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- Kathy Kinlaw.
- Emory University Center for Ethics, Atlanta, GA 30322, USA. kkinlaw@emory.edu
- Semin Oncol Nurs. 2005 Feb 1; 21 (1): 63-8.
ObjectivesTo review important issues that address respect for patient autonomy, beneficnce, non-maleficence, and justice, which are included in communication surrounding the determination of decision-making capacity, informed consent, breaking bad news, and creating shared goals of care.Data SourcesReview articles, and government and organizational reports.ConclusionPalliative care and its proximity to end-of-life care issues frequently raises ethical issues for patients, their families, and the clinicians caring for them. Supporting the identification and honoring the patient's preferences for treatment are central components of ethical behavior.Implications For Nursing PracticeAdvance care planning provides an important opportunity for respecting patient autonomy and may be helpful when discussing care options surrounding resuscitation, withholding or withdrawal of treatment, or the determination of medical futility.
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