Navigation Links
New ethical guidance from ACP for patient-physician-caregiver relationship
Date:1/12/2010

PHILADELPHIA, January 12, 2010 -- The American College of Physicians (ACP) has issued a position paper to guide ethical relationships among patients, physicians, and caregivers.

The Journal of General Internal Medicine has published "Family Caregivers, Patients and Physicians: Ethical Guidance to Optimize Relationships." The text and an online appendix of resources to help physicians manage relationships with patients and caregivers are available at http://www.acponline.org/running_practice/ethics/issues/policy.

"The ethical guidance outlined in this paper is intended to heighten physician awareness of the importance and complexity of the patient-physician-caregiver relationship," said ACP President Joseph Stubbs, MD, FACP. "It is essential for physicians to consider quality of life for both patients and caregivers."

The paper -- endorsed by 10 other professional medical societies -- defines caregivers as relatives, partners, friends, and neighbors of patients who assist with activities of daily living and complex health care needs. It outlines four primary principles for physicians, who may face ethical challenges collaborating with patients and caregivers while preserving the primacy of the patient-physician relationship:

  • Respect for the patient's dignity, rights, and values should guide all patient-physician- caregiver interactions.

  • Effective communication and physician accessibility are fundamental to supporting the patient and family caregiver.

  • The physician should recognize the value of family caregivers as a source of continuity regarding the patient's medical and psychosocial history and facilitate the intellectual and emotional transition to the end stage of serious chronic illness.

  • When the caregiver is a health care professional, the physician should draw appropriate boundaries to ensure that the caregiver is not expected to function in a professional capacity in relation to the patient and that the caregiver receives appropriate support, referrals, and services.

"Patients depend on caregivers for assistance with managing complex care and communicating with health care professionals," said Virginia Hood, MBBS, MPH, FACP, chair of ACP's Ethics, Professionalism and Human Rights Committee. "Physician recognition of the value of the caregiver role may contribute to a positive care giving experience and decrease rates of patient hospitalization and institutionalization."

Although hospice and palliative care address the impact of illness on both patients and families, the authors write, historically the patient-physician relationship has focused on the patient and his / her rights and interests with less attention to the patient's experience within the context of his / her family and social relationships. Contemporary bioethics with its emphasis on patient autonomy and confidentiality has supported this model but is beginning to recognize the need for a family-centered approach.


'/>"/>

Contact: Steve Majewski
smajewski@acponline.org
215-351-2514
American College of Physicians
Source:Eurekalert

Related medicine news :

1. Scientists highlight benefits of genetic research in sport, but warn of ethical concerns
2. Long-awaited international ethical guidelines for biobank researchers
3. Penn wins $5M to start center for ethical, legal and social implications research
4. Springer to publish new journal focusing on ethical issues in neuroscience
5. Genetic testing in newborns and children: Ethical issues affecting families and physicians
6. Ethisphere Institute Names SCA to List of Top Ethical Companies
7. Stem cell research from an ethical point of view
8. Legal and ethical issues in medical physics
9. Disaster medicine ethical guidelines needed for US health-care professionals
10. AxoGen Awarded Accreditation from American Association of Tissue Banks : Decision Affirms AxoGen's Commitment to Safety and Ethicality in the Development and Distribution of AVANCE Nerve Graft for Treatment of Peripheral Nerve Injuries
11. Kevin P. Miller's Film "Generation RX" Reveals Widespread Ethical Conflicts, Risks of Psychiatric Drugs to Children
Post Your Comments:
*Name:
*Comment:
*Email:
(Date:10/13/2017)... Pa. (PRWEB) , ... October 13, 2017 , ... While ... dark poses a problem. Fortunately, an inventor from Austin, Texas, has identified a solution. ... to medication in darkness or restricted lighting. As such, it eliminates the need to ...
(Date:10/13/2017)... , ... October 13, 2017 , ... ... the certification process to promote standards of excellence for the field of eating ... for March 22 – 25, 2018 in Orlando, Florida at the Omni Resort ...
(Date:10/13/2017)... ... October 13, 2017 , ... Southern ... and Jennifer Huggins, PharmD ’17, along with clinical associate professor Janice Frueh, ... cardiovascular diseases during the 15th Annual Women’s Health Conference. The SIU School ...
(Date:10/13/2017)... ... October 13, 2017 , ... Apple Rehab Shelton Lakes , ... mock evacuation of the facility as part of a disaster drill on October 3rd. ... EMS and Shelton City Emergency Manager, as well as the Connecticut Long Term ...
(Date:10/13/2017)... ... October 13, 2017 , ... The Visiting Nurse Association (VNA) ... a collection of specialty vendors and unique items from across the nation, this holiday-themed ... and wellness services offered by the VNA. The boutique will be open Saturday, ...
Breaking Medicine News(10 mins):
(Date:9/27/2017)... and NEW YORK , Sept. 27, 2017 /PRNewswire/ ... health and big data solutions, today announced that its MyDario product is ... your local TV listings for when The Dr. Oz Show airs in ... The nine-time ... month. ...
(Date:9/22/2017)... Sept. 22, 2017 AVACEN Medical (AVACEN) announced ... now successfully helping those with the widespread pain associated ... diagnosed Amanda in Essex, England ... my hair, experiencing no sleep at all, tremendous pain, ... I cannot recommend [the AVACEN 100] enough, how this ...
(Date:9/13/2017)... Sept. 13, 2017   OrthoAtlanta has been named ... Football Host Committee (AFHC) for the 2018 College Football Playoff ... 2018, at Mercedes-Benz Stadium in Atlanta, Georgia ... AFHC "I,m In" campaign, participating in many activities leading up ... ...
Breaking Medicine Technology: