Has the embrace of evidence-based medicine caused palliative care to lose its soul?

نویسندگان

  • Shin Wei Sim
  • Radha Krishna
  • Lalit Kumar
چکیده

Background: Recent publications have suggested that palliative care may be detracting from its primary goal of providing holistic care by focusing almost entirely upon measurable clinical and scientific parameters, and neglecting psychosocial research. This paper aims to evaluate whether palliative care has indeed lost its way. Methods: We employ the example of growing calls for the adoption of Relational Autonomy in the Singaporean end-of-life care setting, and the proffering of the Ring Theory of Personhood to explore the effects of the adoption of evidence-based approaches on palliative care. Results: Evidence-based approaches of refuting efforts to employ Relational Autonomy within Confucian-led communities highlights not only the importance of the fusion of traditional empirical and psychosocial studies, but affirms the fact that palliative care continues to espouse a holistic approach. Conclusions: Evidence seems to suggest that the embrace of evidence-based medicine does not detract from the holistic nature of palliative care. Citation: Wei Sim S, Krishna Lalit Kumar R (2015) Has the embrace of evidence-based medicine caused palliative care to lose its soul? Advances in Medical Ethics 2:1. doi:10.12715/ame.2015.2.1 Received: March 2, 2015; Accepted: June 16, 2015; Published: July 5, 2015 Copyright: © 2015 Wei Sim. This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. Competing interests: The authors have declared that no competing interests exist. * Email: [email protected]

برای دانلود متن کامل این مقاله و بیش از 32 میلیون مقاله دیگر ابتدا ثبت نام کنید

ثبت نام

اگر عضو سایت هستید لطفا وارد حساب کاربری خود شوید

منابع مشابه

مراقبت تسکینی مبتنی بر منزل: حلقه گم شده مراقبت از بیماران در ایران

The World Health Organization (WHO) has introduced palliative care as a way to improve the quality of life of patients with incurable diseases and their families. This care begins with the diagnosis of the disease, and continues throughout the illness (1). Palliative care improves the quality of life of patients with life-threatening diseases and their families. Its purpose is to relieve suffer...

متن کامل

«نامه به سردبیر» توسعه مراقبت تسکینی در بیماران سرطانی، ضرورتی مغفول مانده

Through the current century, cancer has been one of the most challenging diseases worldwide(1). According to the latest statistical and epidemiological surveys, cancer is the third leading cause of mortality in Iran following cardiovascular diseases and traffic accidents(2). It is expected to witness the emergence of 130 new cases of cancer in Iran by 2025, which is at least 35% higher than the...

متن کامل

Challenges of palliative care for children with cancer in Iran: a review

Pediatric palliative care is a holistic caring approach for children and families that begins with diagnosis of a life-threatening illness and continues until death; it aimed to relieve pain and other symptoms in physical, mental, social and spiritual aspects. In spite of available evidence concerning optimal outcomes of the provision of palliative care, establishment of a palliative care syste...

متن کامل

Evidence - based CAM: Where does it stand?

In the past 10 years evidence - based medicine (EBM) has developed well in all aspects of allopathic medicine giving a new dimension to patient care including cost reduction and attention to medical ethics. With the public and medical community return to complementary and alternative medicine (CAM) in the last two decades there has been a call for evidence - based CAM … in the same way that all...

متن کامل

Evidence - based CAM: Where does it stand?

In the past 10 years evidence - based medicine (EBM) has developed well in all aspects of allopathic medicine giving a new dimension to patient care including cost reduction and attention to medical ethics. With the public and medical community return to complementary and alternative medicine (CAM) in the last two decades there has been a call for evidence - based CAM … in the same way that all...

متن کامل

ذخیره در منابع من


  با ذخیره ی این منبع در منابع من، دسترسی به آن را برای استفاده های بعدی آسان تر کنید

برای دانلود متن کامل این مقاله و بیش از 32 میلیون مقاله دیگر ابتدا ثبت نام کنید

ثبت نام

اگر عضو سایت هستید لطفا وارد حساب کاربری خود شوید

عنوان ژورنال:

دوره   شماره 

صفحات  -

تاریخ انتشار 2015