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Shared Decision-Making in Palliative Care: A Maternalistic Approach.
Narrative Inquiry in Bioethics
|November 29, 2021
Summary
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.
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.
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