Ethical Principles that Guide Palliative Care Practice
Until a US National Consensus can be reached, CAPCManual proposes that
the following statements of ethical principles be used to guide
palliative care program development:
Autonomy = the state of being self-governed.
Justice = an ethical and social principle grounded in respect
fairly, without discrimination or prejudice.
Beneficence = the provision of benefits and the balancing of
harms and benefits for the purpose of doing the most good.
Nonmaleficence = the avoidance of doing harm.
Truth-telling = the communication of what is known or believed
to be true without deceit or falseness. Patients may voluntarily
decline to receive information and designate someone else to receive
information on their behalf, as long as there is no evidence of
coercion.
Confidentiality = the protection and control of information
privy to persons.
Ref: Ferris FD, Balfour HM, Farley J, Hardwick M, Lamontagne C, Lundy M, Syme A,
West P. 2001 Proposed Norms of Practice for Hospice Palliative Care.
Ottawa, ON: Canadian Hospice Palliative Care Association, 2001.
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CAPCManual Attribution:
von Gunten CF,
Ferris FD,
Portenoy RK,
Glajchen M, eds.
CAPCManual: How to Establish A Palliative Care Program.
New York, NY: Center to Advance Palliative Care, 2001.
©
Center for Palliative Studies, San Diego Hospice & Palliative Care, San Diego, CA
and
The Department of Pain Medicine and Palliative Care, Beth Israel Medical Center, New York, NY, 2001
Permission to reproduce for non-commercial educational purposes with display of
attribution and
copyright is granted.
Last updated: February 20, 2002
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