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Ethical issues in palliative care
Authors:Ko Danielle N  Perez-Cruz Pedro  Blinderman Craig D
Affiliation:a Division of General Internal Medicine, Massachusetts General Hospital, 55 Fruit Street, Boston, MA 02114, USA
b Palliative Care Service, Massachusetts General Hospital, 55 Fruit Street, Boston, MA 02114, USA
c Division of Medical Ethics, Harvard Medical School, 641 Huntington Avenue, Boston, MA 02115, USA
d Department of Internal Medicine, School of Medicine, Catholic University, Lira 44, Santiago, Chile
e Adult Palliative Medicine, Department of Anesthesiology, Columbia University, 622 West 168th Street, PH5-530B, New York, NY 10032, USA
Abstract:Ethical problems in medicine are common, especially when caring for patients at the end of life. However, many of these issues are not adequately identified in the outpatient setting. Primary care providers are in a unique and privileged position to identify ethical issues, prevent future conflicts, and help patients make medical decisions that are consistent with their individual values and preferences. This article describes some of the more common ethical issues faced by primary care physicians caring for patients with life-limiting illness.
Keywords:Palliative care   Ethics   End of life   Autonomy   Palliative sedation
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