{"id":4540,"date":"2022-12-19T19:58:56","date_gmt":"2022-12-19T18:58:56","guid":{"rendered":"https:\/\/humanizacjamedycyny.webprev.net\/?p=4540"},"modified":"2022-12-19T21:30:45","modified_gmt":"2022-12-19T20:30:45","slug":"a-clinicians-understanding-of-ethics-in-palliative-care-an-american-perspective","status":"publish","type":"post","link":"https:\/\/www.humanizacjamedycyny.pl\/en\/a-clinicians-understanding-of-ethics-in-palliative-care-an-american-perspective\/","title":{"rendered":"A clinician's understanding of ethics in palliative care:: an American perspective"},"content":{"rendered":"<p class=\"wp-block-paragraph\">I believe that the standard for ethical decision-making should be the same for all patients: appropriate medical interventions, careful consideration of their benefits and burdens, and respect for patients' lives. When a cure is not possible, the balance between benefits and burdens should be shifted to greater consideration of the burden side of the equation. The dominance of autonomy over other medical ethical principles is at the centre of most ethical dilemmas encountered in palliative care. This article discusses issues of autonomy, informed consent, patient capacity, advance directives, futility, prohibitions on resuscitation, withholding or withdrawing interventions, euthanasia and sedative therapy. After 41 years of my personal care of more than 4,000 terminally ill patients, mostly at Calvary Hospital, the most practical approach has been to build trust with patients and families, define their goals and meticulously apply the principles of beneficence (benefit) and nonmaleficence (burden) in daily practice.<\/p>\n\n\n\n<figure class=\"wp-block-embed\"><div class=\"wp-block-embed__wrapper\">\nhttps:\/\/search.proquest.com\/docview\/201444095?pq-origsite=gscholar&#038;fromopenview=true\n<\/div><\/figure>","protected":false},"excerpt":{"rendered":"<p>Uwa\u017cam, \u017ce standard podejmowania decyzji etycznych powinien by\u0107 taki sam dla wszystkich pacjent\u00f3w: odpowiednie interwencje medyczne, dok\u0142adne rozwa\u017cenie ich korzy\u015bci i obci\u0105\u017ce\u0144 oraz szanowanie \u017cycia pacjent\u00f3w. Kiedy wyleczenie nie jest mo\u017cliwe, r\u00f3wnowaga mi\u0119dzy korzy\u015bciami a obci\u0105\u017ceniami powinna zosta\u0107 przesuni\u0119ta na wi\u0119ksze uwzgl\u0119dnienie obci\u0105\u017caj\u0105cej strony r\u00f3wnania. Dominacja autonomii nad innymi medycznymi zasadami etycznymi stanowi centrum wi\u0119kszo\u015bci [&hellip;]<\/p>\n","protected":false},"author":5,"featured_media":0,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_et_pb_use_builder":"off","_et_pb_old_content":"","_et_gb_content_width":"","inline_featured_image":false,"footnotes":""},"categories":[34],"tags":[],"class_list":["post-4540","post","type-post","status-publish","format-standard","hentry","category-publikacje-zagraniczne"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.7 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>A clinician&#039;s understanding of ethics in palliative care:: an American perspective - Humanizacja medycyny<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/www.humanizacjamedycyny.pl\/en\/a-clinicians-understanding-of-ethics-in-palliative-care-an-american-perspective\/\" \/>\n<meta property=\"og:locale\" content=\"en_GB\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"A clinician&#039;s understanding of ethics in palliative care:: an American perspective - Humanizacja medycyny\" \/>\n<meta property=\"og:description\" content=\"Uwa\u017cam, \u017ce standard podejmowania decyzji etycznych powinien by\u0107 taki sam dla wszystkich pacjent\u00f3w: odpowiednie interwencje medyczne, dok\u0142adne rozwa\u017cenie ich korzy\u015bci i obci\u0105\u017ce\u0144 oraz szanowanie \u017cycia pacjent\u00f3w. Kiedy wyleczenie nie jest mo\u017cliwe, r\u00f3wnowaga mi\u0119dzy korzy\u015bciami a obci\u0105\u017ceniami powinna zosta\u0107 przesuni\u0119ta na wi\u0119ksze uwzgl\u0119dnienie obci\u0105\u017caj\u0105cej strony r\u00f3wnania. 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