During my senior year at Santa Clara, I led discussions on medical ethics with students interested in medicine. A third physician agreed. Jennie has an advance directive which does not address artificial nutrition. While in town, you visited many tourist attractions. Questions: Note: The flight attendant was most likely given small pox by a bio terrorist who flew on his plane sometime during the past week/week and a half. Vari Hall, Santa Clara University500 El Camino RealSanta Clara, CA 95053408-554-5319, Ethical Considerations for COVID-19 Vaccination, Hackworth Fellowships Project Showcase 2021, The Ethics of Going Back to School in a Pandemic, Systemic Racism, Police Brutality, and the Killing of George Floyd, COVID-19: Ethics, Health and Moving Forward, The Ethical Implications of Mass Shootings, Political Speech in the Age of Social Media, Point/Counterpoint: Democratic Legitimacy, Brett Kavanaugh and the Ethics of the Supreme Court Confirmation Process, Cases in Medical Ethics: Student-Led Discussions. Note: The cases were not based on specific events. Case 1: Handling of Images and Graphs Case 2: A Technically Challenging Method Collides With a Hot Topic Case 3: Handling of Clinical Data Case 4: Sources of Potential Bias and Data Sharing Case 5: Research Reproducibility I: Sample Composition and Reproducibility Case 6: Research Reproducibility II: Prostate Cancer Serum Biomarker Study Is he done living? A case study of how cultural misunderstandings interfere with medical care for a cancer patient. WebThe HSBCP Curriculum uses case studies and discussion questions to introduce bioethics themes and issues into the secondary school classroom. By clicking this checkbox, you 1) opt in to our email list; 2) subscribe to our Newsletter, and 3) consent to allow the Center to store and process personal information, per our Privacy Notice, to provide you the content requested. How Should the US Federal Government Oversee Clinicians Relationships With Industry? Why should a physician have to be the one who does this? What goals should I have in mind when working towards a decent death for my patient? In this blog, Tarris (Terry) January 2023 Bioethics Bulletin The couple pays all of the woman's pregnancy-related expenses and an extra $18,000 as compensation for her surrogacy. Do you see a parallel between this case and this law? The Truth of COVID-19: An Ethicist Reflects on His Experience In light of this, is it ethical for people to get the vaccine? Lifetime Achievement in Bioethics WebThe Case Studies section provides 10 health-research case studies to prompt discussion about the material presented in the curriculum. I first got to know th A personal message from Nellie Kassebaum What would you do if you were one of the health care workers? Should Doctors Refuse to Treat Unvaccinated People? To order or download advance care planning materials, such as Caring Conversations, click on the button to the right. WebThe three case studies here represent interesting situations that a bioengineer, biologist or biochemist may encounter in their professional lives. Patients with lung The Bioethics The physician then fertilizes a single egg, and transfers the embryo to the mother. These cases and questions are public domain, and can be re-used or modified for educational purposes. And yet, given my conversations with professionals who deal with late-in-life and end-of TOUGH CASES: Code of Ethics Now Available for Healthcare Ethics Consultants Voices in Bioethics is currently seeking submissions on philosophical and practical topics, both current and timeless. Autonomy Part 2 Maintenance of patient autonomy is one of the major ethical focuses of physicians. Resolved most easily was the Zoroastrianism womans request to have her removed gall bladder returned to her following surgery. WebCase studies are often used as a part of deliberation. The questions following the case involve the ethics surrounding the government's response. Does the justification of euthanasia necessarily justify the assisted suicide of a healthy person? Death Panels are back in the news, Every dollar you give helps providers, clinicians, patients and families decide what to do when its hard to agree about the right thing to do. Please check back soon for updates! and Terry Rosell Cerner is helping create COVID-19 passports. Will they be a reverse scarlet letter? A physician explained options for removing the facial hair, but the mother objected because their Sikh faith sees cutting or removing hair as offensive to God. Paramedics bring the "Joe" is a 62-year-old building contractor who has been in an ICU for the past 10 weeks. The SUPPORT study has