Ethical issues in the management of sickle cell pain

被引:7
作者
Ballas, SK [1 ]
机构
[1] Thomas Jefferson Univ, Jefferson Med Coll, Dept Med, Cardeza Fdn,Sickle Cell Ctr, Philadelphia, PA 19107 USA
关键词
sickle cell pain; ethical principles; sickle cell disease; ethical theory;
D O I
10.1002/ajh.1164
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Care providers who manage patients with sickle cell disease (SCD) often face several questions. Most prominent among these pertain to the importance of pain and its treatment. The duties of the health care providers concerning pain management are often not well defined and vary considerably among providers and institutions. Despite the availability of national guidelines that address the ethical issues of pain management, patients with SCD often receive suboptimal pain control, especially during acute painful episodes. Although there are many reasons for this situation, an important aspect of the problem pertains to the complexity of applying ethical standards to specific patients with sickle cell pain. Decisions are frequently made according to perceptions and circumstances without taking ethical principles into consideration. The purpose of this paper is to present the range of ethical principles pertinent to sickle pain management and discuss specific examples of physician-patient interactions where ethical dilemmas occur. Am. J. Hematol. 68:127-132, 2001. (C) 2001 Wiley-Liss, Inc.
引用
收藏
页码:127 / 132
页数:6
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