{'fraction_non_alphanumeric': 0.018992568125516102, 'fraction_numerical': 0.0016515276630883566, 'mean_word_length': 4.534246575342466, 'pattern_counts': {'":': 0, '<': 0, '<?xml version=': 0, '>': 0, 'https://': 0, 'lorem ipsum': 0, 'www.': 0, 'xml': 0}, 'pii_count': 0, 'substrings_counts': 0, 'word_list_counts': {'cursed_substrings.json': 0, 'profanity_word_list.json': 0, 'sexual_word_list.json': 0, 'zh_pornsignals.json': 0}}
The Program of Palliative Medicine and Care in the Curriculum of Sixth-Year Medical Students in Poland

has rights and to whom the ethical principle of free and informed consent (6) still applies. This principle is difficult to apply when the patient is unable to speak. In such cases it is impossible to be sure what it is that he or she wants. We must also consider each individual's ambivalent feelings, which are bound to make any decision an uncertain one. It adds considerably to a patient's sense of security, therefore, to make it known that he or she has every right to reverse a decision. We make proposals by discussing the advantages and disadvantages of each option; at the end of the dialogue the final decision is made by the doctor in charge. This procedure does not guarantee that mistakes will not be made: there is no assurance that we have chosen the best possible solution, or the lesser of two evils. It is necessary to review the situation later, together with other health care staff, to see what the consequences of our decisions have been. This experience with clinical ethics has helped us to integrate discussion of clinical examples into the palliative care workshops at H6tel-Dieu.