TY - CHAP M1 - Book, Section TI - Ethics, Palliative Care, and Care at the End of Life A1 - Hall, Daniel E. A1 - Angelos, Peter A1 - Dunn, Geoffrey P. A1 - Hinshaw, Daniel B. A1 - Pawlik, Timothy M. A2 - Brunicardi, F. Charles A2 - Andersen, Dana K. A2 - Billiar, Timothy R. A2 - Dunn, David L. A2 - Hunter, John G. A2 - Matthews, Jeffrey B. A2 - Pollock, Raphael E. Y1 - 2015 N1 - T2 - Schwartz's Principles of Surgery, 10e AB - The physician should document that the patient or surrogate has the capacity to make a medical decision.The physician discloses to the patient details regarding the diagnosis and treatment options sufficient for the patient to make an informed consent.Living wills are written to anticipate treatment options and choices in the event that a patient is rendered incompetent by a terminal illness.The durable power of attorney for healthcare identifies surrogate decision makers and invests them with the authority to make healthcare decisions on the patient’s behalf in the event that they are unable to speak for themselves.Surgeons should encourage their patients to clearly identify their surrogates early in the course of treatment.Earlier referral and wider use of palliative and hospice care may help more patients achieve their goals at the end of life.Seven requirements for the ethical conduct of clinical trials have been articulated: value, scientific validity, fair subject selection, favorable risk-benefit ratio, independent review, informed consent, and respect for enrolled subjects.Disclosure of error is consistent with recent ethical advances in medicine toward more openness with patients and the involvement of patients in their care. SN - PB - McGraw-Hill Education CY - New York, NY Y2 - 2024/04/18 UR - accessmedicine.mhmedical.com/content.aspx?aid=1117755531 ER -