Ethical Challenges in Palliative Care Nursing: Balancing Patient Autonomy and Comfort

Abstract

Palliative care nursing involves providing holistic care to patients with life-limiting illnesses, prioritizing comfort and quality of life. However, it presents complex ethical challenges, particularly in balancing patient autonomy and comfort. This review explores the ethical tensions nurses face in respecting patient autonomy while ensuring effective symptom management and comfort. It examines dilemmas such as honoring advance directives, managing conflicts between patients' wishes and family or medical team decisions, and addressing cultural and spiritual values in care. Strategies to navigate these challenges, including ethical frameworks, interdisciplinary collaboration, and communication skills, are discussed. The paper highlights the need for ongoing education and policy development to empower nurses to make ethically sound decisions in this emotionally demanding field. Addressing these challenges is essential to uphold the dignity and well-being of patients in palliative care.