Assumptions And Principles Underlying Standards For Care Of The Terminally Ill

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so that the patient receives continuous appropriate care. The
patient should not be subjected to aggressive treatment that offers no hope of
being effective in curing or controlling the disease and may only cause further
distress. Obviously, the clinician must be on the alert for any shifts that may
occur in the course of a terminal illness, which make the patient again a
candidate for active treatment.

Patients suffer not only from inappropriate active care, but also from inept
terminal care. This is well documented by studies that only confirm what dying
patients and their families know at first hand.

These principles have been prepared as an aid to those who have initiated or are
planning programs for the terminally ill in delineating standards of care.

GENERAL ASSUMPTIONS AND PRINCIPLES

The care of the dying is a process involving needs of the patient, family, and
caregivers. The interaction of these three groups of individuals must constantly
be assessed with the aim being ...

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