Palliative, Ethics, and End-of-Life Care Issues in the Cancer Patient

被引：9

作者：

Riches, Jamie C. ^{[1
]}

Voigt, Louis P. ^{[1
]}

机构：

[1] Mem Sloan Kettering Canc Ctr, 1275 York Ave, New York, NY 10065 USA

来源：

CRITICAL CARE CLINICS | 2021年 / 37卷 / 01期

关键词：

Bioethics; Cancer; Critical illness; Palliative care; End of life; AMERICAN SOCIETY; ONCOLOGY; DISCUSSIONS; LUNG; COMMUNICATION; TRENDS; EXPECTATIONS; GUIDELINES; PHYSICIANS; PROGNOSIS;

D O I：

10.1016/j.ccc.2020.08.005

中图分类号：

R4 [临床医学];

学科分类号：

1002 ; 100602 ;

摘要：

End-of-life care of critically ill adult patients with advanced or incurable cancers is imbued with major ethical challenges. Oncologists, hospitalists, and intensivists can inadvertently subjugate themselves to the perceived powers of autonomous patients. Therapeutic illusion and poor insight by surrogates in physicians’ ability to offer accurate prognosis, missed opportunities and miscommunication by clinicians, and lack of systematic or protocolized approach represent important barriers to high-quality palliative care. Enhanced collaboration, models that allow clinicians and surrogates to share the burdens of decision, and institutional support for early integration of palliative care can foster an ethical climate. © 2020 Elsevier Inc.

引用

页码：105 / 115

页数：11

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