Chapter

Other management decisions

Fiona Randall and R.S. Downie

in Palliative Care Ethics

Second edition

Published in print June 1999 | ISBN: 9780192630681
Published online November 2011 | e-ISBN: 9780191730078 | DOI: http://dx.doi.org/10.1093/acprof:oso/9780192630681.003.0009
Other management decisions

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This chapter discusses problems of autonomy and competence, alternative therapy, the place of care, and the quality of care. Patients' choices are respected, even if they are not fully autonomous nor perfectly competent, in order to preserve the principle of respect for autonomy in palliative care. Refusals of treatment are overruled only if there is no doubt that the patient is incompetent to make the decision. There is a moral obligation to strive to improve quality of care. Some essential aspects of palliative care are not quantifiable in numerical terms; they must be assessed in qualitative terms, which entail value judgements. It is not morally acceptable to omit them because they cannot be evaluated numerically.

Keywords: autonomy; alternative therapy; care quality; palliative care; patient's choice; value judgements

Chapter.  6557 words. 

Subjects: Palliative Medicine

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