Life and Death Decisions: Psychological and Ethical Considerations in End-of-Life Care

Ethical considerations in end-of-life care and research.

The goal of good palliative care is to relieve suffering and to improve quality of life. However, it is clear that access to palliative care is inconsistent. At least in part, these deficiencies exist because of a lack of solid evidence on which to base clinical decisions. Therefore, there is an urgent need for research that can define the standard of care and can increase access to quality car...

End of life decisions and quality of care before death.

Palliative care and end-of-life decisions.

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Ethical issues in end-of-life care.

Technical advances in the care of advanced illness have created ethical challenges for physicians, patients, and families at the end of life. In the effort to survive longer, they are often confronted with difficult choices regarding medical advances that may inadvertently prolong suffering and the dying process rather than bring healing and recovery. Four major principles of medical ethics ass...

End-of-Life Decisions about Withholding or Withdrawing Therapy: Medical, Ethical, and Religio-Cultural Considerations

Towards the end of life, physicians face dilemmas of discontinuing life-sustaining treatments or interventions. In some circumstances, these treatments are no longer of benefit, while in others the patient or family no longer want them. The physician plays an essential role in clarifying the goals of medical treatment, defining the care plan, initiating discussions about life-sustaining therapy...