No single person should make decisions about for whom or according to which criteria palliative surgery is clinically and ethically appropriate.

Differentiating between best palliative care options and the curative and palliative potential of surgery is key to developing dual intentional clarity.

This commentary on a case considers moral reasons to adopt a palliative approach to the care of some psychiatric patients.

Futility can function as a moral counterweight to a duty to treat, helping clinicians  find balance between over- and undertreatment. 

Palliative psychiatry can facilitate compassionate resolution of ethical conflicts in end-of-life care decision making with persons with substance use disorders.  

This article examines conceptual limitations of extant accounts of palliative psychiatry, with a focus on obligations to distinguish among and clearly formulate goals of care. 

Ethics questions about care of patients with AD could influence clinicians’ judgment about whether and when to recommend aducanumab.

For dying patients and their loved ones to make informed decisions, physicians must share adequate information about prognoses, prospective benefits and harms of specific interventions, and costs.

Ethical dimensions of risk management are illuminated in AMA Code content on discharge planning.

Tension between realistic goals and unrealistic views about how to achieve them is compounded when patients are eager to revise a prior surgeon’s gender-affirming procedure.