A detailed investigation of the origins of the aphorism was reported by the clinical pharmacologist Cedric M. So why the confusion?
This is already a guiding principle of palliative care and is widely accepted. Aid — and how it is administered — can cause harm or can strengthen capacities for peace in the midst of conflict-affected communities.
He is writing a book about medicine and the body to be called Adventures in Human Being. Smith, the phrase "primum non nocere" does not appear in medical texts until the midth century, when it is attributed to the 17th century English physician Thomas Sydenham.
Take, for example, this related section which has been translated as: I will follow that system of regimen which, according to my ability and judgment, I consider for the benefit of my patients, and abstain from whatever is deleterious and mischievous.
I will give no deadly medicine to anyone if asked, nor suggest any such counsel, and in like manner I will not give to a woman a pessary to produce abortion. Shmerling, Robert H.
Stimsonused the expression in and again in in the same journal. However, it is not clear that "abstain from whatever is deleterious" is equivalent to "doing no harm. However, data on these reports do not tell how often "primum non nocere" is included as part of the oath.
The only reasonable course of care is to offer comfort, support, and relief of suffering. At graduation, some deans read the oath while the students stand silent; in others, the students repeat a modern version of the oath at the graduation ceremony.
Even the simplest of therapies carries the risk of making things worse.