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Palliative care is a recent branch of health care. The doctors, nurses, and other professionals involved in it took their inspiration from the medieval idea of the hospice, but have now extended their expertise to every area of health care: surgeries, nursing homes, acute wards, and the community. This has happened during a period when patients wish to take more control over their own lives and deaths, resources have become scarce, and technology has created controversial life-prolonging treatments. Palliative care is therefore faced with more ethical problems that other areas of health care. This book, by a clinician, teacher, and writer on health care ethics, has been written to provide all those who care for the terminally ill--doctors, nurses, social workers, clergymen, physiotherapists--with the concepts and principles which will assist them with difficult decisions. It challenges many received doctrines of palliative care, but its well-illustrated central theme is that technical expertise must be controlled by humane, non-technical judgments.
This book investigates the complex ethical landscape of modern palliative care, questioning how clinical expertise can be balanced with humane, non-technical judgment. The authors, Fiona Randall and R. S. Downie, draw upon their extensive backgrounds in clinical practice and health care ethics to provide a framework for navigating the moral dilemmas inherent in end-of-life care. They argue that as palliative care expands beyond traditional hospice settings into acute wards and community health, practitioners must move beyond rigid doctrines to address the unique needs of patients in an era of technological intervention and resource scarcity.
What You Will Find
Scope Limits
Experts and practitioners frequently cite this work as a foundational text for understanding the intersection of clinical practice and moral philosophy in palliative settings. Readers often note the clarity of the prose, which makes dense ethical concepts accessible to a multidisciplinary audience of health care professionals.
Page Count:
224
Publication Date:
1996-02-22
Publisher:
Oxford University Press
ISBN-10:
0192626329
ISBN-13:
9780192626325
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