This book is the product of the three-year collaboration between scholars and clinicians working in seven European countries, as
part of the Pallium project under the leadership of Professor Henk ten Have.
The first section describes the historical background of palliative care and how it has developed in various European contexts and
discusses common goals. Part II presents the results of a European survey regarding moral values in palliative care and discusses the evolution of palliative care ethics from the principles of
moral philosophy. The third section, which I will call the "clinical chapters", provides clearly written and well researched discussions of the central bioethical issues of palliative
care practice - autonomy, sedation, euthanasia, research and futility.
This book is a major contribution to the continuing discussion of ethical issues as they relate to palliative care. Although written
about the European experience, the material dealt with has world-wide relevance. In particular, the "clinical chapters" are first class and relevant to anyone who works in palliative
care.
Roger Woodruff
Director of Palliative Care, Austin & Repatriation Medical Centre, Melbourne, Australia
(January 2003)
Author Information
Henk ten Have is Professor of Medical Ethics in the University Medical Centre, Nijmegen, The Netherlands David Clark is Professor
of Medical Sociology within the Palliative Medicine Academic Unit at the University of Sheffield, UK
Table of Contents
Introduction 1
PART I Concepts and Models of Care
1. Palliative care and the historical background 18 nGracia
2. Palliative care service development in seven European countries 34 Clark, Have, Janssens
3. Conceptual tensions in European palliative care 52 Clark, Have, Janssens PART II Moral Values
4. Moral values in palliative care: a European comparison 72 Janssens, Have, Broeckaert, Clark, Gracia, Illhardt, Lantz, Privitera,
Schotsmans
5. From conviction to responsibility in palliative care ethics 8 Gracia
6. Good death or good life as a goal of palliative care Dekkers, Sandman, Webb
7. Palliative care: A relation approach 126 Schotsmans PART III Ethics and Palliative Care Practice
8. Respect for autonomy in palliative care 145 Woods
9. Sedation in palliative care: facts and concepts 166 Broeckaert and Orlate
10. Euthanasia and physician-assisted suicide 181 Gordijn, Crul, Zylicz
11. Research ethics in palliative care n198 Illhardt, Have
12. Futility, limits and palliative care 212 Have, Janssens
13. Conclusions: Ethics and palliative care 223
Have, Clark
Index 253
