the last phase of life. "To help realize this, every person should be able to expect fair the following elements of care from physicians, health care institutions, and the community" (American Medical Association, 2015). Example of the elements are such the opportunity to
3 discuss and plan for end-of-life care, management of terminal symptoms and assistance of specialty colleagues, preferences for withholding or withdrawing life-sustaining intervention, or attention to the personal goals of the dying person, etc (American Medical Association, 2015). Physicians' moral senses often conflict with the ethical principle of patient autonomy. Do people have a choice to die if they cannot bear their sickness? Should health care professionals be truthful to their patients if they are near the end-of-life condition? Physicians are trained to treat patients and keep them alive. They morally know this is their job; however, they are caught in the ethical dilemma, patient's autonomy. Morrison (2011) noted the principle of autonomy is that one is free from the control of others and have the capacity to make his life choices. Autonomy is more than just making informed choices. Physicians should have a conversation with the patients about their disease progression and provide them with recommendations including all of the options available and the practitioner's best assessment of the best choice (Morrison, 2011). Meanwhile, if the physician is withholding the truth from patients, he will lose the trust relationship with them. It can be a judgmental decision because the physician needs to consider patients' emotion state to accept the truth. Truth-telling is not limited to the clinical aspects of health care. The autonomy of truth-telling has positive influence to patients
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- Americal Medical Association.