Bioethics
Online ISSN : 2189-695X
Print ISSN : 1343-4063
ISSN-L : 1343-4063
Reports
Characteristics of ethical problems in cancer care
Analysis of domestic case books
Akiko NAKADAChihoko WADAYasutaka KIMURAShimon TASHIRO
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JOURNAL FREE ACCESS

2018 Volume 28 Issue 1 Pages 31-39

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Abstract

  The purpose of this paper is to comprehensively explore the characteristics of ethical issues in cancer and non-cancer medical care by gathering case books on existing clinical ethics, and organizing and classifying them according to ethical issue.

  Through search engines such as CiNii Books, 10 books already published and include 89 cases suitable for interprofessional discussion were identified. By classifying them according to ethical issue, we obtained eight categories of issues: “Selection of treatment at the end of life”, “Selection of a recuperation place”, “How to provide information”, “Refusal of necessary medical care”, “Distribution of medical resources”, “Restraint/restriction of actions”, “Abuse”, and “Others.” Issues under “Selection of treatment at the end of life” differed greatly between cancer and non-cancer care. In addition, in terms of interpersonal conflicts in cancer care, not only “Patient vs. Staff”and “Family vs. Staff” conflicts, but also “Patient vs. Family” conflicts were identified as an issue.

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2018 Japan Association for Bioethics
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