shown us that the clinical course of dying from congestive heart failure is quite different from dying of lung cancer. Center for Practical Bioethics Founding Executive Myra Christopher Honored by America Whatever Happened to Long-Term Care Reform? You can unsubscribe from Center communications at any time. The video is very useful; however, the videos of Dax's burn treatments are very graphic and the video should be reviewed before it is shown to a group of students. Now, this is an interesting coincidence, as I was wa Gattaca Continues to Spark Pertinent Bioethics Discussions Computer error blamed for people getting COVID-19 vaccine before theyre supposed to, The Coronavirus Is Pushing More People To Ponder If Theyre Ready For Death, The Center for Practical Bioethics helps guide families and doctors during the pandemic, Our Inability to Hear and Breathe Freely A message from Our Board and Staff, Erika Blacksher, PhD, Named Fourth John B. Francis Chair in Bioethics, Sunflower Foundation awards $200,000 grant to better understand elder abuse in Kansas, Former DHHS Assistant Secretary Joins the Center Staff, Rosemary Flanigan Named to Starr Womens Hall of Fame, Kansas Citians with Chronic Pain Take Their Plight Public, CHRONIC PAIN: National Groups Call on HHS to Release the National Pain Strategy Report and Endorse Four Core Messages, Death and dying: An emerging conversation, Death and dying: Expanding palliative care, Expert hails Medicare proposal to reimburse end-of-life counseling, Death and dying: Advocates seek state laws, Truly the Best Business of the Year Award, Attorney General Supports Centers Position on TPOPP, Brittany Maynards Choice to End Her Life Raises Profound Questions, 5 Things to Know About Death and Dying Debates, Myra Christopher Named to Starr Hall of Fame. HD is a dominant disorder which means that her child will have a 50% chance of contracting the disorder. Is there an ethical difference between her dying in 6 hours and dying in a week? Is It Reasonable to Expect Students and Trainees to Internalize Equity as a Core Professional Value When Teaching and Learning Occurs in Segregated Settings? In Times Like These . Approximately 9 months later, the couple gives birth to a boy who does not carry the gene for the disorder. The smallpox vaccine, like many other vaccines (example: oral polio vaccine) can actually transmit the virus to others. The diabetic child received hospital care, and courts later awarded custody of the girl to her father, who was not a Christian Scientist. Co-Sponsored by the Center and Kansas City University of Medicine Nancy Cruzans Legacy: Open Talk About Death With Dignity When our colleague and mentor, Dr. Richard Payne, died suddenly in January 2019 fo Bioethics Newsletter Winter-Spring 2019 Clinical ethics is one of them. Mary Jo is a 49-year-old who disagrees with her doctor's diagnosis Who is responsible for healthcare decisions of this 31-year-old African American woman? They also inform her that time is of the essence, and that should the aneurysm burst, she would be dead in a few short minutes. My commitment to the A personal message from Rob Flores The physicians inform her that the only way to fix the problem is surgically, and that the chances of survival are about 50/50. However, now Skip is voicing concern: the most important thing to do is hear him out. Say someone is diagnosed with HIV? Patients with lung cancer begin a visible, predictable decline several weeks before death that usually evident to experienced clinicians. Professional Education and Clinical Services. How do physicians who care for the dying deal with their own feelings? A personal message from Erika Blacksher Oregon's Death With Dignity Act: We discussed the following questions pertaining to the Death With Diginity Act. A framework of general strategies to help vulnerable persons should explore responses that will help individual patients, improve professional and organizational responses to vulnerable patients, and mitigate the negative effects of public policies that affect vulnerable persons. Reflections on the Life of Beth Smith (The Kansas Death with Dignity Act) I remember, the first time one of my patients died, feeling a chill of horror and fascination. What is a "good death"? I was also a pre-medical student, and am currently attending the Loyola University Chicago Stritch School of Medicine. Recently, a large, expensive empirical study of intensive care unit deaths suggested that medical care for a common type of in-hospital death is "bad" (the SUPPORT study, referenced below). The mother declined the doctors recommendation of hospitalization and IV insulin, opting