TY - JOUR
T1 - Identifying and managing undue influence from family members in end-of-life decisions for patients with advanced cancer
AU - Baker, Francis X.
AU - Gallagher, Colleen M.
N1 - Publisher Copyright:
Copyright © 2017 by American Society of Clinical Oncology.
PY - 2017/10
Y1 - 2017/10
N2 - Undue influence from family members of patients with advanced cancer remains a serious ethical problem in end-of-life decision making. Despite the wealth of articles discussing the problem of undue influence, little has been written by way of practical guidance to help clinicians identify and effectively manage situations of undue influence. This article briefly lays out how to identify and manage situations of undue influence sensitively and effectively. We explain how undue influence may present itself in the clinic and distinguish it from ethically permissible expressions of relational autonomy. In addition, we lay out a process by which any clinician suspecting undue influence may gather additional information and, if necessary, conduct a family meeting to address the undue influence. It is our hope that by providing clinicians at all levels of patient care with such guidance, they will feel empowered to respond to cases of undue influence when they arise.
AB - Undue influence from family members of patients with advanced cancer remains a serious ethical problem in end-of-life decision making. Despite the wealth of articles discussing the problem of undue influence, little has been written by way of practical guidance to help clinicians identify and effectively manage situations of undue influence. This article briefly lays out how to identify and manage situations of undue influence sensitively and effectively. We explain how undue influence may present itself in the clinic and distinguish it from ethically permissible expressions of relational autonomy. In addition, we lay out a process by which any clinician suspecting undue influence may gather additional information and, if necessary, conduct a family meeting to address the undue influence. It is our hope that by providing clinicians at all levels of patient care with such guidance, they will feel empowered to respond to cases of undue influence when they arise.
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U2 - 10.1200/JOP.2017.020792
DO - 10.1200/JOP.2017.020792
M3 - Article
C2 - 28829694
AN - SCOPUS:85032497984
SN - 1554-7477
VL - 13
SP - e857-e862
JO - Journal of oncology practice
JF - Journal of oncology practice
IS - 10
ER -