Palliative Care: Research Trying to Bridge the Gap [Comment]

A commentary on Jean-Christophe Mino & France Lert's article (2003) about home palliative care support teams examines the ethics of palliative care. The proliferation of health care ethics committees at institutional & governmental levels is surveyed. The concerns & implications of...

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Bibliographic Details
Published inSciences sociales et santé Vol. 21; no. 1; pp. 65 - 74
Main Author Lebeer, Guy
Format Journal Article
LanguageFrench
Published 01.03.2003
Subjects
Home Care
Hospices
Hospitals
Palliative Care
Professional Ethics
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Summary:A commentary on Jean-Christophe Mino & France Lert's article (2003) about home palliative care support teams examines the ethics of palliative care. The proliferation of health care ethics committees at institutional & governmental levels is surveyed. The concerns & implications of ethics discourse in hospitals are compared with those in hospice contexts. A shared emphasis on accounting for the multiple viewpoints in patient care is linked to the holistic orientation in palliative care & to a leveling of hierarchies in hospitals. The destabilizing effects of ethical normalization on hospital structures & relationships are explored; tensions between the institution & its care teams in hospital-based palliative care are examined. Home hospice care has its own set of challenges in balancing family expectations against those of the care team. The practices & principles of palliative care raise difficult ethical questions that may be best answered from a perspective outside the hospital's medical practices & power structures. 8 References. E. Taylor
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ISSN:0294-0337