Palliative care practice requires ethical sensitivity and understanding. At the same time the very existence of palliative care calls for ethical explanation. This book, with contributions by clinicians, ethicists, philosophers and social scientists, provides a picture of palliative care ethics in the European context.
As palliative care develops across many of the countries of Europe, we find that it continues to raise important ethical challenges. Palliative care practice requires ethical sensitivity and understanding. At the same time the very existence of palliative care calls for ethical explanation. Ethics and palliative care meet over some vital issues: 'the good death', sedation at the end of life, requests for euthanasia, futile treatment, and the role of research. Yet palliative care appears uncertain about its goals and there is evidence that its ethical underpinnings are changing. Likewise, the moral problems of palliative care are only partly served by the four 'principles' of modern bioethics. This innovative book, with contributions by clinicians, ethicists, philosophers and social scientists, provides the first ever picture of palliative care ethics in the European context. It will be of interest to those involved in the delivery and management of palliative care services, as well as to students and researchers.
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"If your professional life is organized such that reflective practice is a practical reality, I believe there is much in this book to stimulate and encourage your thinking." - Jim Gilbert
About Henk Ten Have
Henk ten Have is Professor of Medical Ethics and Chair of the Department of Ethics, Philosophy and History of Medicine in the University Medical Centre Nijmegen, the Netherlands. He has been the co-ordinator of the EU funded Pallium project on palliative care ethics. He has published on many issues in bioethics and philosophy of medicine, with particular emphasis on end-of-life care and palliative care. His recent publications are: Palliative care in Europe. Concepts and policies (Amsterdam, IOS Press, 2001) and Bioethics in a European perspective (Dordrecht, Kluwer, 2001).
David Clark is Professor of Medical Sociology within the Palliative Medicine Academic Unit of the University of Sheffield. He has written widely on the sociology of religion, family life and end of life care. He has been involved in research and teaching in palliative care since 1989. His current interests include the history of hospice, palliative care and related fields; policy development and international issues in the growth of palliative care; and palliative care ethics. He is the editor of the Facing Death Series for Open University Press.
Table of Contents
Series editor's preface Introduction the work of the Pallium Project
Part one: Concepts and models of care
Introduction to Part one Palliative care and the historical background Palliative care developments in seven European countries Conceptual tensions in European palliative care
Part two: Moral Values
Introduction to Part two Moral values in palliative care a European comparison From conviction to responsibility in palliative care ethics Good death or good life as a goal of palliative care Palliative care a relational approach
Part three: Ethics and Palliative Care Practice
Introduction to Part three Respect for autonomy and palliative care Sedation in palliative care facts and concepts Euthanasia and physician assisted suicide Research ethics and palliative care Futility, limits and palliative care Conclusion References Index.
The Ethics Of Palliative Care by Henk Ten Have
Henk Ten Have
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