Hot Topics: Decision making
by Asma Fazal, M.B.B.S, MRCPI, MHSc
To care for children in the neonatal intensive care unit (NICU) and the pediatric intensive care unit (PICU) is not easy because in addition to having an emotionally charged environment with high morbidity and mortality, it has a patient population who is not autonomous.…Full Article
by B. Corbett Walsh, MD, MBE; Anna Nolan, MD, MScFull Article
by Laura Specker Sullivan, Ph.D. and Dan Rosen, J.D.
As Fairchild et al. describe in a forthcoming issue of the American Journal of Bioethics, the American debate on social distancing regulations has pitted those protesting unacceptable state limitations on individual rights versus those demanding that individual rights to protection create a government obligation.
by Henri-Corto Stoeklé Ph.D., Asmahane Benmaziane M.D., Philippe Beuzeboc M.D., Christian Hervé, M.D., Ph.D.
In a letter published in The American Journal of Bioethics, we wrote “now really isn’t the time for ethical reflections” in the face of COVID-19.
by Joyeeta G Dastidar, MD
In New York City, the epicenter of the COVID-19 pandemic in the country with a quarter of the nation’s cases, hospitals prepared for ventilator shortages.
by Fernando Hellmann, Ph.D., Silvia Cardoso Bittencourt, Ph.D., Fabíola Stolf Brzozowski, Ph.D., Mirelle Finkler, Ph.D., Marta Verdi, Sandra Caponi, Ph.D.
by Jing Wan,Yuqiong Huang, Amaneh Abdel Hafez Aljaafreh, Dandan Dong, Yali Cong , Jun Lin, Hongxiang Chen
COVID-19 is an emerging infectious disease that is extremely contagious and can cause serious consequences and even death.
By Charles Foster It has been a terrible few months for moral philosophers – and for utilitarians in particular. Their relevance to public discourse has never been greater, but never have their analyses been so humiliatingly sidelined by policy makers across the world. The world’s governments are all, it seems, ruled by a rather crude […]Full Article
by Craig Klugman, Ph.D.
In a lawsuit this week, a judge in Cook County (IL) ruled against a suburban that wanted to force the county “to share the addresses of coronavirus patients”.…Full Article
by Laura Guidry-Grimes, PhD and Katie Savin, MSW
The COVID-19 pandemic has led to intense conversations about ventilator allocation and reallocation during a crisis standard of care (CSC).
Better Consent—and Not Just for When Time Is Short
Meaningful Fissures: The Value of Divergent Agendas in Patient Advocacy
When Thinking is Doing: Responsibility for BCI-Mediated Action
How Bioethics and Case Law Diverge in Assessments of Mental Capacity: An Argument for a Narrative Coherence Standard
Brain-Computer Interfaces and the Philosophy of Action
A Narrative Coherence Standard for the Evaluation of Decisional Capacity: Turning Back the Clock
Marginally Represented Patients and the Moral Authority of Surrogates
Why It is Important to Consider Social Support When Assessing Organ Transplant Candidates?
Reweighing the Ethical Tradeoffs in the Involuntary Hospitalization of Suicidal Patients
The Covid-19 pandemic has been characterized by many unknowns, chief among them in the world of pediatric ethics is the question of separating mothers who are infected or suspected of being infected from their newborns after delivery to reduce the risk of mother-to-child transmission. Guidance on this issue is conflicting.Full Article
Imagine it is two weeks from now and you live in one of the dozens of cities—including Harrisburg—that have recently seen anti-lockdown protests. Your immunocompromised parent or child becomes sick with COVID, so you take them to the hospital because they cannot breathe. How will you feel when you find out that all of the hospital’s ventilators are being used by a cluster of individuals all of whom attended the same protest?Full Article
We are being told to do a lot of things these days: Wash your hands. Don’t touch your face. Wear a mask outside. Stock the house with two weeks of food. Dust off your will. And make sure to complete your advance directive and talk to the people who matter in your life about your wishes for end-of-life care.Full Article
After weeks of searching high and low for ventilators, New York Gov. Andrew Cuomo and health care leaders around the state have seen signs of improvement and are sending some of the frantically acquired units to New Jersey, where they’re increasingly needed. But now, many hospital workers on the front lines in the metro area have been sounding the alarm that a different piece of lifesaving equipment is in short supply and high demand: dialysis machines.Full Article
As the coronavirus pandemic fills medical beds, saps supplies of lifesaving equipment and protective gear, and exhausts clinicians, ethics experts will be on hand to help hospitals make tough choices. At the heart of the matter is a question: How do you choose between patients when allocating limited resources?Full Article
As health care systems are overwhelmed with more patients than they can feasibly treat, medical personnel are forced to decide who should get the available ventilators and ICU beds. Quartz spoke with eight ethicists, all of whom agreed that in such dire situations, those who have the best chance of surviving get priority. Despite the unanimity, all agreed that this decision is far from easy and should not be taken lightly.Full Article
More than half the counties in America have no intensive care beds, posing a particular danger for more than 7 million people who are age 60 and up ― older patients who face the highest risk of serious illness or death from the rapid spread of COVID-19.Full Article
As an anesthesiologist and medical ethicist working on the front lines of this pandemic, I’m keenly aware of the ethical dilemmas facing healthcare workers, like never seen in modern medicine. The COVID-19 pandemic will stress hospital resources to their breaking points.Full Article