Palliative, ethics, and end-of-life care issues in the cancer patient Review
| Authors: | Riches, J. C.; Voigt, L. P. |
| Review Title: | Palliative, ethics, and end-of-life care issues in the cancer patient |
| Abstract: | End-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. © 2020 Elsevier Inc. |
| Keywords: | palliative care; end of life; critical illness; bioethics; cancer |
| Journal Title: | Critical Care Clinics |
| Volume: | 37 |
| Issue: | 1 |
| ISSN: | 0749-0704 |
| Publisher: | W.B. Saunders Co. |
| Date Published: | 2021-01-01 |
| Start Page: | 105 |
| End Page: | 115 |
| Language: | English |
| DOI: | 10.1016/j.ccc.2020.08.005 |
| PUBMED: | 33190764 |
| PROVIDER: | scopus |
| DOI/URL: | |
| Notes: | Review -- Export Date: 1 December 2020 -- Source: Scopus |
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