| Summary: | Understanding ethical decision-making in the context of “end of life” and other health care situations is examined using a model, which describes the process of decision-making and the influences of resources, knowledge, values, responsibility and the law. Social Work case examples from various health care settings illustrate the process and influences, giving particular attention to end of life issues. Social Work practice challenges, guidelines and suggestions are outlined in the article. The role of the social worker and the influences of the social workers’ own values, knowledge and beliefs, such as the client-centered approach and empowerment, are seen as important components of the process and influences.
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