Ethical Issues in End-of-Life Care
Activity
PC Session
PC Session
Probably some of the most discussed issues in health ethics are raised in the context of end-of-life care. Questions around when to provide or stop treatment and how best to respect individuals' wishes have been debated publicly and personally for generations. In this session you will have a chance to explore some debates around withholding and withdrawing treatment, decision-making and advanced directives and notions of futility or burdensome treatment.
Curriculum Block
Part 4 / Professional Competencies 4 / Week 7
- Indicates most relevant
Objectives
General Objectives
- Employ and critically evaluate ethical theories and principles when exploring learning scenarios and reasoning about ethical challenges in the clinical setting.
- Summarize the ethical, legal obligations and duty of care that physicians have for patients, colleagues and, communities, and the tensions that may arise from these responsibilities.
- Integrate moral reasoning and judgment with communication, interpersonal, and clinical skills to provide the patients with effective and ethical care.
Assessments
PC Final Student Assessment
PC Interim Student Assessment
PC Integrative Exercise
Tags
Basic Sciences
Ethics
CanMEDS Roles
Collaborator
Demonstrate a commitment to their patients, profession, and society through ethical practice;
Professional
Scholar
Curriculum Block
Part 4
Professional Competencies 4
Week 7
Curriculum Week
Part 4
Week 7
Discipline
Family medicine
Palliative care
MCC Presentations
Legal system
The Dying Patient
McMaster Professional Competency
Moral Reasoning and Ethical Judgement
McMaster Program Competencies
1.5 Develop and carry out patient management plans
2.1 Demonstrate an understanding of what knowledge is, the strengths and limitations of different ways of knowing, and how knowledge is created in historical, cultural and social contexts.
2.5 Apply principles of socio-behavioural sciences to the provision of patient care, including assessment of the impact of psychosocial and cultural influences on health, disease, care-seeking, care concordance, care adherence and barriers to and attitudes toward care.
4.1 Communicate effectively with patients, families, and the public, as appropriate, across a broad range of socioeconomic and sociocultural backgrounds
4.3 Demonstrate sensitivity, honesty, and compassion in difficult conversations, including those about death, end of life, adverse events, bad news, disclosure of errors, and other sensitive topics
4.4 Demonstrate insight and understanding about emotions and human responses to emotions that allow one to develop and manage interpersonal interactions, including the ability to manage one’s own interpersonal responses
5.2 Demonstrate compassion, integrity, and respect for others
5.6 Demonstrate a critical understanding of personal, professional and institutional power and privilege and utilize anti-oppressive practice to create patient experiences where marginalization and oppression are minimized.
5.7 Demonstrate the application of ethical principles to commonly encountered ethical issues such as the provision or withholding of care, confidentiality, informed consent, and including compliance with relevant laws, policies, and regulations
5.8 Balance personal values and beliefs with professional and societal ethics
6.1 Understand the systems of healthcare, including federal, provincial, municipal and local, and the influences they have on the health of individuals and populations
7.6 Participate in different team roles and appropriately apply leadership skills to establish, develop, and continuously enhance team function.
8.4 Demonstrate awareness and acceptance of different points of view
8.5 Recognize that ambiguity is part of clinical health care and respond by utilizing appropriate resources in dealing with uncertainty
MeSH
Ethics, Medical [K01.752.566.479.171.132.750]
Palliative Care [E02.760.666]
Palliative Care [N02.421.585.666]
Terminal Care [E02.760.905]
Professional Competency
Yes