In this far-ranging textbook on palliative and end of life care, John Costello and a team of palliative care specialists take a patient-centred approach. Discussing palliative and end of life care across a range of diseases and illnesses, each chapter includes real-life case studies that focus on both the patient experience and the experiences of the family members of service users. Original in its approach to palliative and end of life care, Adult Palliative Care focuses on a range of non-cancer conditions. Thoughtfully balancing theory with practice, and interprofessional in its scope, Adult Palliative Care would benefit any health professional dealing with or working in the field of palliative and end of life care.
Chapter 10: Ethical dilemmas in palliative care
Ethical dilemmas in palliative care
- Engage in debate about the types of ethical dilemmas commonly occurring in palliative care contexts
- Consider ways of explaining challenges caused by a patient’s lack of competence to make decisions about their healthcare
- Identify appropriate ways of disclosing sensitive information to patients and families
- Discuss ways of dealing with difficulties associated with collusion
Palliative care, especially at the end of life, raises numerous ethical issues. This chapter highlights several key ethical issues that often present when a patient has a life-limiting condition, including Do not attempt resuscitation orders (DNAR), advance care planning (ACP), disclosing sensitive information about diagnosis (breaking bad news), collusion and patient competence. The chapter highlights ...