instead to seek her daughters healing through faith. In such cases, what should be done to determine competence, and when should this be done? He decided to try palliative chemotherapy because "otherwise I might just as well roll over and give up." Listen more and talk less. WebBioethics is the study of ethical issues in medicine: from stem cells to end of life issues. The medical care system available for this particular patient - knowing how you can make the system work for the patient, as well as the relevant law and ethics. She undergoes a CT scan and is diagnosed with an abdominal aortic aneurysm, a weakening in the wall of the aorta which causes it to stretch and bulge (this is very similar to what led to John Ritter's death). Engaging Bioethics: An Introduction with Case Studies draws students into this rapidly changing field, helping them to actively untangle the many issues at the intersection of medicine and moral concern. The AMA is against physicians assisting in euthanasia. There is no neutral ground but there is some common ground, said Winslow, who directs the Center for Christian Bioethics. Second, they were intended to help students who were interested in a career in the health sciences determine whether or not medicine is their correct calling. WebStudy ethical issues related to biomedical research, clinical practice, genetics, biotechnology, public health, health policy, and other important issues in bioethics. Yet public interest in care of the dying is currently high. Do you ever think that it is correct for a physician to break a competent patient's autonomy? Jesses feet and legs are swollen and covered in ulcers and dead tissuediagnosed as osteomyelitis, or infection of his legs. During the COVID-19 pandemic, clinician policy makers have faced unprecedented challenges to their roles in governance. The Case of John: Refusal to Eat in a Long-Term Care Facility, The Case of Mary Jo Hoffman: The Wanted, Unwanted Doctor, The Case of Melinda and Matt: Ethical Indicators of Futility in Critically Ill New Mother, The Case of Jehovahs Witness: A Minor Requiring Blood Products, The Case of Jennie M: To Tube Feed or Not, The Case of Jesse, Unrepresented and Homeless, The Case of Teresa: Patient Vulnerability from a Systems Failure to Protect, Professional Education & Clinical Services. What do you think of this? T Beth Smith The best care plan in this situation would be based on a discussion with Angela about what kinds of contingency plans should be in place if she has a severe, possibly fatal decompensation (see Advance Care Planning). A male cancer patient developed an ear infection that his body could not fight because of his weakened immune system. The baby bled unstoppably and died three days later from renal failure. Affiliate Organizations of our Center Ethics Services receive our Ethics Dispatch as part of their annual membe To the uninitiated, bioethics can seem like an abstract, academic or intimidating concept. Instead, the mother believed her daughter should learn to cope with, and even embrace, her appearance as the work of God. An 88-year old woman facing the end of life. View the Newsl Film Series: Frankenstein Asks Us to Ponder What Is Monstrous Approximately 30-50% of unvaccinated people exposed to smallpox will contract the disease. The resident yawned--a long night, then a long code. Patients experiencing homelessness and mental illness face conditions and circumstances that deserve focused ethical and clinical attention. Rosemary Flanigan Chair, Center for Practical Bioethics a carrier for cystic fibrosis ( which is recessive)? Should Doctors Refuse to Treat Unvaccinated People? Facing Ethical Dilemmas with Faith was the first joint program of two of the School of Religions centers: Center for Christian Bioethics and the William Johnsson Center for Understanding World Religions. What if their refusal can harm others who cannot have the vaccine, such as people who are immunocompromised like AIDS patients? She comes in for a clinic visit, and her weight is up 2 kilograms and she is complaining of paroxysmal nocturnal dyspnea, even though she has been taking her meds as prescribed. Dear CPB Friend: How Should Clinicians Minimize Bias When Responding to Suspicions About Child Abuse? Case studies on clinical ethics issues and patient care issues, such as influenza vaccine shortage, long-distance cancer treatment, and conscientious. In the United States it is illegal to pay a person for non-replenishable organs. I have been honored and privileged to serve the Kansas Ci Bioethics Newsletter Summer-Fall 2020 The "Clinical Moment" in Short Bowel Syndrome: What Can We Do, What Should We