Ethical Principles for Everyone
Authors: Frédéric Pochard, Marc Grassin, Elie Azoulay
Journal: Annals of Internal Medicine (2001)

Letters19 June 2001Ethical Principles for EveryoneFrédéric Pochard, MD, PhD, Marc Grassin, PharmD, PhD, and Elie Azoulay, MDFrédéric Pochard, MD, PhDCentre Hospitalier Universitaire Cochin Port Royal; 75679 Paris Cedex 14 France (Pochard)UFR Necker Enfants Malades; 75015 Paris, France (Grassin)Centre Hospitalier Universitaire Saint Louis; 75010 Paris, France (Azoulay)Search for more papers by this author, Marc Grassin, PharmD, PhDCentre Hospitalier Universitaire Cochin Port Royal; 75679 Paris Cedex 14 France (Pochard)UFR Necker Enfants Malades; 75015 Paris, France (Grassin)Centre Hospitalier Universitaire Saint Louis; 75010 Paris, France (Azoulay)Search for more papers by this author, and Elie Azoulay, MDCentre Hospitalier Universitaire Cochin Port Royal; 75679 Paris Cedex 14 France (Pochard)UFR Necker Enfants Malades; 75015 Paris, France (Grassin)Centre Hospitalier Universitaire Saint Louis; 75010 Paris, France (Azoulay)Search for more papers by this authorAuthor, Article, and Disclosure Informationhttps://doi.org/10.7326/0003-4819-134-12-200106190-00024 SectionsAboutFull TextPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissions ShareFacebookTwitterLinkedInRedditEmail TO THE EDITOR:We support the Tavistock ethical principles described by Frank Davidoff (1). When used alone, the principles of beneficence, nonmaleficence, patient autonomy, and distributive justice are inadequate, particularly under challenge from technical and social advances. We believe that medical guidelines cannot anticipate each unique combination of patient, family, and medical condition. For example, intensivists are currently in a double bind, in a process that can lead to psychological crises: either promoting assault by continuing unwanted care for a patient, or promoting an alternative form of assault by forgoing care. The aim of crisis resolution is not to find ...References1. Davidoff F. Changing the subject: ethical principles for everyone in health care [Editorial]. Ann Intern Med. 2000;133:386-9. [PMID: 0010979885] LinkGoogle Scholar2. Pochard F, Grassin M, Herve C. Palliative options at the end of life [Letter]. JAMA. 1998;279:1065-6. [PMID: 9546557] CrossrefMedlineGoogle Scholar3. Pochard F, Grassin M, Le Roux N, Herve C. Medical secrecy or disclosure in HIV transmission: a physician's ethical conflict [Letter]. Arch Intern Med. 1998;158:1716. [PMID: 9701108] CrossrefMedlineGoogle Scholar Author, Article, and Disclosure InformationAuthors: Frédéric Pochard, MD, PhD; Marc Grassin, PharmD, PhD; Elie Azoulay, MDAffiliations: Centre Hospitalier Universitaire Cochin Port Royal; 75679 Paris Cedex 14 France (Pochard)UFR Necker Enfants Malades; 75015 Paris, France (Grassin)Centre Hospitalier Universitaire Saint Louis; 75010 Paris, France (Azoulay) PreviousarticleNextarticle Advertisement FiguresReferencesRelatedDetailsSee AlsoChanging the Subject: Ethical Principles for Everyone in Health Care Frank Davidoff Ethical Principles for Everyone Nelson G. Goodman Ethical Principles for Everyone Frank Davidoff Ethical Principles for Everyone Joseph J. Mazza Ethical Principles for Everyone Alan R. Nelson Metrics Cited byAdmission decisions to intensive care units in the context of the major COVID-19 outbreak: local guidance from the COVID-19 Paris-region areaInvolvement of ICU families in decisions: fine-tuning the partnershipLimitation des thérapeutiques actives en médecine d’urgence préhospitalièreEnquête de satisfaction de familles de patients hospitalisés en réanimationImplication des familles des patients de réanimation dans le processus décisionnel : nuances et contextualitéQuality and impact of information about interventional rheumatology: A study in 119 patients undergoing fluoroscopy-guided proceduresQualité et impact de l'information en rhumatologie interventionnelle: une étude auprès de 119 patients bénéficiant d'un geste sous scopieSymptoms of anxiety and depression in family members of intensive care unit patients before discharge or death. A prospective multicenter studyCommunication with family members of patients dying in the intensive care unitPatient Autonomy and the End of LifeHow Can We Evaluate Information Provided to Family Members in the ICU?Informing Family Members of Critically Ill PatientsImpact of a Family Information Leaflet on Effectiveness of Information Provided to Family Members of Intensive Care Unit Patients 19 June 2001Volume 134, Issue 12Page: 1152KeywordsAssaultCaregiversMedical conditionsMedical ethicsPatients ePublished: 19 June 2001 Issue Published: 19 June 2001 Copyright & PermissionsCopyright © 2001 by American College of Physicians. All Rights Reserved.PDF downloadLoading ...