Ethical Considerations in the Treatment of Head and Neck Cancer

Schenck, David

doi:10.1177/107327480200900506

Cited by 23 publications

(18 citation statements)

References 19 publications

(14 reference statements)

Supporting

Mentioning

Contrasting

Order By: Relevance

“…The consequences of the disease upon appearance and function are particularly difficult to reconcile, especially in the face of an inherently challenging patient cohort often exhibiting widely prevalent substance abuse and frequent social isolation . Concerns regarding appearance are by no means purely superficial, and aesthetic disfigurement and physiologic dysfunction are frequently interrelated to fundamental issues of identity among those with head and neck cancer …”

Section: Introductionmentioning

confidence: 99%

Clinical ethics consultation in patients with head and neck cancer

et al. 2012

View full text Add to dashboard Cite

show abstract

Section: Introductionmentioning

confidence: 99%

Clinical ethics consultation in patients with head and neck cancer

et al. 2012

View full text Add to dashboard Cite

show abstract

“… Algorithm for biomedical ethical decision-making (adapted from Schenck ( 38 ) and Botha et al ( 39 )). …”

Section: Discussionmentioning

confidence: 99%

“…The immediate concern is clearly what is suitable for the woman medically, but that is followed closely by an attempt to understand the patient’s overall good—e.g., psychological good, good in terms of family and relations, spiritual good, and good in terms of the patient’s preceding life history and values. While ensuring the good of the woman is the primary aim, this is insufficient in itself, as the goods of fetus and others must also be considered ( 38 ).…”

Section: Discussionmentioning

confidence: 99%

Cancer During Pregnancy: How to Handle the Bioethical Dilemmas?—A Scoping Review With Paradigmatic Cases-Based Analysis

et al. 2020

View full text Add to dashboard Cite

Ethical issues that arise during the care of a pregnant woman with cancer are challenging to physicians, policymakers, lawyers, and the bioethics community. The main purpose of this scoping review is to summarize existing literature regarding the bioethical dilemmas when a conflict arises in the maternal-fetus dyad, like the one related to cancer and pregnancy outcomes. Moreover, we illustrate the decision-making process of real-life case reports. Published data were searched through the PubMed and Google Scholar databases, as well as in grey literature, using appropriate controlled keywords in English and Portuguese. After identification, screening, eligibility and data extraction from the articles, a total of 50 was selected. There are several established ethical frameworks for conflict resolution and decision-making. Pragmatic theoretical approaches include case-based analysis, the ethics of care, feminist theory, and traditional ethical principlism that scrutinizes the framework of autonomy, justice, beneficence, and non-maleficence. In addition, society and practitioner values could mediate this complex ethical interplay. The physician must balance autonomy and beneficence-based obligations to the pregnant woman with cancer, along with beneficence-based obligations to the fetus. Ethical challenges have received less attention in the literature, particularly before the third trimester of pregnancy. Best, unbiased and balanced information must be granted both to the patient and to the family, regarding the benefits and harms for the woman herself as well as for the fetal outcome. Based on a previously validated method for analyzing and working up clinical ethical problems, we suggest an adaptation of an algorithm for biomedical decision-making in cancer during pregnancy, including recommendations that can facilitate counseling and help reduce the suffering of the patient and her family.

show abstract

“…Indeed, the patient's perspective on what is or is not an intimate examination must be central during physical exam of the head and neck. [33] Several authors reviewed obtained Research Ethics Board approval for their study [18,24,25,29] yet many did not. Miser [34] distinguishes between curricular evaluation and education research and highlights the need to involve earlier in the process the ethics review board.…”

Section: Discussionmentioning

confidence: 99%

The practice and teaching of palpation of the head and neck: A scoping review

Epstein

Herne²,

Masita³

et al. 2017

JNEP

View full text Add to dashboard Cite

Objective: To explore how palpation of the head and neck is practiced and taught. Methods: The scoping review methodology was guided by Arksey and O'Malley's five-stage approach. Three experienced and independent reviewers searched nine databases according to a predetermine inclusion and exclusion criteria. Results: A total of 15 articles from medicine, chiropractic and dentistry published between 1987 and 2016 were included. Two overarching themes emerged, a Cartesian and a Pragmatic perspective in practicing and teaching palpating of the head and neck. Although both perspectives are valuable, we advocate to practice and teach palpation of head and neck from a Pragmatic perspective particularly with the increase use of ultrasound technology to detect masses. A pragmatic perspective takes into account the patient's context, the ethics of care and highlights the importance of health care providers fostering interpersonal relationships with others during physical assessment. Conclusions: Although nursing studies were absent from this review we believe nurses play a vital role when they are aware of the Cartesian and Pragmatics perspectives when practicing and teaching head and neck palpation as part of a physical assessment. Learning how other disciplines are practicing and teaching head and neck palpation skills will improve interdisciplinary collaboration.

show abstract

Ethical Considerations in the Treatment of Head and Neck Cancer

Abstract: Bioethical decision making requires the integration of virtues with principles, followed by the application of these standards to each patient.

Cited by 23 publications

References 19 publications

Clinical ethics consultation in patients with head and neck cancer

Clinical ethics consultation in patients with head and neck cancer

Cancer During Pregnancy: How to Handle the Bioethical Dilemmas?—A Scoping Review With Paradigmatic Cases-Based Analysis

The practice and teaching of palpation of the head and neck: A scoping review

Contact Info

Product

Resources

About