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Bioethical frameworks in end of life care decision-making

dc.contributor.authorPereira, Sandra Martins
dc.contributor.authorBorges, Paulo J.
dc.contributor.authorHernández-Marrero, Pablo
dc.date.accessioned2025-12-02T12:17:07Z
dc.date.available2025-12-02T12:17:07Z
dc.date.issued2025-09-16
dc.description.abstractThis chapter provides an overview of how the medicalisation of dying and increasing access to high-technology interventions at the end of life have led to multiplying ethical challenges in decision-making in biomedical settings around the world. Bioethical frameworks and models exist to aid healthcare professionals and teams in navigating complex ethico-clinical decision-making processes. Five different frameworks are described. While embracing a person-centred care approach and with relational autonomy as a guiding ethical principle, healthcare professionals and family members play a crucial role in shared decision-making processes. Promoting dignity, comfort, and peace is crucial to ensuring that decision-making processes are truly shared and end of life care aligns with patients’ cultural beliefs, values, wishes, and preferences. Ethical and conceptual issues surrounding bioethical challenges in palliative and end of life care require ongoing analyses to respond adequately to the diverse needs of changing societies.eng
dc.identifier.citationPereira, S. M., Borges, P. J., & Hernández-Marrero, P. (2025). Bioethical frameworks in end of life care decision-making. In D. Clark, & A. Samuels (Eds.), Research handbook on end of life care and society (pp. 186-210). Edward Elgar Publishing Ltd.. https://doi.org/10.4337/9781035317349.00023
dc.identifier.doi10.4337/9781035317349.00023
dc.identifier.eid105021773697
dc.identifier.isbn9781035317349
dc.identifier.isbn9781035370122
dc.identifier.isbn9781035317332
dc.identifier.otherc8344640-92cb-482f-a300-9c3a359e6aa5
dc.identifier.urihttp://hdl.handle.net/10400.14/55798
dc.language.isoeng
dc.peerreviewedyes
dc.publisherEdward Elgar Publishing Ltd.
dc.rights.urihttp://creativecommons.org/licenses/by/4.0/
dc.subjectBioethical frameworks
dc.subjectEthical decision-making
dc.subjectPalliative and end of life care
dc.subjectPerson-centred care
dc.subjectShared decision-making
dc.titleBioethical frameworks in end of life care decision-makingeng
dc.typebook part
dspace.entity.typePublication
oaire.citation.endPage210
oaire.citation.startPage186
oaire.versionhttp://purl.org/coar/version/c_970fb48d4fbd8a85

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