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07/05/2018

Medical Futility, Nonbeneficial Treatment, and Inappropriate Care at ASBH 2018

Medical futility remains a leading topic of relevance and interest in bioethics. Be sure to calendar these two sessions at ASBH 2018 in Los Angeles.  


Clinical Ethics and Inappropriate Care
Oct. 21, 2018, 11:30 AM – 12:30 PM 


Inappropriate ICU Admissions: One Step Closer to Addressing Inappropriate ICU Care for Patients
Katherine E. Kruse , Ruth Marks , Stephanie M. Harman , David Magnus . Children’s Hospitals and Clinics of Minnesota, Minneapolis, MN; Children’s Respiratory and Critical Care Specialists, Minneapolis, MN; Stanford University School of Medicine, Stanford, CA; Stanford University, Stanford, CA


Who Are Patients Perceived to Receive Inappropriate Critical Care and What Happens to Them?
Neil Wenger, Thanh Neville. UCLA, Los Angeles, CA 


Creeping Noninterference-Focused Autonomy in Modern Medicine: How We Created and Continue to Feed the Problem of Futility 
Catherine S. Heith. University of Minnesota, Minneapolis, MN


Nonbeneficial Treatment: Across State Lines  Oct. 20, 2018, 8:00 AM – 9:00 AM
This panel presentation will explore various approaches to management of requests for Non-Benefcial Treatment from three different health systems in California, Michigan, and Nevada. The presentation will focus on a) legislation impacting health care decision-making in these states, b) policies adopted by institutions to address this challenging clinical situation, and c) a discussion of the financial impact of requests for Non-Beneficial Treatment on an organization. The panelists are professionally trained clinical ethicists from interdisciplinary backgrounds. 


First panelist will reflect on California Probate Code and the experience of a health care institution through policy development and ethics consultations around Non-Beneficial Treatments. The presenter will also discuss a case that was challenged in court. 
S. Shashidhara;
Program in Medicine and Human Values, Sutter Health


Second panelist will present the current Non-Beneficial Treatment policy at a large health system in Michigan. The presenter will discuss applicable state law, and current proposed legislation from partisan organizations that would affect institutions’ and healthcare providers’ abilities to refuse to provide non-beneficial life-sustaining treatments. 
A. Tyler;
Clinical Ethics, Beaumont Health


Third panelist will review current approach to Non-Beneficial Treatment requests at a Nevada health care institution. The panelist will discuss current efforts by the health system to positively impact Nevada legislation on Non-Beneficial Treatment. These efforts are focused on
clarifying health care provider obligations within legislation regarding health care decision-making. 
R. Fulbright;
Bioethics Program, Renown Health


Last panelist will focus on a study performed to assess the cost of Non-Beneficial Treatment cases for an organization. The presenter will also address the context for the study and the ethical challenges these conflict situations pose for
the organization.
R. Mishra
California Pacific Medical Center, San Francisco, CA


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