Prise en charge clinique en physiothérapie oncologique: promotion d’une décision partagée dans le contexte des soins palliatifs
Many physiotherapists are reluctant to treat a client with bone metastases, as treatment indications are not clearly defined. The paradigmatic case presented here, and a review of the literature, allow us to highlight some ethical and clinical issues in physiotherapy care at the end of life, particu...
| Main Authors: | , , |
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| Format: | Article |
| Language: | English |
| Published: |
BioéthiqueOnline
2013-06-01
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| Series: | BioéthiqueOnline |
| Subjects: | |
| Online Access: | http://bioethiqueonline.ca/2/6 |
| _version_ | 1819036307445252096 |
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| author | Grégoire, Stéphanie Maltais, Claudia Laliberté, Maude |
| author_facet | Grégoire, Stéphanie Maltais, Claudia Laliberté, Maude |
| author_sort | Grégoire, Stéphanie |
| collection | DOAJ |
| description | Many physiotherapists are reluctant to treat a client with bone metastases, as treatment indications are not clearly defined. The paradigmatic case presented here, and a review of the literature, allow us to highlight some ethical and clinical issues in physiotherapy care at the end of life, particularly for patients with bone metastases. The objective of this article is not to create an ethical decision making model but rather to serve as additional guidance to existing decision models in rehabilitation. This guidance is based on principlism and is specific to the oncology clients in palliative care. The proposed principles, without being exhaustive, are beneficence, non-maleficence, respect for autonomy and justice. With a review of clinical indications and precautions, the article also helps to clarify both the theoretical and the evidence-based risks. These principles provide avenues for reflection to guide the management of these patients. The physiotherapist will then be able to conduct a critical analysis, in collaboration with the interdisciplinary team, whose goal is to respect the client’s right to appropriate care at the right time and that is based on clinical need. |
| first_indexed | 2024-12-21T08:03:27Z |
| format | Article |
| id | doaj.art-594a79e4917b4fd4a7c55c05b6499b2b |
| institution | Directory Open Access Journal |
| issn | 1923-2799 |
| language | English |
| last_indexed | 2024-12-21T08:03:27Z |
| publishDate | 2013-06-01 |
| publisher | BioéthiqueOnline |
| record_format | Article |
| series | BioéthiqueOnline |
| spelling | doaj.art-594a79e4917b4fd4a7c55c05b6499b2b2022-12-21T19:10:51ZengBioéthiqueOnlineBioéthiqueOnline1923-27992013-06-0126Prise en charge clinique en physiothérapie oncologique: promotion d’une décision partagée dans le contexte des soins palliatifsGrégoire, StéphanieMaltais, ClaudiaLaliberté, MaudeMany physiotherapists are reluctant to treat a client with bone metastases, as treatment indications are not clearly defined. The paradigmatic case presented here, and a review of the literature, allow us to highlight some ethical and clinical issues in physiotherapy care at the end of life, particularly for patients with bone metastases. The objective of this article is not to create an ethical decision making model but rather to serve as additional guidance to existing decision models in rehabilitation. This guidance is based on principlism and is specific to the oncology clients in palliative care. The proposed principles, without being exhaustive, are beneficence, non-maleficence, respect for autonomy and justice. With a review of clinical indications and precautions, the article also helps to clarify both the theoretical and the evidence-based risks. These principles provide avenues for reflection to guide the management of these patients. The physiotherapist will then be able to conduct a critical analysis, in collaboration with the interdisciplinary team, whose goal is to respect the client’s right to appropriate care at the right time and that is based on clinical need.http://bioethiqueonline.ca/2/6Principlismoncologybone metastasesphysiotherapypalliative carecode of ethics |
| spellingShingle | Grégoire, Stéphanie Maltais, Claudia Laliberté, Maude Prise en charge clinique en physiothérapie oncologique: promotion d’une décision partagée dans le contexte des soins palliatifs BioéthiqueOnline Principlism oncology bone metastases physiotherapy palliative care code of ethics |
| title | Prise en charge clinique en physiothérapie oncologique: promotion d’une décision partagée dans le contexte des soins palliatifs |
| title_full | Prise en charge clinique en physiothérapie oncologique: promotion d’une décision partagée dans le contexte des soins palliatifs |
| title_fullStr | Prise en charge clinique en physiothérapie oncologique: promotion d’une décision partagée dans le contexte des soins palliatifs |
| title_full_unstemmed | Prise en charge clinique en physiothérapie oncologique: promotion d’une décision partagée dans le contexte des soins palliatifs |
| title_short | Prise en charge clinique en physiothérapie oncologique: promotion d’une décision partagée dans le contexte des soins palliatifs |
| title_sort | prise en charge clinique en physiotherapie oncologique promotion d une decision partagee dans le contexte des soins palliatifs |
| topic | Principlism oncology bone metastases physiotherapy palliative care code of ethics |
| url | http://bioethiqueonline.ca/2/6 |
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