Are ethics always humane?

The telephone in the oncology ward rang: the casualty nurse on the other side said that a patient with cancer was bleeding profusely from the oral cavity. The intent of treatment was palliative, so, as per departmental protocol, I suggested palliative radiotherapy (30 Gy in ten fractions, 3 Gy per f...

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Veröffentlicht in:The lancet oncology 2020-01, Vol.21 (1), p.31-32
1. Verfasser: Malik, Deepika
Format: Artikel
Sprache:eng
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Zusammenfassung:The telephone in the oncology ward rang: the casualty nurse on the other side said that a patient with cancer was bleeding profusely from the oral cavity. The intent of treatment was palliative, so, as per departmental protocol, I suggested palliative radiotherapy (30 Gy in ten fractions, 3 Gy per fraction per day for 5 days a week during 2 weeks), palliative single-drug chemotherapy (intravenous paclitaxel 175 mg/m2 on day 1 every 3 weeks with neutropenia education and precautions [ie, avoiding busy public places such as railway stations, bus stops, avoiding outside food, avoiding contact with sick people] for three cycles followed by assessment), or best supportive care. Sometimes chemotherapy could have some serious side-effects like white cells in your blood which help us fight infections may go very low, which may lead to infections and fever. Are we trying to shift the responsibility of being the decision maker to ease ourselves of the accountability? I explained to them about the palliative intent of treatment for Manjubai, but forgot that palliative care is needed for the family as well.
ISSN:1470-2045
1474-5488
DOI:10.1016/S1470-2045(19)30722-3