• Critical care clinics · Jan 2021

    Review

    Palliative, Ethics, and End-of-Life Care Issues in the Cancer Patient.

    • Jamie C Riches and Louis P Voigt.
    • Memorial Sloan Kettering Cancer Center, 1275 York Avenue, New York, NY 10065, USA. Electronic address: richesj@mskcc.org.
    • Crit Care Clin. 2021 Jan 1; 37 (1): 105-115.

    AbstractEnd-of-life care of critically ill adult patients with advanced or incurable cancers is imbued with major ethical challenges. Oncologists, hospitalists, and intensivists can inadvertently subjugate themselves to the perceived powers of autonomous patients. Therapeutic illusion and poor insight by surrogates in physicians' ability to offer accurate prognosis, missed opportunities and miscommunication by clinicians, and lack of systematic or protocolized approach represent important barriers to high-quality palliative care. Enhanced collaboration, models that allow clinicians and surrogates to share the burdens of decision, and institutional support for early integration of palliative care can foster an ethical climate.Copyright © 2020 Elsevier Inc. All rights reserved.

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