Complex Ethics Consultations

Author : Paul J. Ford,Denise M. Dudzinski
Publisher : Cambridge University Press
Page : 128 pages
File Size : 50,6 Mb
Release : 2008-06-26
Category : Medical
ISBN : 1107321115

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Complex Ethics Consultations by Paul J. Ford,Denise M. Dudzinski Pdf

Clinical ethicists encounter the most emotionally eviscerating medical cases possible. They struggle to facilitate resolutions founded on good reasoning embedded in compassionate care. This book fills the considerable gap between current texts and the continuing educational needs of those actually facing complex ethics consultations in hospital settings. 28 richly detailed cases explore the ethical reasoning, professional issues, and the emotional aspects of these impossibly difficult consultations. The cases are grouped together by theme to aid teaching, discussion and professional growth. The cases inform any reader who has a keen interest in the choices made in real-life medical dilemmas as well as the emotional cost to those who work to improve the situations. On a more advanced level, this book should be read by ethics committee members who participate in ethics consultations, individual ethics consultants, clinicians who seek education about complex clinical ethics cases, and bioethics students.

Author : Denise M. Dudzinski,Paul J. Ford
Publisher : Unknown
Page : 251 pages
File Size : 46,5 Mb
Release : 2008
Category : Medical ethics
ISBN : 0511414935

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Complex Ethics Consultations by Denise M. Dudzinski,Paul J. Ford Pdf

Clinical ethicists encounter the most emotionally eviscerating medical cases possible. They struggle to facilitate resolutions founded on good reasoning embedded in compassionate care. This book fills the considerable gap between current texts and the continuing educational needs of those actually facing complex ethics consultations in hospital settings. 28 richly detailed cases explore the ethical reasoning, professional issues, and the emotional aspects of these impossibly difficult consultations. The cases are grouped together by theme to aid teaching, discussion and professional growth. The cases inform any reader who has a keen interest in the choices made in real-life medical dilemmas as well as the emotional cost to those who work to improve the situations. On a more advanced level, this book should be read by ethics committee members who participate in ethics consultations, individual ethics consultants, clinicians who seek education about complex clinical ethics cases, and bioethics students.

Author : Katherine Wasson,Mark Kuczewski
Publisher : Springer Nature
Page : 259 pages
File Size : 47,6 Mb
Release : 2022-07-01
Category : Philosophy
ISBN : 9783030919160

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Thorny Issues in Clinical Ethics Consultation by Katherine Wasson,Mark Kuczewski Pdf

This book addresses new and evolving thorny issues in clinical ethics consultation. It is a book for our time. The contributors provide essential critical reflection on the standards and methods of training clinical ethics consultants as the field seeks to professionalize. This collection incorporates both North American and European experts, offering different perspectives on issues such as marginalized populations, the opioid epidemic, complex discharge, micro-managing families, and continually challenging issues at the end-of-life, such as determinations of brain death, physician-assisted death, and futility. The authors engage the complexities of choosing for others when making decisions for incapacitated adults and pediatric patients. This volume engages with the growing literature in these debates and offers new perspectives from both academics and practitioners. The readings are of particular interest to bioethicists, clinicians, ethics committees, and students in bioethics and beyond. These new essays advance discussions in the professionalization and certification of ethics consultants and offer crucial insights on new and evolving thorny issues in the practice of clinical ethics consultation.

Author : John-Stewart Gordon
Publisher : Routledge
Page : 236 pages
File Size : 49,6 Mb
Release : 2016-05-23
Category : Medical
ISBN : 9781317165071

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Clinical Ethics Consultation by John-Stewart Gordon Pdf

This volume brings together researchers from different European countries and disciplines who are involved in Clinical Ethics Consultation (CEC). The work provides an analysis of the theories and methods underlying CEC as well a discussion of practical issues regarding the implementation and evaluation of CEC. The first section deals with different possible approaches in CEC. The authors explore the question of how we should decide complex cases in clinical ethics, that is, which ethical theory, approach or method is most suitable in order to make an informed ethical decision. It also discusses whether clinical ethicists should be ethicists by education or rather well-trained facilitators with some ethical knowledge. The second chapter of this book focuses on practical aspects of the implementation of CEC structures. The analysis of experienced clinical ethicists refers to macro and micro levels in both developed and transitional countries. Research on the evaluation of CEC is at the centre of the final chapter of this volume. In this context conceptual as well as empirical challenges with respect to a sound approach to judgements about the quality of the work of CECs are described and suggestion for further research in this area are made. In summary this volumes brings together theorists and healthcare practitioners with expertise in CEC. In this respect the volume serves as good example for a multi- and interdisciplinary approach to clinical ethics which combines philosophical reasoning and empirical research.

