Medicine, Health Care and Philosophy

, Volume 8, Issue 2, pp 243–253 | Cite as

Respect for persons, autonomy and palliative care

Scientific Contribution

Abstract.

This paper explores some of the values that underpin health care and how these relate more specifically to the values and ethics of palliative care. The paper focuses on the concept of autonomy because autonomy has emerged as a foundational concept in contemporary health care ethics and because this is an opportunity to scratch the surface of this concept in order to reveal something of its complexity, a necessary precaution when applying the concept to the context of palliative care. The paper begins with a theoretical discussion of autonomy exploring an aspect of its contemporary meaning and relevance to health care. The second part of the paper focuses more closely on how the principle of respect for autonomy can be applied in the context of palliative care. In this section an ethical framework is employed to explore a practical application of this principle within a broader context of respect for persons.

Keywords

autonomy best interests palliative care respect for persons 

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References

  1. BBC Diane Pretty. 2002.Timeline: http://news.bbc.co.uk/1/hi/health/1983562.stm.Google Scholar
  2. BBC Miss B’s Story. 2002. http://news.bbc.co.uk/1/hi/health/1887914.stm.Google Scholar
  3. Blustein J. 1993. ‘The Family in Medical Decisonmaking,’ Hastings Center Report, May-June (23), 6–13.Google Scholar
  4. Dresser, R. 1995‘Dworkin on Dementia: Elegant Theory Questionable Policy’Hastings Center Report253238Google Scholar
  5. Dworkin, R. 1993Life’s Dominion: An Argument About, Abortion, Euthanasia and Individual FreedomAlfred A KnopfNew YorkGoogle Scholar
  6. Grisso, T., Appelbaum, P.S. 1998Assessing Competence to Consent to Treatment: A Guide for Physicians and other Health Care ProfessionalsOxford University PressNew YorkGoogle Scholar
  7. Häyry, M. 2004‘Another look at Dignity’Cambridge Quarterly of Healthcare Ethics13714PubMedGoogle Scholar
  8. Kant, I. 1786Groundwork for the Metaphysics of Morals. Trans. J.J. Paton (1964)Harper and RowNew YorkGoogle Scholar
  9. Kymlicka, W. 1990Contemporary Political Philosophy: An IntroductionClarendon PressOxfordGoogle Scholar
  10. Macklin, R 2003‘Dignity Is a Useless Concept’British Medical Journal32714191429PubMedGoogle Scholar
  11. Mill, J.S. 1859‘On Liberty’Warnock, M. eds. UtilitarianismFontanaGlasgow(1977)Google Scholar
  12. Parfit, D. 1991Reasons and Persons1Clarendon PressOxford(Reprint)Google Scholar
  13. Rawls, J. 1993Political LiberalismColumbia University PressNew YorkGoogle Scholar
  14. Weijer, C. 2000‘Family Duty is more Important than Rights’British Medical Journal3211466Google Scholar
  15. Woods S. 2003. ‘Dignity not Entirely Useless,’ British Medical Journal: published responses. http://bmj.bmjjournals.com/cgi/eletters/327/7429/1419.Google Scholar

Copyright information

© Springer 2005

Authors and Affiliations

  1. 1.Policy Ethics and Life Sciences Research InstituteUniversity of NewcastleTimes SquareUK

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