Ethical dilemmas in palliative care in traditional developing societies, with special reference to the Indian setting

Journal of Medical Ethics 34 (8):611-615 (2008)
  Copy   BIBTEX

Abstract

Background: There are intriguing and challenging ethical dilemmas in the practice of palliative care in a traditional developing society.Objective: To review the different ethical issues involved in cancer and palliative care in developing countries, with special reference to India.Methods: Published literature on pain relief and palliative care in the developing countries was reviewed to identify ethical issues and dilemmas related to these, and ways in which ethical principles could be observed in delivery of palliative care in such countries are discussed.Results: The literature review revealed a number of ethical dilemmas and challenges that professionals, cancer patients and their families encountered during palliative care. It was noted that patients’ preferences and decisions are influenced by family members. Dilemmas leave the professionals and families confused about how ethical their actions have been. Specific ethical issues were noted in relation to the availability and use of oral morphine for pain relief, spiritual care, lack of adequate palliative care services, and palliative care education.Conclusions: The four principles of ethics posed difficulties in understanding the complex ethical issues in a developing country with a traditional background. Ethical issues need to be handled delicately and sensitively in palliative care settings, within the framework of the traditions and culture of the society and financial constraints. The possible role of ethics committees in palliative care settings to help decision-making needs to be studied and discussed

Links

PhilArchive



    Upload a copy of this work     Papers currently archived: 76,168

External links

Setup an account with your affiliations in order to access resources via your University's proxy server

Through your library

Similar books and articles

Ethical dilemmas in palliative care: a study in Taiwan.T. -Y. Chiu - 2000 - Journal of Medical Ethics 26 (5):353-357.

Analytics

Added to PP
2010-08-24

Downloads
26 (#448,758)

6 months
1 (#448,551)

Historical graph of downloads
How can I increase my downloads?

Citations of this work

Truth-telling in health care.Anne Slowther - 2009 - Clinical Ethics 4 (4):173-175.
Islam and palliative care.K. A. Choong - 2015 - Global Bioethics 26 (1):28-42.
Education in care ethics: a way to increase palliative care awareness in India.Joris Gielen - 2015 - International Journal of Ethics Education 1 (1):15-24.

Add more citations

References found in this work

The Ground of Dialogical Bioethics.Abraham Rudnick - 2002 - Health Care Analysis 10 (4):391-402.

Add more references