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Ethics and Palliative Care “TOP TEN”

Ethics and Palliative Care “TOP TEN”. Elizabeth DiStefano, RN BSN Sarah Hill, MA Alain P. Durocher, PhD. No. 10.

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Ethics and Palliative Care “TOP TEN”

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  1. Ethics and Palliative Care“TOP TEN” Elizabeth DiStefano, RN BSN Sarah Hill, MA Alain P. Durocher, PhD

  2. No. 10 We cannot assume that patients and their relatives with a religious/spiritual affiliation are better prepared psychologically and spiritually when facing illness and/or death. A death-denying /death-defying culture seems pervasive in the US regardless of religious affiliations, if any.

  3. No. 9 Shifting political climates and more advanced technology could easily confuse our moral compass. A decision to withdraw or withhold treatment makes some patients, relatives, and healthcare providers morally uncertain or at least uncomfortable.

  4. No. 8 If we are serious about alleviating the pain and suffering of our patients and about providing comfort to their loved ones, palliative care should be a priority.

  5. No. 7: Lost in Translation! We should be prepared for tensions that could arise between providers and patients/relatives about goals of care.

  6. No. 6 If the patient’s consent reduces the risk of a lawsuit(!), this consent should never be the only moral criteria used to determine whether a medical treatment is indicated or not. There is a need for an honest conversation about goals of care.

  7. No. 5 Some people assume that palliative care means offering “less.” However, studies continue to show that palliative care increases quality of care, enhances continuity of care, and matches more appropriate care to patients’ needs.

  8. No. 4: Honesty and Justice + False hope is not hope. + When we don’t know, we don’t know! + Too often, family members misunderstand or receive conflicting information from providers.

  9. No.3c Advance Care Planning + Clarification of values

  10. No.3bAdvance Care Planning + ConversationS

  11. No.3aAdvance Care Planning + Document

  12. No. 2 The very definition and model of delivery of Palliative Care are directly in line with our mission of providing holistic care for the whole person. + At SJPHS + At AH

  13. No. 1 Ethics and Palliative Care:Partners for Enhancingthe Care Experience + SJPHS Ethics Resources + SJPHS Palliative Care Resources

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