Ethical concerns around spirituality and religion in clinical practice.

2009 ◽  
pp. 25-52 ◽  
Author(s):  
William L. Hathaway ◽  
Jennifer S. Ripley
Keyword(s):  
Clinical Practice ◽  
Ethical Concerns ◽  
Spirituality And Religion

Clinical genomics in the 21st century: The fine balance between ethics and science

2021 ◽  
pp. 147775092110366
Author(s):  
Terence YS Liew ◽  
Chun Y Khoo
Keyword(s):  
Clinical Practice ◽  
Informed Consent ◽  
21St Century ◽  
Preventive Medicine ◽  
Genomic Medicine ◽  
Traditional Practices ◽  
Current Clinical Practice ◽  
Common Goal ◽  
Clinical Genomics ◽  
Ethical Concerns

The 21st century has been revolutionary for the field of clinical genomics, with major advancements and breakthroughs over the years. It is now considered an instrumental tool in clinical and preventive medicine and has been used on a day-to-day basis to complement current clinical practice. However, with advancements in genomics comes greater bioethical concerns, which becomes increasingly complex with more cutting-edge technology. Some of the major ethical concerns include obtaining informed consent, possibility for genetic enhancements and eugenics, genomic equity and potential discrimination and cloning. It is imperative that we appreciate the benefits of genomic medicine in complementing traditional practices, identify and address the ethical concerns with relation to the practice of genomic medicine, and to ensure a common goal of improving human lives. With these in mind, the practice of genomics can have maximum impact in the collective health of the population, with greater benefit to all.

Paediatrics

2016 ◽  
Keyword(s):  
Clinical Practice ◽  
Controlled Trials ◽  
Ethical Concerns ◽  
Randomized Controlled ◽  
Long Run ◽  
Individual Care ◽  
Research Questions ◽  
The Individual ◽  
Adult Medicine

Including children in randomized controlled trials has obvious complications. Balancing competing requirements is especially challenging, when designing research questions in paediatric trials, and children are often excluded from larger trials, because of the difficulties in obtaining consent. In the long run, this is detrimental to children’s health, as too much clinical practice is extrapolated from adult medicine. This chapter identifies and examines these issues, with the aims of encouraging researchers to appropriately involve children in their research and to help researchers improve the quality of trials involving children. Issues covered include diversity, dynamic child development, practical issues, and ethical concerns. Although such issues can complicate research, they also highlight the individual care and attention that children receive and the need for a holistic perspective.

Pediatrician Characteristics Associated With Attention to Spirituality and Religion in Clinical Practice

PEDIATRICS ◽  
2007 ◽  
Vol 119 (1) ◽  
pp. e117-e123 ◽  
Author(s):  
D. H. Grossoehme ◽  
J. R. Ragsdale ◽  
C. L. McHenry ◽  
C. Thurston ◽  
T. DeWitt ◽  
...  
Keyword(s):  
Clinical Practice ◽  
Spirituality And Religion

scholarly journals Ethical issues in optometric practice

2010 ◽  
Vol 69 (2) ◽  
Author(s):  
H. L. Sithole
Keyword(s):  
Health Care ◽  
Clinical Practice ◽  
Unethical Behavior ◽  
Ethical Decision ◽  
Ethical Decision Making ◽  
Ethical Issues ◽  
Health Care Practitioner ◽  
Ethical Practice ◽  
Ethical Concerns ◽  
Legal Constraints

Ethics as a discipline is the study and analysis of values and standards related to duty, responsibility, and right and wrong behavior. The ethical obligations of optometry toward patients are similar to those of other health professionals. These obligations generally require optometrists to recognize, respect, and protect the rights of their patients. This approach encourages patients to participate actively in their care and allows them to develop arelationship with their optometrist based on trust. The ethical codes which contain guiding principles serve to help practitioners in their decisions and in practicing in accordance with a set of standards that are expected of a health care practitioner. There are four major ethical principles in health care, namely; beneficence, non-maleficence, and respect for autonomy and justice. Because these principles are easily recognized as being among the primary ethical goals of health care, using them as the basis for ethical analysis may help to explain the moral justification for certain professional actions as well as to identify unethical behavior. However, in clinical practice, the specific demands and rationales of these broad principles may be difficult to apply. This illustrates the paradox that whilst these principles are essential tools for ethical practice, if applied too rigidly, they can be problematic. How-ever, the goal of ethical decision making in optometry should be to identify one or more courses of action that will honor the profession’s essential values while minimizing conflict with other values and professional standards. Every profession, every practice and every practitioner is governed by not only legal constraints, but also by the ethical concerns of ensuring that the patient is properly served. Considering our practices from a patient’s perspective can help optometrists understand the multiple responsibilities of clinical practice. (S Afr Optom 2010 69(2) 93-99)

