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Palliative philosophy: the ethical underpinning.

¹Department of Surgery, Northwestern University Medical School, Chicago, Illinois, USA. pangelos@nmff.org

Surgical Oncology Clinics of North America

|June 19, 2001

Summary

Palliative care, rooted in medical beneficence, aligns with contemporary surgical goals. This exploration clarifies the ethical consistency between surgical practices and palliative medicine, challenging common misconceptions.

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Area of Science:

Medical Ethics
Surgical Care
Palliative Medicine

Background:

Palliative care is often mistakenly linked to patient rights movements.
Traditional medical values, particularly beneficence, form its ethical foundation.
Contemporary surgery can reinforce palliative medicine's core principles.

Purpose of the Study:

To explore the ethical basis of palliative care.
To demonstrate how modern surgical care aligns with palliative principles.
To address the perceived dichotomy between curative and palliative surgical models.

Main Methods:

Ethical analysis of palliative care principles.
Examination of beneficence in surgical practice.
Review of historical and contemporary surgical goals.

Main Results:

Palliative care is fundamentally based on beneficence, a core medical value.
Contemporary surgical care can be ethically consistent with palliative care.
The curative vs. palliative care dichotomy in surgery presents challenges.

Conclusions:

The philosophy of palliative care is consistent with surgical traditions and aims.
Beneficence serves as a unifying ethical principle for palliative and surgical care.
Reconciling surgical and palliative care models enhances patient-centered outcomes.

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