Blog Posts (79)
November 4, 2013
"I have often thought it would be important to instruct physicians how to behave in cases of incurable disease: not so much to tell them what to do; rather what not to do."
Letter from Johann Stieglitz to Karl F.H. Marx (15 December 1826).
October 15, 2013
In a new article in the Clinical Journal of the American Society of Nephrology, the authors discuss how continued dialysis violates ethical and legal principles of care in patients in a persistent vegetative state.
Professional guidelines have long re...
October 14, 2013
Monday, November 18th, 2013, at Cardozo Law School
Opening Keynote SpeechPanel 1: Clinical Ethics Consultation
Lunch Keynote Speech
- Nancy Dubler (moderator)
- Autumn Fiester
- Thaddeus Pope
- Charity Scott
Panel 2: Obamacare and ADR
- Arthur Caplan, “Rationing Evidence and Obamacare”
Panel 3: End-of-Life Decision Making
- Michelle Skipper (moderator)
- Mindy Hatton
- Michael Kosnitzky
- Joe Miller
Closing Keynote Speech
- Carol Liebman (moderator)
- Edward Bergman
- Nancy Berlinger
- Ellen Waldman
August 21, 2013
I blogged about the Eddie Cortez Smith case when it was before the intermediate appellate court in Minnesota last Fall. That court rejected a drunken driver's claim that he was not responsible for the death of a 93-year-old woman killed in a 2010...
August 18, 2013
Based on a criminal complaint and indictment filed in the U.S. District Court for the Eastern District of Michigan, Dr. Farid Fata may be one of the most irresponsible doctors in the United States. He is being charged with defrauding Medicare by ...
July 22, 2013
Earlier this month, the Ontario Health Professions Appeal and Review Board affirmed a decision of the Inquiries, Complaints and Reports Committee of the College of Physicians and Surgeons of Ontario, counsel a physician to ensure that he has thorough discussions with patients and their families regarding care plans and end of life planning, and to document the same.
Here is the background. On October 20, 2010, Dr. D.G.C. noted “DNR” (do not resuscitate) on
R.V.'s chart. Three days later, on October 23, 2010, R.V.
died from a bilateral bronchopneumonia with coronary artery disease as a
contributing factor. Nursing staff made
no attempts to resuscitate the patient when he was found with vital signs
R.V.'s son, J.V., subsequently filed a
complaint with the Inquiries, Complaints and Reports Committee of the College
of Physicians and Surgeons of Ontario. J.V. alleged that D.G.C. failed to accurately document DNR status, thereby preventing
In response, D.G.C. explained that he had a conversation
with the family members on October 20, 2010 in which he explained that to offer
resuscitation to someone in the patient’s condition would not be “an honest
offer." D.G.C. further explained that he documented a DNR order in the
patient’s chart following that discussion and that he was unable to explain J.V.'s differing point of view. Finally, D.G.C. noted that resuscitation would not have
worked, given the patient’s accumulated burden of illness.
The Committee investigated the complaint and decided to counsel D.G.C. to ensure that he has thorough discussions with patients and their
families regarding care plans and end of life planning, and to document the
same. Regarding the DNR status, the
Committee noted that entries in the chart were very brief and that it had
difficulty determining the content and context of the end of life discussion
between D.G.C. and the patient’s family. The Committee stated that it
would expect such discussions to be detailed and thoroughly documented and
decided to counsel D.G.C. regarding this aspect of his care.
June 30, 2013
Just published, Families and End–of–Life Treatment Decisions: An International Perspective, analyzes the current status and role of family and other surrogates at the end of life.
Numerous European national laws are compared and bench-marke...
June 25, 2013
U.S. Senators and the most distinguished bioethicists in the world have been calling on the military to stop force feeding the Guantanamo Bay prisoners. But where is the outcry over the force feeding of patients, U.S. citizens, right here in the ...
June 25, 2013
Maine State Prison Hospice Room
The Main Public Broadcasting Network is doing a 3-part series on end-of-life care in prison. Part one is available here.
With a prison population in the United States of 1.6 million and many of these inm...
June 15, 2013
Nevada has just become the
latest state to legislatively adopt POLST. Last week, Nevada Governor
Brian Sandoval signed A.B. 344.
In April, Indiana also enacted a POLST statute. Before that, 18 states already had POLST statutes. &nb...
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