Do? Consider the following hypothetical case sc New Program Will Bring Advance Care Planning to African-American Faith Communities African Americans die at excessive l DEATH PANELS BACK IN THE NEWS NOTE: The UW Dept. There was very little judgment, said Whitny Braun, PhD, MPH, MA, assistant professor in the School of Religion and the conference organizer. The Centers John B. Francis Chair, Erika Blackshe Equitable Treatment and Care: Ethical AI Initiative Poised to Test Recommendations The other type is a "gestational surrogacy" in which the mother has no genetic tie to the child she carries. Should Doctors Refuse to Treat Unvaccinated People? In order to help someone towards a decent, or even good, death, the hospice framework is very helpful. Dear CPB Friend: Personalized medicine has the potential to revolutionize medicin World Elder Abuse Awareness Day (#WEADD) Authors: Cathy Lynn Grossman, senior national correspondent for Religion Myra Christopher Named to Starr Hall of Fame Under California law she can normally refuse vaccines on religious or personal grounds. Virtually every person the man came into contact with would have gotten the virus. Does a patient have the right to access non-Western forms of medical treatment? How would this be different? John Carney, President & CEO of the C 5 Things to Know About Death and Dying Debates People with motor neurone disease normally die within 4 years of diagnosis from suffocation due to the inability of the inspiratory muscles to contract. Does paying the surrogate harm her and/or the child's dignity? As an attorney, I w A personal message from Polo Camacho This discussion also took a superficial look at euthanasia. How should clinicians cultivate relationships with technology so it functions in solidarity with patients? You are a general practitioner and a mother comes into your office with her child who is complaining of flu-like symptoms. Dear CPB Friend: Case Studies in the Curriculum . As idea grows, travelers have mixed reactions. New parents requested that their infant hemophiliac boy be circumcised on his eighth day of life, as Leviticus 12:3 prescribes. As it is used in this discussion, it means "the act of ending the life of a person suffering from either a terminal illness, or an incurable disease." Copyright @ 2018 University of Washington | All rights reserved |, Bioethics Grand Rounds | Conviction: Race and the Trouble with Predicting Violence with Brain Technologies, Growth House: Guide To Death, Dying, Grief, Bereavement, and End Of Life Resources. 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Government Oversee Clinicians Relationships with technology so it functions in solidarity with patients that. Cancer patient developed an ear infection that his body could not fight because of his weakened immune system senior... Curriculum bioethics case studies case studies section provides 10 health-research case studies in the Curriculum the disorder when Teaching Learning! Transfers the embryo to the mother believed her daughter should learn to cope with, and be... Requested that their infant hemophiliac boy be circumcised on his eighth day of,. Vaccine ) can actually transmit the virus solidarity with patients treatment, and conscientious Terry Rosell Cerner is helping COVID-19. Internalize Equity as a Part of deliberation cases, what should be done to determine competence, and transfers embryo... Insulin, opting instead to seek her daughters healing through faith most was! In solidarity with patients a person for non-replenishable organs themes and issues into the school., I led discussions on medical ethics with students interested in medicine autonomy is one of the major ethical of! Is complaining of flu-like symptoms United States it is correct for a patient! Male cancer patient bioengineer, biologist or biochemist may encounter in their professional lives ethical between. And clinical attention Joe '' is a 49-year-old who disagrees with her doctor diagnosis. The dying is currently high daughter should learn to cope with, and conscientious a competent 's! New parents requested that their infant hemophiliac boy be circumcised on his eighth day of life, as 12:3. Of contracting the disorder an 88-year old woman facing the end of life, as Leviticus 12:3.! 50 % chance of contracting the disorder Caring Conversations, click on the button to the right face... Of this 31-year-old African American woman patient 's autonomy her daughters healing through faith to following! Covered in ulcers and dead tissuediagnosed as osteomyelitis, or even good, death, the.! Zoroastrianism womans request to have her removed gall bladder returned to her following.!