DOI QR코드

DOI QR Code

End of Life Issues in Cancer Cases: Ethical Aspects

  • Taghavi, Afsoon (Cancer Research Center, Shahid Beheshti University of Medical Sciences) ;
  • Hashemi-Bahremani, Mohammad (Department of Pathology, Imam Hossein Hospital, Shahid Beheshti University of Medical Sciences) ;
  • Hosseini, Leili (Cancer Research Center, Shahid Beheshti University of Medical Sciences) ;
  • Bazmi, Shabnam (Department of Medical Ethics, School of Traditional Medicine, Shahid Beheshti University of Medical Sciences)
  • Published : 2016.06.01

Abstract

This article investigates ethical challenges cancer patients face in the end stages of life including doctors' responsibilities, patients' rights, unexpected desires of patients and their relatives, futile treatments, and communication with patients in end stages of life. These patients are taken care of through palliative rather than curative measures. In many cases, patients in the last days of life ask their physician to terminate their illness via euthanasia which has many ethical considerations. Proponents of such mercy killing (euthanasia) believe that if the patient desires, the physician must end the life, while opponents of this issue, consider it as an act of murder incompatible with the spirit of medical sciences. The related arguments presented in this paper and other ethical issues these patients face and possible solutions for dealing with them have been proposed. It should be mentioned that this paper is more human rational and empirical and the views of the legislator are not included, though in many cases human intellectual and empirical comments are compatible with those of the legislator.

Keywords

References

  1. Beck AM, Ovesen L, Schroll M (2001). A six months' prospective follow-up of 65+-y-old patients from general practice classified according to nutritional risk by the Mini Nutritional Assessment. Eur J Clin Nutr, 55, 1028-33. https://doi.org/10.1038/sj.ejcn.1601266
  2. Cassell EJ. (1982). The nature of suffering and the goals of medicine. Palliative care: Transforming the care of serious illness, Int J Crit Illn Inj Sci, 1, 147-53.
  3. Charles R, Mulligan S, O'neill D (1999). The identification and assessment of undernutrition in patients admitted to the age related health care unit of an acute Dublin general hospital. Ir J Med Sci, 168, 180-5. https://doi.org/10.1007/BF02945849
  4. Ferrell B (2005). Ethical perspectives on pain and suffering. Pain Manag Nurs, 6, 83-90. https://doi.org/10.1016/j.pmn.2005.06.001
  5. Ferrell BR (2006). Understanding the moral distress of nurses witnessing medically futile care. Oncol Nurs Forum, 33, 922-30. https://doi.org/10.1188/06.ONF.922-930
  6. Ferrell BR, Grant M, Padilla G, Vemuri S, Rhiner M (1991). The experience of pain and perceptions of quality of life: validation of a conceptual model. Hosp J, 7, 9-24. https://doi.org/10.1080/0742-969X.1991.11882702
  7. Fine RL (2006). Ethical issues in artificial nutrition and hydration. Nutr Clin Pract, 21, 118-25. https://doi.org/10.1177/0115426506021002118
  8. Fry-Revere S, Koshy S (2007). Legal Trends in Bioethics Fall 2007. J Clin Ethics, 18, 294-328.
  9. Ganzini L (2006). Artificial nutrition and hydration at the end of life: ethics and evidence. Palliat Support Care, 4, 135-43.
  10. Gaylin WFISG, Macklin R, AL Jameton, et al (1983). Moral problems in medicine (2nd Ed) (pp. ix-xv). Englewood Cliffs. NJ, Prentice-Hall, Inc.
  11. Hancock RL (2006). Bioethics and ethics in cancer research. Ludus Vitalis, 14, 247-50.
  12. Huang N, Liu M, Yu P, Wu J (2015). Antibiotic prophylaxis in prosthesis-based mammoplasty: a systematic review. Int J Surg, 15, 31-7. https://doi.org/10.1016/j.ijsu.2015.01.020
  13. Jacox A, Carr DB, Payne R (1994). New clinical-practice guidelines for the management of pain in patients with cancer. N Engl J Med, 330, 651-5.
  14. www.who.int/cancer/publications/cancer.../en/, Organization, W. H., & 2007, W. g. f. e. p. P. d. (2007). cancer control.

Cited by

  1. Nursing Student Attitudes toward Euthanasia: A Cross-Sectional Study pp.1477-0989, 2017, https://doi.org/10.1177/0969733017718393