Chapter

Clinical Practice of Palliative Care

Robert C. Macauley

in Ethics in Palliative Care

Published on behalf of Oxford University Press

Published in print March 2018 | ISBN: 9780199313945
Published online April 2018 | e-ISBN: 9780190652357 | DOI: https://dx.doi.org/10.1093/med/9780199313945.003.0018
Clinical Practice of Palliative Care

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  • Palliative Medicine
  • Patient Care and End-of-Life Decision Making
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Communication, cultural sensitivity, and respect for spirituality undergird the practice of palliative care. Clinicians must appreciate the nuance of communicating complex diagnoses and often grim prognoses and know how to respond when patients express a desire to not be fully informed (or their family demands that they not be). Across cultures there is significant variation in how prognosis is communicated, who makes decisions for a patient, and attitudes toward end-of-life care. Many patients and families also rely on their religious or spiritual beliefs in making medical decisions, and expectation of a “miracle” and perceived religious “mandates” for continued treatment demand spiritually-nuanced responses.

Chapter.  14789 words. 

Subjects: Palliative Medicine ; Patient Care and End-of-Life Decision Making ; Medical Ethics

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