Enskär K
Nurs Ethics. 1995 Mar;2(1):51-62. doi: 10.1177/096973309500200107.
In recent decades the improved treatment of childhood cancer has increased the proportion of children being cured. However, the intensive treatment required also implies a heavy burden for the children and their families. The purpose of this article is to judge the ethical aspects of different treatment regimens used for children with cancer by means of a case study. The analysis is based on the ethical model by Beauchamp and Childress. The assessment is based on every person, or group of persons, involved and is on the principles of autonomy, nonmaleficence, beneficence and justice. The analysis shows that intensification of treatment of children with cancer is ethically justified from a deontological point of view. The consequences are more difficult to anticipate from a utilitarian perspective.
近几十年来，儿童癌症治疗水平的提高增加了治愈儿童的比例。然而，所需的强化治疗对儿童及其家庭来说也是沉重的负担。本文旨在通过一个案例研究来评判用于癌症儿童的不同治疗方案的伦理问题。该分析基于博尚和奇尔德雷斯的伦理模型。评估基于每一个涉及的个人或人群，并依据自主、不伤害、行善和公正的原则。分析表明，从道义论的角度来看，强化癌症儿童的治疗在伦理上是合理的。从功利主义的角度来看，后果则更难预测。
