title: Ethical issues in pain management.
abstract: OBJECTIVE
  To review the ethical principles of autonomy, nonmaleficence, beneficence, and justice to assist in understanding nursing's ethical obligation to patients and families in the practice of pain management.
  
  
  METHODS
  Position papers, government guidelines, and nursing and legal literature.
  
  
  CONCLUSIONS
  Cancer pain management has been an issue in nursing and medical practice for more than a quarter of a century. Today we have numerous organisations that focus exclusively on the issue of pain and yet the oncology patient continues to have inadequate pain control.
  
  
  CONCLUSIONS
  With the acknowledgement that we have the technical skills and the physiological knowledge to reduce pain, yet it is not being done, health care professionals have begun to explore the ethics behind pain.
authors.affiliation: Regional Cancer Center, SwedishAmerican Hospital, 1400 Charles St, Rockford, IL 61104-2298, USA.
authors.forename: Carol J
authors.initials: CJ
authors.lastname: Swenson
mesh_terms: D004993:Ethics, Nursing; D005260:Female; D006801:Humans; D007591:Joint Commission on Accreditation of Healthcare Organizations; D008297:Male; D009859:Oncology Nursing / Q000331:legislation & jurisprudence*; D010146:Pain / Q000188:drug therapy*; D010166:Palliative Care / Q000523:psychology; D028701:Patient Rights / Q000331:legislation & jurisprudence; D014481:United States