title: At the coalface: medical ethics in practice. A double dose of double effect.
abstract: This paper presents a clinically orientated illustration of the doctrine of double effect. The case of an elderly gentleman with advanced cancer is discussed, with particular emphasis on two dilemmas encountered during the terminal phase of his illness. The author describes how the doctrine of double effect was applied to help the team make some complex management decisions.
authors.affiliation: St Peter's Hospice, Bristol.
authors.forename: C E
authors.initials: CE
authors.lastname: Kendall
mesh_terms: D000368:Aged; D015360:Analgesia, Epidural; D004008:Diclofenac / Q000009:adverse effects; D034723:Double Effect Principle; D004989:Ethics; D004992:Ethics, Medical; D006801:Humans; D033182:Intention; D008297:Male; D010166:Palliative Care / Q000331:legislation & jurisprudence*; D018570:Risk Assessment; D013727:Terminal Care / Q000331:legislation & jurisprudence*
chemical_list: D004008:Diclofenac