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Principles help to analyse but often give no solution--secondary prevention after a cardiac event.

Westin, Lars LU and Nilstun, Tore LU (2006) In Health Care Analysis 14(2). p.111-117
Abstract
The aim of this paper is to investigate whether or not ethical conflicts can be identified, analysed and solved using ethical principles. The relation between the physician and the patient with ischemic heart disease (IHD) as life style changes are recommended in a secondary prevention program is used as an example. The principal persons affected (the patient and his or her spouse) and the ethical principles (respect for autonomy, non-maleficence, beneficence and justice) are combined in a two dimensional model. The most important person affected by the recommendations is the patient. His or her autonomy is challenged by the suggested life style changes, the purpose of which is to promote the future wellbeing and health of the patient. The... (More)
The aim of this paper is to investigate whether or not ethical conflicts can be identified, analysed and solved using ethical principles. The relation between the physician and the patient with ischemic heart disease (IHD) as life style changes are recommended in a secondary prevention program is used as an example. The principal persons affected (the patient and his or her spouse) and the ethical principles (respect for autonomy, non-maleficence, beneficence and justice) are combined in a two dimensional model. The most important person affected by the recommendations is the patient. His or her autonomy is challenged by the suggested life style changes, the purpose of which is to promote the future wellbeing and health of the patient. The spouse is indirectly involved in and affected by the process. He or she often feels neglected by caregivers. Ethical conflicts can both be identified and analysed using ethical principles, but often no solution is implied. Most (if not all) physicians would strongly encourage life style changes, but surprisingly there is no uncontroversial justification for this conclusion using principles. (Less)
Please use this url to cite or link to this publication:
author
organization
publishing date
type
Contribution to journal
publication status
published
subject
keywords
life style change, ischemic heart disease, ethical principles, communication, analysis
in
Health Care Analysis
volume
14
issue
2
pages
111 - 117
publisher
Springer
external identifiers
  • wos:000242461900005
  • scopus:33845408933
ISSN
1573-3394
DOI
10.1007/s10728-006-0016-6
language
English
LU publication?
yes
id
b299d396-530d-41f7-9e43-1b982daf742f (old id 165202)
alternative location
http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?cmd=Retrieve&db=PubMed&list_uids=17195579&dopt=Abstract
date added to LUP
2007-07-10 16:15:01
date last changed
2019-09-26 01:48:53
@article{b299d396-530d-41f7-9e43-1b982daf742f,
  abstract     = {The aim of this paper is to investigate whether or not ethical conflicts can be identified, analysed and solved using ethical principles. The relation between the physician and the patient with ischemic heart disease (IHD) as life style changes are recommended in a secondary prevention program is used as an example. The principal persons affected (the patient and his or her spouse) and the ethical principles (respect for autonomy, non-maleficence, beneficence and justice) are combined in a two dimensional model. The most important person affected by the recommendations is the patient. His or her autonomy is challenged by the suggested life style changes, the purpose of which is to promote the future wellbeing and health of the patient. The spouse is indirectly involved in and affected by the process. He or she often feels neglected by caregivers. Ethical conflicts can both be identified and analysed using ethical principles, but often no solution is implied. Most (if not all) physicians would strongly encourage life style changes, but surprisingly there is no uncontroversial justification for this conclusion using principles.},
  author       = {Westin, Lars and Nilstun, Tore},
  issn         = {1573-3394},
  keyword      = {life style change,ischemic heart disease,ethical principles,communication,analysis},
  language     = {eng},
  number       = {2},
  pages        = {111--117},
  publisher    = {Springer},
  series       = {Health Care Analysis},
  title        = {Principles help to analyse but often give no solution--secondary prevention after a cardiac event.},
  url          = {http://dx.doi.org/10.1007/s10728-006-0016-6},
  volume       = {14},
  year         = {2006},
}