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"Love Your Neighbor Like Yourself": A Jewish Ethical Approach to the Use of Pain Medication With Potentially Dangerous Side Effects
Palliation of pain is universally regarded as a cardinal aspect of end-of-life care. In the early days of the palliative care and hospice movement there was concern that aggressive pain control with opioids could potentially ...
Disambiguating Clinical Intentions: The Ethics of Palliative Sedation
It is often claimed that the intentions of physicians are multiple, ambiguous, and uncertain-at least with respect to end-of-life care. This claim provides support for the conclusion that the principle of double effect is ...
The Case of Samuel Golubchuk and the Right to Live
Samuel Golubchuk was unwittingly at the center of a medical controversy with important ethical ramifications. Mr. Golubchuk, an 84-year-old patient whose precise neurological level of function was open to debate, was being ...
Brain Death: Ethical Challenges to Palliative Care Concepts of Family Care
Brain death is a controversial issue that is often difficult for families to understand or accept. Palliative care interventions can help families to accept the death. However, delaying pronouncement of brain death may be ...
The Use of Grounded Theory in Palliative Care: Methodological Challenges and Strategies
BACKGROUND: The need for research methods that are suited to evaluate important issues and phenomena in palliative care has established different qualitative research approaches during the last years. This article describes ...
Ethical Capital: 'What's a Poor Man Got to Leave? '
For those of little or no means, leaving one's mark through financial assets, social connections, and human investment is difficult. Using secondary analysis of transcripts from face-to-face interviews with 33 terminally-ill ...
Evaluating End of Life Practices in Ten Brazilian Paediatric and Adult Intensive Care Units
To evaluate the modes of death and treatment offered in the last 24 h of life to patients dying in 10 Brazilian intensive care units (ICUs) over a period of 2 years.
Racial Disparities in the Outcomes of Communication on Medical Care Received Near Death
Black patients tend to receive more life-prolonging care at the end of life (EOL) than white patients. This study aimed to evaluate whether differences in patient-physician communication contribute to disparities in EOL ...
The "PSOST": Providers' Signout for Scope of Treatment
Palliative care provides open and honest communication, medically appropriate goal setting, and meticulous attention to symptom assessment and control. The Physicians Orders for Life Sustaining Treatment (POLST) is a growing ...
Existential Loneliness and End-of-Life Care: A Systematic Review
Patients with a life-threatening illness can be confronted with various types of loneliness, one of which is existential loneliness (EL). Since the experience of EL is extremely disruptive, the issue of EL is relevant for ...