value of human life and patient dignity, whether in sustaining patient life or considering the termination of life-support measures. This study highlights the need for ongoing dialogue between theology and medical practice to ensure that healthcare remains sensitive to human and ethical aspects.
Abstrak
Dalam era kemajuan teknologi medis yang signifikan, pengelolaan kondisi medis yang kompleks seperti kematian vegetatif menimbulkan dilema etis yang mendalam bagi keluarga, tenaga medis, dan masyarakat. Penelitian ini mengeksplorasi peran teologi Kristen dalam membimbing keputusan etis di tengah-tengah tantangan ini, dengan fokus khusus pada konsep "imago Dei" yang menyatakan bahwa setiap manusia diciptakan menurut gambar dan rupa Allah. Melalui pendekatan kualitatif-deskriptif, penelitian ini mengintegrasikan wawasan teologis dengan dilema medis, menekankan pentingnya menghargai martabat manusia dan mengatasi tantangan etis dalam pengambilan keputusan medis. Hasil penelitian menunjukkan bahwa prinsip-prinsip teologis tidak hanya memperdalam pemahaman medis, tetapi juga memberikan arahan etis dan holistik. Prinsip-prinsip ini mendukung keputusan yang menghormati nilai kehidupan manusia dan martabat pasien, baik dalam mendukung keberlangsungan hidup pasien maupun dalam mempertimbangkan terminasi alat bantu kehidupan. Studi ini menekankan kebutuhan akan dialog yang berkelanjutan antara teologi dan praktik medis untuk memastikan bahwa perawatan kesehatan tetap sensitif terhadap aspek kemanusiaan dan etika.
Keywords
Full Text:
PDFReferences
Akdeniz, M., Yardımcı, B., & Kavukcu, E. (2021). Ethical considerations at the end-of-life care. SAGE Open Medicine, 9, 205031212110009. https://doi.org/10.1177/20503121211000918
Best, M. C., Vivat, B., & Gijsberts, M.-J. (2023). Spiritual Care in Palliative Care. Religions, 14(3), 320. https://doi.org/10.3390/rel14030320
Clinic, C. (2023). Coma: What It Is, Causes, Diagnosis, Symptoms & Treatment. Cleveland Clinic.
Coetzee, C. F. C. (2013). The doctrine on God, as demonstrated and confessed in the Heidelberg Catechism. In Die Skriflig, 47(2), 1–10.
Danze, F., Brule, J. F., & Haddad, K. (1989). Chronic vegetative state after severe head injury: Clinical study; electrophysiological investigations and CT scan in 15 cases. Neurosurg. Rev., 12(Suppl 1), 477–499. https://doi.org/10.1007/BF01790694
DE KRUIJF, T. (2001). THE PERSPECTIVE OF ROMANS 10. Bijdragen, 62(2), 171–189. https://doi.org/10.2143/BIJ.62.2.771
Dehaene, S., & Changeux, J.-P. (2011). The cognitive neuroscience of consciousness: cognitive studies--a clarification of terms and concepts. Cognitive Neuroscience, 3(1), 4–17.
Esmaeil, F. (2017). Head Injury Mechanism. In G. N. V (Ed.), Traumatic Brain Injury. https://doi.org/10.5772/intechopen.75454
Evans, N., Metselaar, S., van El, C., Hallowell, N., & Widdershoven, G. (2019). How Should Decision Aids Be Used During Counseling to Help Patients Who Are “Genetically at Risk”? AMA Journal of Ethics, 21(10), 865–872.
Firth, D. G. (2019). Psalm 139: A Study in Ambiguity. Old Testament Essays, 32(2). https://doi.org/10.17159/2312-3621/2019/v32n2a13
Harijono, B., & Chasnak Saleh, S. (2012). Peran Neuro Critical Care Pada Tata Laksana Pasien Cedera Aksonal Difus. Jurnal Neuroanestesi Indonesia, 1(3), 189–196. https://doi.org/10.24244/jni.vol1i3.175
Hinson, D. F. (1991). Sejarah Israel Pada Zaman Alkitab. BPK Gunung Mulia.
Irawan, H. D., Sitanggang, B. M. T., Samsi, S. N. A., & Pratama, M. A. (2024). Keadilan dan Religiusitas dalam St Augustine. Praxis: Jurnal Filsafat Terapan, 1(02).
