Modifying Clinical Ethics Cases for Pedagogy: The Case of “Enzokuhle” in advance

2022 ◽  
Author(s):  
Michael J. Murphy ◽  
Keyword(s):  
Clinical Ethics ◽  
Ethics Cases

scholarly journals “Hooked up to that damn machine”: Working with metaphors in clinical ethics cases

2019 ◽  
Vol 14 (2) ◽  
pp. 80-86
Author(s):  
Susanne Michl ◽  
Anita Wohlmann
Keyword(s):  
Health Care ◽  
Health Care Professionals ◽  
Clinical Ethics ◽  
Ethical Problem ◽  
Medical Decision ◽  
Frequent Use ◽  
George Lakoff ◽  
Medical Health Care ◽  
Figurative Speech ◽  
Ethics Cases

The frequent use of metaphors in health care communication in general and clinical ethics cases in particular calls for a more mindful and competent use of figurative speech. Metaphors are powerful tools that enable different ways of thinking about complex issues in health care. However, depending on how and in which context they are used, they can also be harmful and undermine medical decision-making. Given this contingent nature of metaphors, this article discusses two approaches that suggest how medical health care professionals may systematically and imaginatively work with metaphors. The first approach is informed by a model developed by cognitive scientists George Lakoff and Mark Turner. The second approach is a close reading and thus a text-immanent, hermeneutical strategy. Using the double perspective of an ethics consultant and a researcher in literature studies, we take a case from Richard M Zaner in which a metaphor is central to the clinical-ethical problem. The article shows that the approaches, which focus on creativity and the intersections of form and content, may be helpful tools in clinical ethics, enabling a competent and mindful working with metaphors in complex cases as well as supporting the consultant’s thoughts processes.

Commentary: Clarifying Medical Decisionmaking—Who, How, and Why?

2016 ◽  
Vol 25 (3) ◽  
pp. 556-560 ◽  
Author(s):  
Tyler S. Gibb ◽  
Michael J. Redinger
Keyword(s):  
Clinical Ethics ◽  
Goals Of Care ◽  
Code Status ◽  
Clinical Ethicist ◽  
Ethical Complexity ◽  
Ethics Cases

In its simplest interpretation, this is a case about goals of care and appropriate code status. At the outset, we must confess that we found this case to be extremely interesting—not for the novelty of the issues or its ethical complexity but because it is truly a case of the ordinary. Too often when teaching or discussing clinical ethics cases, we are distracted by the exotic and the unusual and ignore the mundane cases that every practicing clinical ethicist must be able to competently manage.1,2,3

scholarly journals Clinical Ethics Consultations in the Opinion of Polish Physicians

2021 ◽  
Author(s):  
Marek Czarkowski ◽  
Joanna Różyńska ◽  
Bartosz Maćkiewicz ◽  
Jakub Zawiła-Niedźwiecki
Keyword(s):  
North America ◽  
Healthcare System ◽  
Clinical Ethics ◽  
Perceived Usefulness ◽  
European Countries ◽  
The North ◽  
Perceived Availability ◽  
Difficult Cases ◽  
Ethics Cases

AbstractClinical Ethics Consultations (CEC) are an important tool for physicians in solving difficult cases. They are extremely common in North America and to a lesser extent also present in Europe. However, there is little data on this practice in Poland. We present results of a survey of 521 physicians practising in Poland concerning their opinion on CECs and related practices. We analysed the data looking at such issues as CECs’ perceived availability, use of CECs, and perceived usefulness of such support. Physicians in our study generally encounter hard ethics cases, even—surprisingly—those who do not work in hospitals. Most physicians have no CEC access, and those that do still do not employ CECs. However, physicians perceive this form of support as useful—even more so among actual users of CECs. We compared these findings with similar studies from other European countries and the North America. We point out peculiarities of our results as compared to those in other countries, with some possible explanations. We hope the results may encourage regulatory debate on the need to formally introduce CECs into the Polish healthcare system.