Philosophical Perspectives on Medicine and Religion

2017 ◽  
Author(s):  
James A. Marcum
Keyword(s):  
Clinical Trials ◽  
Clinical Practice ◽  
Clinical Outcomes ◽  
Clinical Studies ◽  
Ethical Issues ◽  
Human Suffering ◽  
Philosophical Issue ◽  
Research And Practice ◽  
Spirituality And Religion

In this chapter, I survey the literature concerning selected metaphysical, epistemological, and ethical issues surrounding the intersection of spirituality and religion with medicine. The metaphysical issues concern what constitutes spirituality and its distinction from religion, especially with respect to medical research and practice; the nature of the causal relationship, particularly in mechanistic terms, between spirituality and clinical outcomes; and, the presuppositions animating clinical studies. The epistemological issues pertain to empirical evidence from clinical trials. The main issue is whether the evidence from these trials justifies an impact of spirituality and religion on health and clinical outcomes. The ethical issues involve how best to incorporate spirituality and religion into clinical practice, if they should be incorporated at all. Finally, the fundamental philosophical issue addressed in this chapter is whether the intersection of spirituality and religion with medicine has led to a humanized medicine that achieves medicine’s primary goal of relieving or reducing human suffering associated with illness.

Ethics and old age psychiatry

2013 ◽  
Author(s):  
Julian C. Hughes
Keyword(s):  
Clinical Practice ◽  
Old Age ◽  
Final Section ◽  
Ethical Dilemmas ◽  
Ethical Reasoning ◽  
Assisted Dying ◽  
Ethical Theories ◽  
Ethical Concerns ◽  
Ethical Decisions ◽  
Old Age Psychiatry

This chapter starts by reviewing four of the main ethical theories – consequentialism, deontology, principlism, and virtue ethics – looking at their relevance to old age psychiatry. Next comes a practical framework, which can be used to deal with particular ethical dilemmas. The chapter goes on to consider the report on dementia produced by the Nuffield Council on Bioethics in 2009, with its emphasis on the importance of personhood and solidarity. In the final section arguments around assisted dying are discussed. Throughout the chapter the aim is to locate clinical practice in the broader field of ethical concerns, in which the person’s inter-relatedness with the broader social context is emphasized. Clinical decisions need to be seen as ethical decisions, which are either right or wrong, and which reflect the fundamental nature of ethical reasoning.

Ethical Concerns in Clinical Practice Supervision

1978 ◽  
Vol 9 (2) ◽  
pp. 27-29 ◽  
Author(s):  
Michael E. Scofield ◽  
Barbara J. Scofield
Keyword(s):  
Clinical Practice ◽  
Professional Ethics ◽  
Preventive Measures ◽  
Ethical Concerns

These are those students whose skills and facilitative behaviors in clinical practice are so lacking that failure to effectively address this situation would be a breech of professional ethics. The problem is outlined, variables that compound the difficulty of the issue are presented, and a number of preventive measures are suggested.

RECENT DEVELOPMENTS IN THERAPIES WITH STEM CELLS FROM AMNIOTIC FLUID AND PLACENTA

2013 ◽  
Vol 24 (3) ◽  
pp. 148-168 ◽  
Author(s):  
STAVROS P. LOUKOGEORGAKIS ◽  
PANAGIOTIS MAGHSOUDLOU ◽  
PAOLO DE COPPI
Keyword(s):  
Stem Cells ◽  
Clinical Practice ◽  
Regenerative Medicine ◽  
Amniotic Fluid ◽  
Pluripotent Stem Cells ◽  
Laboratory Findings ◽  
Ethical Concerns ◽  
Adult Tissues ◽  
Recent Developments

Significant advances in the field of regenerative medicine have intensified the search for novel sources of stem cells with potential for therapy. Although embryonic and adult tissues can be used for the isolation of pluripotent stem cells, significant limitations including ethical concerns, complexity of isolation/culture and tumorigenicity have hindered translation of laboratory findings to clinical practice.

scholarly journals Religion and spirituality in clinical practice

2015 ◽  
Vol 21 (1) ◽  
pp. 42-50 ◽  
Author(s):  
Christopher C. H. Cook
Keyword(s):  
Clinical Practice ◽  
Good Practice ◽  
Evidence Base ◽  
Psychiatric Practice ◽  
Religion And Spirituality ◽  
Professional Boundaries ◽  
Spirituality And Religion

SummarySpirituality and religion have assumed importance in psychiatric practice in recent years because of both a growing evidence base and the desire of patients that such matters should be better addressed as an aspect of their care. However, there has been controversy regarding interpretation of the evidence base and issues of good practice, notably about defining appropriate professional boundaries. A sensitive and patient-focused clinical enquiry is therefore needed to discover whether and how spiritual/religious concerns are important to patients and, if they are, how they might most appropriately be addressed in treatment. Many of the concerns of patients and professionals regarding spirituality overlap with the recovery agenda and so are easily addressed implicitly and without need to impose the language of spirituality or religion. However, for some patients, transcendent concerns that are not a part of this agenda are easily overlooked.

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