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Children's Palliative Care in Africa$
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Justin Amery

Print publication date: 2009

Print ISBN-13: 9780199567966

Published to Oxford Scholarship Online: November 2011

DOI: 10.1093/acprof:oso/9780199567966.001.0001

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PRINTED FROM OXFORD SCHOLARSHIP ONLINE (oxford.universitypressscholarship.com). (c) Copyright Oxford University Press, 2021. All Rights Reserved. An individual user may print out a PDF of a single chapter of a monograph in OSO for personal use. date: 13 June 2021

Ethics and law

Ethics and law

(p.305) Chapter 17 Ethics and law
Children's Palliative Care in Africa

Justin Amery

Joan Marston

Nkosazana Ngidi

Oxford University Press

Ethics in children and adults can be different in very important ways. There are three key questions in children's palliative care. These are: What needs to be decided? Who decides? How do they decide? This chapter argues that the most important principles in medical ethics are those of autonomy and informed consent. But children are often neither fully autonomous nor fully able to give consent. Health professionals may be as influenced by prejudice and emotion as they are by logic and rationality when it comes to decision-making in children's palliative care. In practice, most medical ethical dilemmas are resolved using a consequence-based approach. The problem with consequence-based ethics is that one cannot foresee all the consequences of his actions. By far, the most important skill in ethics in children's palliative care is the ability to communicate under pressure.

Keywords:   consequence-based ethics, palliative care, medical ethics, informed consent, autonomy

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