Author : Mark P. Aulisio,Robert M. Arnold,Stuart J. Youngner
Publisher : JHU Press
Page : 248 pages
File Size : 43,5 Mb
Release : 2003-05-08
Category : Medical
ISBN : 0801871654

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Ethics Consultation by Mark P. Aulisio,Robert M. Arnold,Stuart J. Youngner Pdf

In the clinical setting, questions of medical ethics raise a host of perplexing problems, often complicated by conflicting perspectives and the need to make immediate decisions. In this volume, bioethicists and physicians provide a nuanced, in-depth approach to the difficult issues involved in bioethics consultation. Addressing the needs of researchers, clinicians, and other health professionals on the front lines of bioethics practice, the contributors focus primarily on practical concerns—whether ethics consultation is best done by individuals, teams, or committees; how an ethics consult service should be structured; the need for institutional support; and techniques and programs for educating and training staff—without neglecting more theoretical considerations, such as the importance of character or the viability of organizational ethics.

Author : Marion Danis,Emily Largent,Christine Grady,David Wendler,Sara Chandros Hull,Joseph Millum
Publisher : OUP USA
Page : 274 pages
File Size : 50,7 Mb
Release : 2012-04-18
Category : Medical
ISBN : 9780199798032

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Research Ethics Consultation by Marion Danis,Emily Largent,Christine Grady,David Wendler,Sara Chandros Hull,Joseph Millum Pdf

The National Institutes of Health Clinical Center's Bioethics Consultation Service draws on a decade of experience to share a collection of their most interesting and informative research ethics consultations. The result is insight into the ethical issues that arise in clinical research and the practice of research ethics consultation.

Author : John La Puma,David L. Schiedermayer,David Schiedermayer
Publisher : Jones & Bartlett Learning
Page : 260 pages
File Size : 50,7 Mb
Release : 1994
Category : Medical consultation
ISBN : 0867207973

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Ethics Consultation by John La Puma,David L. Schiedermayer,David Schiedermayer Pdf

This is a book about clinical ethics consultation by two practitioners who together have done more than 700 consultations. There is not another authoritative book like it. Practical rather than theoretical in scope, the book addresses strategies for conducting consultations, relating to patients at the bedside, investigating the ethical issues, making recommendations, following up on cases, and keeping records. Chapters include issues such as the need for training, the skills needed, the problem of certification, how to set up a practice, financial compensation and billing, and the relation of the consultant to committees, particularly ethics committees. The authors include reflections about learning clinical ethics and education of committees, hospital staff, and the general public about issues that arise. The purpose is to help ethics consultants improve their conscious assessment of their work, both how they go about it and its legitimacy for patients, health care providers, and hospitals. The orientation is primarily on clinical care of patients, because the goal of such consultations is always aimed to improve patient care. Other ethics consultants might work to develop institutional policies. Although that is touched on in the book, it is not the primary goal of the authors. The book is aimed at the practitioner in bioethics in a clinical setting.

Author : Linda Farber Post,Jeffrey Blustein
Publisher : JHU Press
Page : 431 pages
File Size : 53,8 Mb
Release : 2015-06-30
Category : Medical
ISBN : 9781421416571

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Handbook for Health Care Ethics Committees by Linda Farber Post,Jeffrey Blustein Pdf

How can dedicated ethics committees members fulfill their complex roles as moral analysts, policy reviewers, and clinical consultants? The Joint Commission (TJC) accredits and certifies more than 19,000 health care organizations in the United States, including hospitals, nursing homes, and home care agencies. Each organization must have a standing health care ethics committee to maintain its status. These interdisciplinary committees are composed of physicians, nurses, attorneys, ethicists, administrators, and interested citizens. Their main function is to review and provide resolutions for specific, individual patient care problems. Many of these committees are well meaning but may lack the information, experience, skills, and formal background in bioethics needed to adequately negotiate the complex ethical issues that arise in clinical and organizational settings. Handbook for Health Care Ethics Committees was the first book of its kind to address the myriad responsibilities faced by ethics committees, including education, case consultation, and policy development. Adopting an accessible tone and using a case study format, the authors explore serious issues involving informed consent and refusal, decision making and decisional capacity, truth telling, the end of life, palliative care, justice in and access to health care services, and organizational ethics. The authors have thoroughly updated the content and expanded their focus in the second edition to include ethics committees in other clinical settings, such as long-term care facilities, small community hospitals, rehabilitation centers, and hospices. They have added three new chapters that address reproduction, disability, and the special needs of the elder population, and they provide additional specialized policies and procedures on the book’s website. This guide is an essential resource for all health care ethics committee members.

