Abstract
Person-centered, family-oriented care is recognized nationally as a key component of end-of-life (EOL) care. A recent Institute of Medicine report, “Dying in America,” emphasizes the role of patient-centered, family-oriented care in harmonizing medical care with psychosocial and spiritual support for individuals of all ages as they approach the EOL. In this chapter, we identify some common clinical situations in EOL care and describe ethical challenges inherent in the care of these patients. We then apply selected bioethical principles to offer potential strategies for optimizing care outcomes, utilizing a patient-centered, family-oriented care approach. The chapter is not meant to be exhaustive in nature, but rather to enhance awareness of issues that may arise and potential approaches for their prevention and/or resolution. Authentic care of this type has the potential to proactively prevent and/or defuse some of the ethical challenges that arise in these complex circumstances.
| Original language | English (US) |
|---|---|
| Title of host publication | Ethical Challenges in Oncology |
| Subtitle of host publication | Patient Care, Research, Education, and Economics |
| Publisher | Elsevier |
| Pages | 41-57 |
| Number of pages | 17 |
| ISBN (Electronic) | 9780128038314 |
| ISBN (Print) | 9780128039014 |
| DOIs | |
| State | Published - Jan 1 2017 |
Keywords
- Bioethical principles
- communication strategies
- conflict resolution
- cultural sensitivity
- end-of-life care
- ethical challenges
- family-oriented care
- patient-centered
ASJC Scopus subject areas
- General Medicine