Advanced and end of life care: cautionary suggestions

This article consider some clinical and population level approaches to advanced care of chronic conditions and end of life care. One approach aims to follow patient values and preferences about acceptable end of life (EOL) as elicited by questionnaires. The grounds for emphasising patients’ preferen...

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Bibliographic Details
Published inJournal of medical ethics Vol. 43; no. 9; pp. 577 - 586
Main Author Kamm, F M
Format Journal Article
LanguageEnglish
Published England BMJ Publishing Group Ltd 01.09.2017
BMJ Publishing Group LTD
Subjects
Assisted suicide
Attitude of Health Personnel
Bioethics
Cancer
Chronic Disease
Chronic illnesses
Family
Hospice Care
Humans
Law schools
Mortality
Palliative Care
Patient Preference
Patients
Peace
Philosophers
Physician-Patient Relations
Professionals
Quality of Life
Research ethics
Surveys and Questionnaires
Terminal Care
Verbal communication
Ethics
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Summary:This article consider some clinical and population level approaches to advanced care of chronic conditions and end of life care. One approach aims to follow patient values and preferences about acceptable end of life (EOL) as elicited by questionnaires. The grounds for emphasising patients’ preferences and the adequacy of the questionnaires are examined. Other approaches involve additional aims such as meeting patient and family members needs, providing information, cost effectiveness and satisfying professionals' preferences for a certain type of EOL experience. Issues raised by adding these (and other) aims are examined.
Bibliography:ObjectType-Article-1
SourceType-Scholarly Journals-1
ObjectType-Feature-2
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ISSN:0306-6800
1473-4257
DOI:10.1136/medethics-2016-103980