Clinical Ethics: Discrimination: Conscious or Unconscious

2000 ◽  
Vol 10 (2) ◽  
pp. 13-14
Author(s):  
Angela Mandas ◽  
Cindy Murashima
Keyword(s):  
Clinical Ethics

Clinical Ethics: Does Everyone Need Therapy and When Should the Patient be Referred?

2000 ◽  
Vol 10 (1) ◽  
pp. 11-13
Author(s):  
Angela Mandas ◽  
Frances Burt ◽  
Jessica Zimmerman
Keyword(s):  
Clinical Ethics

Clinical Ethics: What's Law Got to Do With It?

1999 ◽  
Vol 8 (4) ◽  
pp. 345-346 ◽  
Author(s):  
S. M. Bauman
Keyword(s):  
Clinical Ethics

scholarly journals Global mental health should engage with the ethics of involuntary admission

2021 ◽  
Vol 15 (1) ◽  
Author(s):  
Marisha N. Wickremsinhe
Keyword(s):  
Mental Health ◽  
Human Rights ◽  
Health Services ◽  
Clinical Ethics ◽  
Psychiatric Care ◽  
Global Mental Health ◽  
Mental Healthcare ◽  
Involuntary Admission ◽  
Persons With Disabilities ◽  
Psychosocial Disability

AbstractGlobal mental health, as a field, has focused on both increasing access to mental health services and promoting human rights. Amidst many successes in engaging with and addressing various human rights violations affecting individuals living with psychosocial disabilities, one human rights challenge remains under-discussed: involuntary inpatient admission for psychiatric care. Global mental health ought to engage proactively with the debate on the ethics of involuntary admission and work to develop a clear position, for three reasons. Firstly, the field promotes models of mental healthcare that are likely to include involuntary admission. Secondly, the field aligns much of its human rights framework with the UN Convention on the Rights of Persons with Disabilities, which opposes the discriminatory use of involuntary admission on the basis of psychosocial disability or impairment. Finally, global mental health, as a field, is uniquely positioned to offer novel contributions to this long-standing debate in clinical ethics by collecting data and conducting analyses across settings. Global mental health should take up involuntary admission as a priority area of engagement, applying its own orientation toward research and advocacy in order to explore the dimensions of when, if ever, involuntary admission may be permissible. Such work stands to offer meaningful contributions to the challenge of involuntary admission.

scholarly journals Living bioethics, clinical ethics committees and children's consent to heart surgery

2021 ◽  
pp. 147775092110341
Author(s):  
Priscilla Alderson ◽  
Deborah Bowman ◽  
Joe Brierley ◽  
Martin J. Elliott ◽  
Romana Kazmi ◽  
...  
Keyword(s):  
Clinical Ethics ◽  
Heart Surgery ◽  
Social Research ◽  
Ethics Committees ◽  
Companion Paper ◽  
Ethics Committee ◽  
Research Report ◽  
Discussion Paper ◽  
Clinical Ethics Committee ◽  
Clinical Ethics Committees

This discussion paper considers how seldom recognised theories influence clinical ethics committees. A companion paper examined four major theories in social science: positivism, interpretivism, critical theory and functionalism, which can encourage legalistic ethics theories or practical living bioethics, which aims for theory–practice congruence. This paper develops the legalistic or living bioethics themes by relating the four theories to clinical ethics committee members’ reported aims and practices and approaches towards efficiency, power, intimidation, justice, equality and children’s interests and rights. Different approaches to framing ethical questions are also considered. Being aware of the four theories’ influence can help when seeking to understand and possibly change clinical ethics committee routines. The paper is not a research report but is informed by a recent study in two London paediatric cardiac units. Forty-five practitioners and related experts were interviewed, including eight members of ethics committees, about the work of informing, preparing and supporting families during the extended process of consent to children’s elective heart surgery. The mosaic of multidisciplinary teamwork is reported in a series of papers about each profession, including this one on bioethics and law and clinical ethics committees’ influence on clinical practice. The qualitative social research was funded by the British Heart Foundation, in order that more may be known about the perioperative views and needs of all concerned. Questions included how disputes can be avoided, how high ethical standards and respectful cooperation between staff and families can be encouraged, and how minors’ consent or refusal may be respected, with the support of clinical ethics committees.

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