Jang, S. H., & Kwon, Y. H. (2020). The relationship between consciousness and the ascending reticular activating system in patients with traumatic brain injury. BMC Neurology, 20(1), 375. https://doi.org/10.1186/s12883-020-01942-7
Jensen, L. (2021). Faith, Prayer, and Decision Making in Medical Crises. Faith and Medicine Journal, 34(1), 55–79.
Karnik, S., & Kanekar, A. (2016). Ethical Issues Surrounding End-of-Life Care: A Narrative Review. Journal of Palliative Care, 32(4), e4934577.
Kuehlmeyer, K., Borasio, G. D., & Jox, R. J. (2012). How family caregivers’ medical and moral assumptions influence decision making for patients in the vegetative state: a qualitative interview study. Journal of Medical Ethics, 38(6), 332–337. https://doi.org/10.1136/medethics-2011-100373
Laureys, S. (2005). The neural correlate of (un)awareness: lessons from the vegetative state. Trends in Cognitive Sciences, 9(12), 556–559. https://doi.org/10.1016/j.tics.2005.10.010
Laureys, S., Boly, M., & Maquet, P. (2004). Functional neuroanatomy of the vegetative state. Journal of Neuropathology & Experimental Neurology, 63(6), 561–567.
Maiese, K. (2022). Vegetative state and minimally conscious state.
Monti, M. M., Vanhaudenhuyse, A., Coleman, M. R., Boly, M., Pickard, J. D., Tshibanda, L., Owen, A. M., & Laureys, S. (2010). Willful Modulation of Brain Activity in Disorders of Consciousness. New England Journal of Medicine, 362(7), 579–589. https://doi.org/10.1056/NEJMoa0905370
Neurology, N. R. (2020). Recovery from disorders of consciousness: mechanisms, prognosis. Nature Reviews Neurology.
Owen, A. (2017). Into the Grey Zone: A Neuroscientist Explores the Border Between Life and Death. Guardian Faber Publishing.
Schiff, N. D., Rodriguez-Moreno, D., Kamal, A., Kim, K. H. S., Giacino, J. T., Plum, F., & Hirsch, J. (2005). fMRI reveals large-scale network activation in minimally conscious patients. Neurology, 64(3), 514–523. https://doi.org/10.1212/01.WNL.0000150883.10285.44
Settimo, L. (2023). Hans Jonas’s reflections on the human soul and the notion of imago Dei : an explanation of their role in ethics and some possible historical influences on their development. History of European Ideas, 49(5), 870–884. https://doi.org/10.1080/01916599.2022.2164600
Simon, S., Yulianto, A. T., Pararem, E. R., & Tanhidy, J. (2023). Faith Over Distance: The Christian Ethical Response to Phone Sex in Marital Long-Distance Relationships. Religious: Jurnal Studi Agama-Agama Dan Lintas Budaya, 7(3), 252–262. https://doi.org/https://doi.org/10.15575/rjsalb.v7i3.21424
Sutedja, M. K. (2020). Pandangan Etika Klinis dan Teologi dalam Perawatan Pasien Terminal di Indonesia. universitas Indonesia Press.
Team Redaksi. (2017a). Melur Panjaitan (49) : Juru selamat itu Bernama BPJS. Obor Keadilan. https://www.oborkeadilan.com/2017/06/jakarta-obor-keadilan.html
Team Redaksi. (2017b). Pasien terlama sedunia wafat setelah dirawat 54 tahun. BBC News Indonesia. https://www.bbc.com/indonesia/majalah-39789381
Thompson, L. (2020). Theological Dimensions of Medical Decision-Making. Cambridge University Press.
Veronika Yasinta. (2019). Koma 27 Tahun Setelah Tabrak Bus, Perempuan asal UEA Kini Sadar. Kompas.Com. https://internasional.kompas.com/read/2019/04/24/09263961/koma-27-tahun-setelah-tabrak-bus-perempuan-asal-uea-kini-sadar
Zaluchu, S. E. (2021). Metode Penelitian Di Dalam Manuskrip Jurnal Ilmiah Keagamaan. Jurnal Teologi Berita Hidup, 3(2), 249–266.
DOI: https://doi.org/10.59177/veritas.v6i2.294
Refbacks
- There are currently no refbacks.
Copyright (c) 2024 Kumoro Adiatmo, Simon Simon
This work is licensed under a Creative Commons Attribution-ShareAlike 4.0 International License.
Alamat: Jln. Kyai Sono, No. 2, Kelurahan Genuk-Ungaran - Kabupaten Semarang, Prov. Jawa tengah
Publisher: Sekolah Tinggi Teologi Kanaan Nusantara
Website: https://sttkn.ac.id/