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11/06/2018

Literature, Arts, and Medicine Database 25th Anniversary

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This entry was posted in Health Care and tagged , , , . Posted by Lucy Bruell. Bookmark the permalink.

11/06/2018

Gaps in Clinical Ethics Knowledge Prevalent among Emergency Medicine Physicians

A new survey finds inadequate educational preparedness of trainees in emergency medicine to address ethics challenges common to their field.  The survey assessed five ethics areas:  (1) Informed consent & capacity assessment (2) Surrogat...

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This entry was posted in Health Care and tagged . Posted by Thaddeus Mason Pope, JD, PhD. Bookmark the permalink.

11/06/2018

Wir wussten nicht

By Mark McQuain It has been said that “the only thing necessary for the triumph of evil is that good men do nothing.” Implied in this statement is that, first and foremost, the good men and women must be aware of the evil before they could be held morally obligated to act against that evil. …

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11/05/2018

Bioethics & “Three Identical Strangers”

By Neil Skjoldal I recently had the opportunity to watch the 2018 documentary Three Identical Strangers, which tells the story of triplets Bobby Shafran, Eddy Galland, and David Kellman.  They were separated shortly after birth in the 1960s and adopted by three different families through the Louise Wise adoption agency in New York City.  The …

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11/05/2018

Texas Court of Appeals Green Lights Lawsuit on Unwanted Medical Treatment

Every year, millions of Americans receive unwanted medical treatment (UMT). Most have no legal remedy for two reasons. 

First, many are not harmed seriously enough (usually $250,000 or more) to warrant the high transaction costs of medical malpractice litigation. Second, while these patients may have preferred to not have the therapy in question, a reasonable patient would probably have consented to the therapy had they been clearly asked.

In the typical case, the patient consents to the treatment but lacks an adequate understanding of what the treatment entails. But in some cases, the patient does not consent at all. For example, I have described successful cases where patients with a DNR order received CPR.

In an opinion published at the end of October the Texas 14th Court of Appeals allowed a case to proceed to trial where a a physician instructed staff to administer a "highly toxic drug” multiple times without obtaining the patient's consent. The patient died approximately one week later.

Defendant Mohsen Shapouri Arani

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This entry was posted in Health Care and tagged . Posted by Thaddeus Mason Pope, JD, PhD. Bookmark the permalink.

11/04/2018

Preparing for Dementia and Avoiding Unwanted Treatment

I will be doing two talks for the Hemlock Society of San Diego, this month, on "Preparing for Dementia and Avoiding Unwanted Treatment." Saturday, November 17, 2018 at 1:30 Solana Beach Library 157 Stevens Ave Solana Beach, CA 92075  Sunday, Nov...

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This entry was posted in Health Care and tagged . Posted by Thaddeus Mason Pope, JD, PhD. Bookmark the permalink.

11/04/2018

New Jersey May Make Healthcare Facilities Educate Staff and Patients on End-of-Life Care

Bills introduced in the New Jersey Legislature at the end of October would require "assisted living facilities, dementia care facilities, hospitals, and long-term care facilities" to 

"(1) require annual education on advance care planning, end-of-life care and POLST forms for administrative and professional medical staff"

"(2) provide patients and their families, as appropriate, educational materials on POLST forms, advance directives, and hospice and palliative care"

"(3) implement policies to identify and address end-of-life issues upon patients’ admission to facility."

The Department of Health may suspend the license of a facility that fails to comply. It is unfortunate that such state legislation is needed when these duties were already imposed by the Patient Self Determination Act nearly 30 years ago.


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This entry was posted in Health Care and tagged . Posted by Thaddeus Mason Pope, JD, PhD. Bookmark the permalink.

11/03/2018

Psychedelic Medicine: Galvanizing Changes in Law and Policy to Allow Access for Patients Suffering Anxiety Associated with Terminal Illness

Check out this talk by Kathryn Tucker at Yale on November 15: "Psychedelic Medicine: Galvanizing Changes in Law and Policy to Allow Access for Patients Suffering Anxiety Associated with Terminal Illness.”

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This entry was posted in Health Care and tagged . Posted by Thaddeus Mason Pope, JD, PhD. Bookmark the permalink.

11/02/2018

BioethicsTV (October 29-November 2): #TheGoodDoctor; #ChicagoMed

by Craig Klugman, Ph.D.

 “Exploring ethical issues in TV medical dramas”
Jump to The Good Doctor (Episode 2; Episode 5): “No, Dr. Melendez that is not an IRB”; Physicians cannot be compelled to maintain a patient’s lie; Jump to Chicago Med (Season 4; Episode 6): Saving an abused non-resident spouse; stolen children; medical error blame

The Good Doctor (Episode 2; Episode 5): “No, Dr. Melendez that is not an IRB”; Physicians cannot be compelled to maintain a patient’s lie

A 42 year old female with intermittent PVT (an irregular heart beat) is brought to the hospital. She is frail because of her anorexia.…

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This entry was posted in BioethicsTV, Featured Posts, Research Ethics and tagged , . Posted by Craig Klugman. Bookmark the permalink.

11/02/2018

Could an ELF Have Saved Baselga?

by Lisa Kearns, MS, MA, and Arthur Caplan, PhD

A few months ago we called for a new conflict of interest (COI) disclosure policy. Recent events at Memorial Sloan Kettering Cancer Center (MSK) underscore the urgency in addressing COI. We encourage researchers to create an “ELF,” an electronic long-form disclosure statement that lists financial relationships, as well as any political, advocacy, or religious points of view, pertinent investments, and the like — any information that could help readers assess potential author bias. ELFs would be maintained by faculty and posted online, as part of their professional bios. The ELF could be linked electronically to all journal articles, included as a URL with author bios at the end of print versions or slide presentations, submitted when trials are registered on ClinicalTrials.gov or other databases, and required as part of NIH grant submissions and by agencies forming advisory panels.…

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This entry was posted in Conflict of Interest, Featured Posts, Science and tagged . Posted by Arthur Caplan. Bookmark the permalink.