Mission, Vision, Goals: Defining the Parameters of Ethics Consultation  

Oleh:

Smith, Martin L.

Jenis: Article from Books - E-Book
Dalam koleksi: Guidance for Healthcare Ethics Committees, page 32-40.
Topik: Value-Laden Issues and Ethics Consultation; Ethics Committee’s Role
Fulltext: Mission, Vision, Goals Deining the Parameters of Ethics Consultation.pdf (189.89KB)

Isi artikel

Healthcare ethics consultation has been described as “a set of services provided by an individual or group in response to questions from patients, families, surrogates, healthcare professionals, or other involved parties who seek to resolve uncertainty or conlict regarding valueladen concerns that emerge in health care.” (American Society for Bioethics and Humanities, 2011). Mr. Chan’s case represents a bedside example of a set of “value-laden concerns” that create uncertainty, conlict, and moral distress for Dr. Ross and for the other unidentiied clinicians who are caring for Mr. Chan. Dr. Ross and other involved personnel are faced with an ethical dilemma that will likely force them to choose between competing ethical responsibilities, principles, and values (e.g., respect for patient wishes and for cultural and religious beliefs; the duty to do no harm; stewardship and utilization of ICU resources; allocation of limited resources to potentially competing patients). his kind of case is the very “stuf” of ethics consultation. Other clinical, value-laden examples creating uncertainty and conlict for clinicians, patients, and families include: whether to disclose a cancer diagnosis to a patient whose daughter insists that he not be told the truth; how to make ethically supportable decisions for a patient who lacks decision-making capacity (DMC), does not have an advance directive, and has no identiied surrogate; and whether to take a Jehovah’s Witness patient to the operating room for an urgent, life-saving surgery that has the potential for signiicant blood loss.

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