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accommodation, dignity of risk, ethics, hospices, nursing



  1. Kirk, Timothy W. PhD


Home hospice clinicians frequently care for patients who wish to remain in their homes, even when doing so poses a risk to patients' safety. Through the use of a running case study, this article introduces readers to the concepts of (a) the dignity of risk and (b) accommodation, arguing that such concepts can be used as ethical principles to help guide teams, patients, and family members in developing plans of care for such patients. As regulatory requirements dictate that US hospice nurses coordinate the care of home hospice patients, empowering such nurses to develop the capacity to integrate ethical decision making into their practice and engage their organization's ethics resources when struggling to balance competing care values supports sound clinical practice.