This chapter discusses issues of consent to care, communication, assessment of psychosocial and spiritual status and needs, and decisions regarding interventions. It provides a comprehensive framework that is familiar and easily understood by those providing other aspects of palliative care, stressing that this discussion relates to the morality of the process of care, and is not intended to be a description of the care itself. Psychosocial and spiritual care must be subjected to moral scrutiny in the same way as physical care; consent must be sought and the potential harms and risks of care must be balanced against potential benefits. The discussion also considers counselling and counselling skills.
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