Author : Bashir Jiwani
Publisher : Springer
Page : 58 pages
File Size : 42,7 Mb
Release : 2017-08-29
Category : Philosophy
ISBN : 9783319603766

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Clinical Ethics Consultation: A Practical Guide by Bashir Jiwani Pdf

This book provides a careful and comprehensive, step-by-step method for providing clinical ethics consultation. This Guide can be applied in almost any healthcare setting and takes the reader from establishing an intake process and developing strategies for interviewing those involved in the situation, to undertaking a consultation meeting and following up on a clinical consult. The book is an invaluable resource to any clinical ethicist, or committee or consult team member who is seeking to provide their service with rigour and quality. Written in simple language, the book explores ideas and concepts that will help the reader to understand, think through, and ultimately offer useful ethical consultation when facing ethically challenging issues.

Author : D. Micah Hester,Toby L. Schonfeld
Publisher : Cambridge University Press
Page : 299 pages
File Size : 53,8 Mb
Release : 2022-03-10
Category : Medical
ISBN : 9781108791014

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Guidance for Healthcare Ethics Committees by D. Micah Hester,Toby L. Schonfeld Pdf

Definitive and comprehensive guidance for members of healthcare ethics committees confronted with ethically challenging situations.

Author : American Society for Bioethics and Humanities. Clinical Ethics Consultation Affairs Committee
Publisher : Unknown
Page : 121 pages
File Size : 50,5 Mb
Release : 2017
Category : Bioethics
ISBN : 001713403X

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Addressing Patient-centered Ethical Issues in Health Care by American Society for Bioethics and Humanities. Clinical Ethics Consultation Affairs Committee Pdf

Author : Henk ten Have,Maria do Céu Patrão Neves
Publisher : Springer Nature
Page : 1063 pages
File Size : 53,6 Mb
Release : 2021-05-26
Category : Philosophy
ISBN : 9783030541613

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Dictionary of Global Bioethics by Henk ten Have,Maria do Céu Patrão Neves Pdf

This Dictionary presents a broad range of topics relevant in present-day global bioethics. With more than 500 entries, this dictionary covers organizations working in the field of global bioethics, international documents concerning bioethics, personalities that have played a role in the development of global bioethics, as well as specific topics in the field.The book is not only useful for students and professionals in global health activities, but can also serve as a basic tool that explains relevant ethical notions and terms. The dictionary furthers the ideals of cosmopolitanism: solidarity, equality, respect for difference and concern with what human beings- and specifically patients - have in common, regardless of their backgrounds, hometowns, religions, gender, etc. Global problems such as pandemic diseases, disasters, lack of care and medication, homelessness and displacement call for global responses.This book demonstrates that a moral vision of global health is necessary and it helps to quickly understand the basic ideas of global bioethics.

Author : Clinical Ethics Consultation Affairs Committee,Courtenay R. Bruce,George Hardart,Lucia Wocial,Stuart G. Finder,Barrie J. Huberman,Jane Jankowski,Aviva L. Katz,Hannah I. Lipman,D. Malcolm Shaner,Sutart Sprague,Katherine Wasson,Virginia Bartlett,Sally Bean
Publisher : Unknown
Page : 121 pages
File Size : 52,5 Mb
Release : 2017-07
Category : Bioethics
ISBN : 0692988750

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Addressing Patient-Centered Ethical Issues in Health Care by Clinical Ethics Consultation Affairs Committee,Courtenay R. Bruce,George Hardart,Lucia Wocial,Stuart G. Finder,Barrie J. Huberman,Jane Jankowski,Aviva L. Katz,Hannah I. Lipman,D. Malcolm Shaner,Sutart Sprague,Katherine Wasson,Virginia Bartlett,Sally Bean Pdf

This study guide provides an unfolding approach to 12 cases--9 involving adult patients, 3 involving minors--on various topics in clinical ethics. The presentation of these complex cases mimics the way that they evolve incrementally in the clinical setting: Patient and family narratives are interwoven with skills-based, reflective study questions that encourage critical thinking on the part of ethics consultants, ethics committee members, students, and other healthcare professionals. The authors--the members of the ASBH Clinical Ethics Consultation Affairs (CECA) Committee--have included tips related to communication and decision making in medicine, including strategies for guiding fruitful patient reviews, elucidating patients' or surrogates' concerns or perspectives, and conducting family meetings. This resource will be useful to all healthcare professionals and students seeking to build their competencies, from the basic skills used to address common ethical issues to advanced consultative skills that can be used to address complex ethical concerns.

