Effective palliative care that rests on a sound ethical foundation requires ongoing discussions about patient and family values and preferences.
This is especially important when addressing care at end-of-life including artificial nutrition and hydration, withdrawal of life-sustaining therapies and palliative sedation as well as requests for assistance in hastening death. The eighth volume in the HPNA Palliative Nursing Manuals series, Legal and Ethical Aspects of Palliative Care, provides an overview of critical communication skills and formal organizational mechanisms, such as ethics committees and interdisciplinary rounds, required for decisions in ethical dilemmas which respect diversity in the views of colleagues, as well as patients. The content of the concise, clinically focused volumes in the HPNA Palliative Nursing Manuals series is one resource for nurses preparing for specialty certification exams and provides a quick-reference in daily practice.
Chapter 1 Ethical Considerations in Palliative Care Chapter 2 Palliative Care and Requests for Assistance in Dying Chapter 3 Artificial Nutrition and Hydration Chapter 4 End-of-Life Care for Patients with Medical Illness and Personality Disorders Chapter 5 Poor, Homeless and Underserved Populations
Nessa Coyle is a palliative care and clinical oncology ethics consultant in New York, New York.