TY - JOUR
T1 - Discussing goals of care for a delirious advanced cancer patient in the hospice setting
AU - Ha, Caroline
AU - Reddy, Akhila
AU - Tavel, Linda
AU - Bruera, Eduardo
PY - 2013/10/1
Y1 - 2013/10/1
N2 - In the United States, patient autonomy is generally considered the most important ethical principle; however, patients sometimes make decisions that are medically futile or in conflict with the principles of beneficence and nonmaleficence. Difficult issues are often compounded if the patient loses capacity and a surrogate must provide substituted judgments. Allowing autonomy free reign can sometimes be detrimental to patient care and contribute to family distress. Here, we describe the case of a terminally ill patient whose conflicting desires were to have "everything" done - including cardiopulmonary resuscitation - and to simultaneously avoid hospitalization and die peacefully at home.
AB - In the United States, patient autonomy is generally considered the most important ethical principle; however, patients sometimes make decisions that are medically futile or in conflict with the principles of beneficence and nonmaleficence. Difficult issues are often compounded if the patient loses capacity and a surrogate must provide substituted judgments. Allowing autonomy free reign can sometimes be detrimental to patient care and contribute to family distress. Here, we describe the case of a terminally ill patient whose conflicting desires were to have "everything" done - including cardiopulmonary resuscitation - and to simultaneously avoid hospitalization and die peacefully at home.
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U2 - 10.1089/jpm.2012.0366
DO - 10.1089/jpm.2012.0366
M3 - Article
C2 - 23634814
AN - SCOPUS:84885695725
SN - 1096-6218
VL - 16
SP - 1313
EP - 1316
JO - Journal of palliative medicine
JF - Journal of palliative medicine
IS - 10
ER -