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Useful Ethical Principles during the Care of Patients with Cerebral Damage | OMICS International | Abstract
ISSN: 2376-0281

International Journal of Neurorehabilitation
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Research Article

Useful Ethical Principles during the Care of Patients with Cerebral Damage

Antonio Catano1*, Paul Robert1, Myriam Houa1, Dan Hutanu1, Sabri El Banna2 and Luc Bissen3

1Department of Rehabilitation, CHU Charleroi−Vésale, Belgium

2Department of Orthopaedics & Traumatology, CHU Charleroi−Vésale, Belgium

3Medical director, CHU Charleroi−Vésale, Belgium

Corresponding Author:
Catano Antonio
Head of Department of Rehabilitation
University Hospital Centre of Charleroi−Vésale
706 Rue de Gozée,B−6110 Montignyle-Tilleul, Belgium
Tel: +3271923742; +32 475 423527
Fax: +3271922951
E-mail: [email protected], [email protected]

Received Date: February 25, 2015; Accepted Date: June 22, 2015; Published Date: June 29, 2015

Citation: Catano A, Robert P, Houa M, Hutanu D, Banna SEl, et al. (2015) Useful Ethical Principles during the Care of Patients with Cerebral Damage. Int J Neurorehabilitation 2:167. doi:10.4172/2376-0281.1000167

Copyright: © 2015 Catano A, et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.


This article reviews fundamental principles related to ethics and patient care, with an emphasis on neurological disorders. The respect of the principle of autonomy is essential for patients. This principle is now recognized as one of the fundamental rights of patients, not only in the legal field but also in the moral field. In ethics, other principles favour patients in their specific relationships with their physicians such as the principles of beneficence, non-maleficence and equity. Within the framework of their customary practice, doctors must also respect other ethical principles including proportionality, truthfulness and precaution. However, for patients with cerebral damage, respect for the principle of autonomy must be subordinate to effective legal competences. Otherwise, the decisions could be made by third parties such as families or doctors, at the risk of drifting from the patient’s own demands. A number of clinical situations may result in dilemmas or conflicts between the therapists or the nursing staffs and patients or their close relatives. Some specificities of Belgian law are discussed.