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    Palliative care clinicians can use maternalism to guide decision-making, balancing patient best interests and autonomy. This approach reinforces relational autonomy, capturing ethical nuances often missed by other methods.

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    Area of Science:

    • Bioethics
    • Palliative Care
    • Clinical Decision-Making

    Background:

    • Goals of care conversations involve aligning patient priorities with medical treatment.
    • Communication styles in healthcare range from paternalistic to patient-driven.
    • Existing bioethics literature has not fully explored certain clinician decision-making paradigms.

    Purpose of the Study:

    • To describe a case study utilizing the maternalism paradigm in palliative care.
    • To explore the ethical appropriateness of maternalism in clinical decision-making.
    • To analyze how maternalism captures ethical features potentially missed by other approaches.

    Main Methods:

    • Case study analysis of a palliative care interaction.
    • Exploration of the maternalism decision-making paradigm.
    • Comparison of maternalism with other ethical approaches (e.g., individual autonomy, relational autonomy).

    Main Results:

    • Maternalism allows clinicians to direct decision-making within a relationship.
    • This paradigm mutually reinforces best interests and autonomy.
    • Maternalism reflects relational autonomy rather than individual autonomy.

    Conclusions:

    • Maternalism offers a potentially valuable framework for palliative care decision-making.
    • The paradigm may better capture complex ethical dimensions in patient-clinician relationships.
    • Further exploration of maternalism in bioethics and clinical practice is warranted.