Deception, Pain, and Placebo: Applying the Brummett-Salter Deception Framework.
beneficence
clinical ethics
deception
lying
pain management
placebo
Journal
The Hastings Center report
ISSN: 1552-146X
Titre abrégé: Hastings Cent Rep
Pays: United States
ID NLM: 0410447
Informations de publication
Date de publication:
Jan 2023
Jan 2023
Historique:
entrez:
25
2
2023
pubmed:
26
2
2023
medline:
3
3
2023
Statut:
ppublish
Résumé
In this commentary, I explore the usefulness of the framework Abram Brummett and Erica K. Salter present in their article "Mapping the Moral Terrain of Clinical Deception." Deception cases are divisive because they nearly always evoke the metadilemma of clinical ethics: a clash between duties (in these cases, truth telling) and consequences (whatever good might come of the lie). Here, I describe a patient case in which the clinical team considered deceiving a patient about his pain-medicine dosage in exchange for his allowing the clinicians to properly care for his percutaneous endoscopic gastrostomy tube stoma, so as to prevent infection. Applying the framework that Brummett and Salter have developed helped our clinical team parse the numerous complex issues involved. The nuances of our case also illustrated additional ways in which the ethics of deception needs to be further refined.
Types de publication
Case Reports
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
30-32Informations de copyright
© 2023 The Hastings Center.
Références
A. Brummett and E. K. Salter, “Mapping the Moral Terrain of Clinical Deception,” Hastings Center Report 53, no. 1 (2023): 17-25.
Ibid.
J. A. Wasserman and M. C. Navin, “Capacity for Preferences: Respecting Patients with Compromised Decision-Making,” Hastings Center Report 48, no. 3 (2018): 31-39.
D. K. Sokol, “Can Deceiving Patients Be Morally Acceptable?,” BMJ 334 (2007): 984-86.; Brummett and Salter, “Mapping the Moral Terrain of Clinical Deception.”
Brummett and Salter, “Mapping the Moral Terrain of Clinical Deception,” 18.
Brummett and Salter, “Mapping the Moral Terrain of Clinical Deception”; Sokol, “Can Deceiving Patients Be Morally Acceptable?”
Sokol, “Can Deceiving Patients Be Morally Acceptable?”