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Emerging Ethical Issues in Palliative Care
Edmund D. Pellegrino, MD
JAMA. 1998;279:1521-1522.
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INTRODUCTION
PALLIATIVE CARE—the comprehensive, coordinated, and concentrated relief of both pain and suffering in terminally ill or incurably ill patients—has always been a moral responsibility of physicians, regardless of specialty.1-3 For several reasons this moral obligation has today become more important than ever: physicians still provide inadequate pain relief; public opinion is becoming more tolerant of assisted suicide when patients are perceived to be suffering intolerably; while denying a constitutional right to assistance in suicide, the Supreme Court has voiced unequivocal support for adequate pain relief; and palliative medicine has become an area of expertise in its own right.4-6
These developments prompt a review of some of the central ethical issues peculiar to palliative care. These issues are pertinent for all physicians caring for patients regardless of the cause of their suffering and whether or not these physicians are specialists in palliative care.7-8
Relief of Pain and Suffering
The availability, accessibility, and . . . [Full Text of this Article]
Autonomy and Consent
Ethics of the Team
Avoiding Ideology
From the Center for Clinical Bioethics, Georgetown University Medical Center, Washington, DC.
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