Palliative care is required for incurable advanced-stage cancer and other incurable chronic diseases. Various aspects of palliative care, such as pain and symptom control, psychosocial care and end-of-life issues, should be addressed ethically. The cardinal ethical principles to be followed are autonomy, beneficence, nonmaleficence and justice. Palliative care experts and team members should perform their duties with integrity and dignity. Suffering from pain and the unavailability of morphine are considered neglect of human rights. There are practical ethical challenges that need to be addressed. Truth, place of care, continuity of effective palliative care until the last days of life, confidentiality, use of antibiotics and blood transfusion. Progress in palliative care will come from good research, and clinicians should undertake trials and studies in a legal and ethical manner. The provision of palliative care and medical ethics are complementary, and their use together maximises the protection and satisfaction available to the vulnerable patient and family members.
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