000004041 001__ 4041
000004041 005__ 20231228190014.0
000004041 0247_ $$2DOI$$a10.6083/m4fb521g
000004041 037__ $$aIR
000004041 245__ $$aEthical considerations in end-of-life care: a physician's perspective
000004041 260__ $$bOregon Health and Science University
000004041 269__ $$a2017
000004041 336__ $$aAnthology
000004041 520__ $$aThis article discusses ethical issues during end-of-life care in hospitals. The commonly used medical-ethics framework for ethical reasoning comprising of autonomy, beneficence, non-maleficence and justice is somewhat limited in guiding healthcare decisions. The continuing advancement in medical technology, current medico-legal environment, longer life-expectancies and increasing contextual awareness are some of the reasons why this ethical framework is limited. In addition to this, the high costs involved in end-of-life care make limit-setting decisions necessary. In order to be well received, these decisions need to meet the four conditions of accountability for reasonableness namely - publicity, relevancy, revision and appeal, and regulation. There are many stakeholders in decisions pertaining to end-of-life care besides the patient, with their own unique perspectives that complicate the situation. The article provides examples of ethical conflicts, the relevant stakeholders, factors that influence these unique perspectives and the potential for politicization of issues. The author touches on the subject of physician-aid-in- dying and concludes with a few recommendations for healthcare organizations to effectively deal with ethical issues during end-of-life care.
000004041 650__ $$aPatients$$023676
000004041 650__ $$aPhysicians$$024116
000004041 650__ $$aClinical Decision-Making$$011067
000004041 650__ $$aEthics, Medical$$018687
000004041 650__ $$aTerminal Care$$026847
000004041 691__ $$aSchool of Medicine$$041369
000004041 692__ $$aDivision of Management$$041635
000004041 7001_ $$aBatra, Nikhil$$uOregon Health and Science University$$041354
000004041 8564_ $$9954393da-ebc4-466e-99d0-d07c1526bcef$$s290858$$uhttps://digitalcollections.ohsu.edu/record/4041/files/Ethical_Considerations_in_End-of-Life_Care__A_Physicians_Perspec-1.pdf
000004041 905__ $$a/rest/prod/n0/09/w2/64/n009w264b
000004041 909CO $$ooai:digitalcollections.ohsu.edu:4041$$pstudent-work
000004041 980__ $$aReflections on Healthcare Management