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Titolo:
Ethical challenges in the care of patients with serious illness
Autore:
Lesage, P; Portenoy, RK;
Indirizzi:
Beth Israel Med Ctr, Dept Pain Med & Palliat Care, New York, NY 10003 USA Beth Israel Med Ctr New York NY USA 10003 at Care, New York, NY 10003 USA
Titolo Testata:
PAIN MEDICINE
fascicolo: 2, volume: 2, anno: 2001,
pagine: 121 - 130
SICI:
1526-2375(200106)2:2<121:ECITCO>2.0.ZU;2-9
Fonte:
ISI
Lingua:
ENG
Soggetto:
PHYSICIAN-ASSISTED SUICIDE; CANCER PAIN MANAGEMENT; PALLIATIVE CARE; METASTATIC CANCER; TERMINAL SEDATION; MEDICAL FUTILITY; LIFE-SUPPORT; EUTHANASIA; ILL; DIE;
Keywords:
ethics; advanced disease; sedation in terminal illness; clinical decision making; research; palliative care;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Clinical Medicine
Citazioni:
94
Recensione:
Indirizzi per estratti:
Indirizzo: Lesage, P Beth Israel Med Ctr, Dept Pain Med & Palliat Care, 1st Ave & 16th St, New York, NY 10003 USA Beth Israel Med Ctr 1st Ave & 16th St New YorkNY USA 10003 USA
Citazione:
P. Lesage e R.K. Portenoy, "Ethical challenges in the care of patients with serious illness", PAIN MED, 2(2), 2001, pp. 121-130

Abstract

The approach to management of patients with advanced disease and serious illness has been strongly influenced by advances in science and technology, the increasing role of ethics in clinical practice, and the recognition of new rights and social changes. At the present time, decision malting is modulated by ethical and legal considerations. One of the challenges of clinical practice is to maintain the delicate balance between the technical aspects and the humanistic aspects of care. For the resolution of this challenge, this article proposes an ethical and legal framework that considers the goals of care and respects the basic values of autonomy, beneficence, and justice. Ethical and legal principles complement sound medical practice but should never replace it. At all times, clarification of the medical situation, good communication, and information about state of the art treatment proposals are essential. In the context of advanced illness, the most prominent issues relate to decision making, justice, and research.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 19/01/20 alle ore 00:32:42