A5014395702- Ethics in medical practice
- Palliative Care and End-of-Life Issues
- Ethics and Legal Issues in Pediatric Healthcare
- Disaster Response and Management
- Healthcare Decision-Making and Restraints
- Organ Donation and Transplantation
- Cardiac Arrest and Resuscitation
- Childhood Cancer Survivors' Quality of Life
- Medical Malpractice and Liability Issues
- Mechanical Circulatory Support Devices
- Legal Education and Practice Innovations
- Family and Patient Care in Intensive Care Units
- Religion, Spirituality, and Psychology
- Ethics in Clinical Research
- Optimism, Hope, and Well-being
- European Political History Analysis
- Heart Rate Variability and Autonomic Control
- Patient Dignity and Privacy
- Interpreting and Communication in Healthcare
- Innovations in Medical Education
- African history and culture analysis
- Cardiovascular and exercise physiology
- Hemodynamic Monitoring and Therapy
- Islamic Studies and History
- Grief, Bereavement, and Mental Health
Baylor College of Medicine
2016-2025
Iona College
2021
University of Southern California
2021
NYU Langone Health
2021
Methodist Hospital
2018-2020
Institute of Medical Ethics
2019
Committee on Publication Ethics
2019
Houston Methodist
2016-2018
Ethics and Public Policy Center
2017
Vanderbilt University
2013
Extracorporeal membrane oxygenation (ECMO) is typically viewed as a time-limited intervention—a bridge to recovery or transplant—not destination therapy. However, some patients with decision-making capacity request continued ECMO support despite poor prognosis for and lack of viability transplant candidate. In response, critical care teams have asked guidance regarding the ethical permissibility unilateral withdrawal over objections capacitated patient. this article, we evaluate several...
Abstract Language is the primary technology clinical ethicists use as they offer guidance about norms. Like any other piece of technology, to well requires attention, intention, skill, and knowledge. Word choice becomes a matter professional practice. The Brief Report offers several reasons for rejecting phrase “aggressive care.” Instead, should consider replacing care” with adjacent concept “recovery-focused path.” virtues this neologism include: opportunity set aside emotion “aggression,”...
Significant challenges arise for clinical care teams when a patient or surrogate decision-maker hopes miracle will occur. This article answers the question, "How should bioethicists respond medical uses hope to orient her decisions?" We argue ethicist must first understand complexity of miracle-invocation. To this end, we provide taxonomy miracle-invocations that assist in analyzing invocator's conceptions God, community, and self. After appreciates how these concepts influence worldview,...
This article discusses the triage response to COVID-19 delta variant surge of 2021. One issue that distinguishes wave from earlier surges is by time it became predominant strain in USA July 2021, safe and effective vaccines against had been available for all US adults several months. We consider whether healthcare professionals committees would have justified prioritising patients with who are vaccinated above those unvaccinated first-order or second-order triage. Given lack evidence a...
When parents or guardians hope for a miracle their child who is critically ill, ethical and professional challenges can arise. Often, although not always, the parent guardian's entails request continued life-sustaining interventions. Striking balance between pediatrician's conception of good medicine authority requires response that sensitive, practical, ethically sound. In this article, we recommend 3 cumulative steps promote such response. First, ways exploring essential issues through...
Although shared decision-making is a standard in medical care, unilateral decisions through process-based conflict resolution policies have been defended certain cases. In patients who do not stand to receive proportional clinical benefits, the harms involved interventions such as cardiopulmonary resuscitation seem run contrary principle of non-maleficence, and provision may cause clinicians significant moral distress. However, because application these involves taking choices out domain...
Critical care professionals in the United States are experiencing distress and frustration during recent delta-wave of coronavirus disease 2019 pandemic. This wave feels different because most, although not all, patients suffering with sequelae from who enter ICUs unvaccinated. Since vaccines safe, effective, widely available for people 12 older, severe cases now considered preventable. However, even when a is preventable, critical still have remaining role-based, ethical obligations to...
Bruce, Courtenay R. JD, MA; Bibler, Trevor PhD; Childress, Andrew Fedson, Savitri MD Author Information
Mr. M is an eighty-five-year-old who presented to the hospital with congestive heart failure exacerbation, pneumonia, altered mental status, and sepsis. A physician determines that he lacks capacity, team in intensive care unit looks patient's daughter, Celia, as his surrogate decision-maker because she named agent medical power of attorney form. While ICU, suffers acute respiratory distress secondary pneumonia thus requires intubation. Celia accepts several life-sustaining interventions,...
Abstract Lei, a twenty‐seven‐year‐old Mandarin speaker, visits the United States seeking curative treatments for his acute myeloid leukemia. His mother, Hua, has traveled with him. Neither she nor Lei speak English, and hospital does not have an onsite professional Mandarin‐speaking interpreter. Using interpreter over phone, Lei's oncologist, Dr. Branson, attempts to initiate face‐to‐face goals‐of‐care conversation Hua as surrogate decision‐maker. Branson explains that “only weeks months...