Author : Mark G. Kuczewski,Rosa Lynn B. Pinkus,Katherine Wasson
Publisher : Georgetown University Press
Page : 240 pages
File Size : 52,6 Mb
Release : 2018-04-02
Category : Medical
ISBN : 9781626165519

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An Ethics Casebook for Hospitals by Mark G. Kuczewski,Rosa Lynn B. Pinkus,Katherine Wasson Pdf

Originally published in 1999, this classic textbook includes twenty-six cases with commentary and bibliographic resources designed especially for medical students and the training of ethics consultants. The majority of the cases reflect the day-to-day moral struggles within the walls of hospitals. As a result, the cases do not focus on esoteric, high-tech dilemmas like genetic engineering or experimental protocols, but rather on fundamental problems that are pervasive in basic healthcare delivery in the United States: where to send a frail, elderly patient who refuses to go to a nursing home, what role the family should play in making a treatment decision, what a hospital should do when it is getting stuck with too many unpaid bills. This thoroughly revised and updated second edition includes thirteen new cases, five of which are designated as "skill builder" cases aimed specifically at persons who wish to conduct clinical ethics case consultations. The new cases highlight current ethical challenges that arise in caring for populations such as undocumented immigrant patients, persons with substance use disorders involving opioids, and ethical issues that arise beyond the bedside at the organizational level. The reader is invited to use the supplemental videos and assessment tools available on the website of the Loyola University Chicago ACES project (www.LUC.edu/ethicsconsult).

Author : Richard M. Zaner
Publisher : Springer Science & Business Media
Page : 118 pages
File Size : 49,6 Mb
Release : 2013-03-14
Category : Philosophy
ISBN : 9789401725569

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Performance, Talk, Reflection by Richard M. Zaner Pdf

In the following essays discussing clinical ethics consultation, three sorts of reflective writing are presented. The first is a description of a clinical ethics consultation, more generously detailed than most that have been published, yet obviously limited as a documentation of the experiences at its source. It is followed by three examples of a second kind in the probing commentaries by highly regarded figures in biomedical and clinical ethics - François Baylis, Tom Tomlinson, and Barry Hoffmaster. Finally, these are followed by a third variety of reflection in the form of responses to those three commentaries, by Bilton and Stuart G. Finder, and my Afterword - a further reflection on some of the issues and questions intrinsic to clinical ethics consultation and to these various essays. The consultation itself was conducted by Bliton; but Finder not only assisted at one point (he is the `colleague' mentioned in Bliton's manuscript) but frequently participated in the discussions that are invariably part of our clinical ethics consultative practice in our Center for Clinical and Research Ethics at Vanderbilt University Medical Center. It was thus natural for Finder to participate in the response. Each of these essays is fascinating and important on its own; together, however, they constitute a truly unusual and, we believe, very significant contribution that will hopefully figure prominently in subsequent discussions, and in shaping and deepening an endeavor - clinical ethics - still in much-needed search of its own discipline, method rationale and place in the domain of clinical practice more generally. This group of essays is also quite unique, addressing as it does the coherence of a form of practice - and, it must be emphasized, several forms of writing about as well as theoretical proposals for understanding that practice - whose current and future character remains very much in contention. That a situation such as the one discussed here often provokes strong and passionate responses will be no surprise – whether because of its relative novelty, its risky nature, the high stakes involved, or something else. It is in any event a striking feature of ethics consultations that the people directly or even indirectly involved tend at times to feel rather passionately about what is said (and not said), what is done (and not done), and what is then reported (or, it may be, left out). Even so, such energetic feelings, much less the candor of my colleague's response to such passion, are rarely if ever apparent from published reports. For this reason alone, a considerable debt of gratitude is surely owed to our commentators – reflective and deliberative, yet passionate and forceful as each of them are.