Ethical issues in palliative care.
Semin Oncol Nurs. 2005 Feb;21(1):63-8.
Source
Emory University Center for Ethics, Atlanta, GA 30322, USA. kkinlaw@emory.edu
Abstract
OBJECTIVES:
To
review important issues that address respect for patient autonomy,
beneficnce, non-maleficence, and justice, which are included in
communication surrounding the determination of decision-making capacity,
informed consent, breaking bad news, and creating shared goals of care.
DATA SOURCES:
Review articles, and government and organizational reports.
CONCLUSION:
Palliative
care and its proximity to end-of-life care issues frequently raises
ethical issues for patients, their families, and the clinicians caring
for them. Supporting the identification and honoring the patient's
preferences for treatment are central components of ethical behavior.
IMPLICATIONS FOR NURSING PRACTICE:
Advance
care planning provides an important opportunity for respecting patient
autonomy and may be helpful when discussing care options surrounding
resuscitation, withholding or withdrawal of treatment, or the
determination of medical futility.
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