WebBioethics Resources A Second Chance at Drug Treatment Case Description: You are a psychologist, drug treatment counselor, and program manager in a mid-sized city, in an otherwise rural area, in a region devastated by the opioid epidemic. (Primary Care/Specialty Care), Request to Withhold Diagnosis in Medical Record for Fear of Stigma, Decline of Treatment; Involuntary Commitment. Removal of her feeding tube 25 years ago end 40% of Cancer Patients Didnt Discuss Preferences Why do you think they wouldn't let a person who is terminally ill and in pain with possibly more than 6 months receive assistance in dying? ), On their website, the AMA says "that surrogacy contracts [when the surrogate uses her own egg], while permissible, should grant the birth mother the right to void the contract within a reasonable period of time after the birth of the child. First, they were created to help bring current ethical issues onto our campus. One type involves a surrogate mother who uses her own egg and carries the baby for someone else. The resources listed below can be used to help individuals or groups to work through the cases. Do you ever think that it is correct for a physician to break a competent patient's autonomy? I remember, the first time one of my patients died, feeling a chill of horror and fascination. Like most people, whe A personal message from Maggie Neustadt Dear CPB Friend: In caring for a person who is dying, knowing what would make the experience of dying "good" is an important goal for physicians and other members of the care team. There is currently only one state in the US that allows for euthanasia, and that is Oregon, where in 1997, the "Death With Dignity Act" went into effect. Note: The cases were not based on specific events. After earning my PhD in A personal message from Lindsey Jarrett A sixteen-year-old male member of Jehovahs Witnesses incurred serious injuries in an auto accident and requires surgery. The wife begged her husband to avoid the surgical route. 80-year male with multiple medical problems is nonresponsive to medical teams. WebStudents will develop a bioethics case study and present it as a dramatic reading with audience discussion at semesters end. In this study of dying patients, severe pain was common, decisions to withhold invasive treatments were made at the last minute, and physicians often had no knowledge of patient preferences not to have CPR. A woman, after a bout with uterine cancer had a hysterectomy (surgical removal of the uterus). Dear CPB Friend: Do you think that in this case, that the ends justified the means? The March 12 event was held by Loma Linda University School of Religion. But I can help the dying person get ready-and in this way, contribute to a death that is decent. Why should a physician have to be the one who does this? Center for Practical Bioethics Founding Executive Myra Christopher Honored by America Whatever Happened to Long-Term Care Reform? What are the big ideas in end of life care? of Bioethics & Humanities is in the process of updating all Ethics in Medicine articles for attentiveness to the issues of equity, diversity, and inclusion. Worried, he calls in another physician for her opinion. Adam T. Perzynski, PhD and Kurt C. Stange, MD, PhD. Is the short amount of time she has to live ethically relevant? What would you do if you were one of the health care workers? Professional Education and Clinical Services. Is this a case of eugenics? Patients with lung You ask the mother where the bruises came from, and she tells you that they are from a procedure she performed on him known as "cao gio," which is also known as "coining." Of course, an ethically sound understanding of withdrawing and withholding treatment is crucial to good care of the dying. She undergoes a CT scan and is diagnosed with an abdominal aortic aneurysm, a weakening in the wall of the aorta Say someone is diagnosed with HIV? Do you think that legalizing euthanasia could create conflicts of interest for the patient/ or the doctor? Even after much pressuring from the physicians, she adamantly refuses surgery. 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? 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Should the physicians have let him die? The body - which covers the biomedical understanding of disease, and what limits and possibilities exist for that person. Therefore, a second discussion was also held that focused primarily on patient autonomy. Find out what he is worried about, how he rates his quality of life, and what his goals are. What makes a good death? WebCase and Commentary Dec 2022 Decision Aids, Doorknob Moments, and Physician-Patient Solidarity in EDs Emily Shearer, MD, MPP, MSc and Jay Baruch, MD How should clinicians The AMA is against physicians assisting in euthanasia. These similarities were not intended. People dont like to talk about politics, religion or money. The hospital allowed a willing physician to circumcise the child at his Evangelical parents insistence. As idea grows, travelers have mixed reactions. The woman is an erotic dancer; she worries that the surgery will leave a scar that will negatively affect her work; therefore, she refuses any surgical treatment. Now I find care of the dying to be one of the richest parts of my clinical life. Control of pain and other physical symptoms. Jesses feet and legs are swollen and covered in ulcers and dead tissuediagnosed as osteomyelitis, or infection of his legs. Ken agreed to share his story not merely to explai Current Issues in Bioethics Lecture Series 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. WebThe Bioethics Program is a part of the NIEHS' Ethics Program that provides educational, scholarly, and administrative support for research integrity at the NIEHS. After his recovery, Dax attempted suicide. Facts gathered from: http://www.vbs.admin.ch/ls/e/current/fact_sheet/pocken/. Current Issues in Bioethics Lecture Series, Nancy Cruzans Legacy: Open Talk About Death With Dignity, 40% of Cancer Patients Didnt Discuss Preferences, Will a vaccine passport be required to travel? After the panel discussion for each case, audience members were invited to ask questions or state their viewpoints. The Truth of COVID-19: An Ethicist Reflects on His Experience Now, a group of KCP&L employees have somewhere to turn for consulta Kansas Citians with Chronic Pain Take Their Plight Public A legal battle ensues. How Should Clinicians Minimize Bias When Responding to Suspicions About Child Abuse? A 60-year-old homeless man, Jesse, is found confused and in distress by a passerby who calls 911. Lets go to the movies! John is a strongly independent 92-year-old widower of many years, with no children. 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. Most patients, families, and caregivers come to physicians in order to learn something about what is happening medically, and it is important to recognize their need for information. Hospice care is generally underutilized, and even though most hospice teams feel that at least six weeks of hospice care is optimal, most patients receive much less because they are either referred very late or have not wanted hospice. A case study of an elderly Puerto Rican immigrant to the United States suffering from the effects of diabetes. A degree of acceptance by the patient. To provide excellent care of the dying requires that we also decide what we should do. Differing opinions were discussed in a healthy way, based on pragmatism rather than criticism of one anothers faith.. You can unsubscribe from Center communications at any time. While organ donation is necessary to alleviate suffering and save lives, questions of autonomy, coercion, and the yuk factor deserve careful consideration as we seek to increase supply in the face of unrelenting demand. If yes, does this change if you can "easily" have a child? 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. February 2023 Bioethics Bulletin Do you think that if the surrogate is awarded the baby, this could cause emotional harm to the child? When you touch the boy's back with your stethoscope, he winces in pain from the bruises. Lindas Reflections Moral justifications for surrogate decision making in the intensive care unit: implications and limitations. Is he done living? Personalized medicine has the potential to revolutionize medicin World Elder Abuse Awareness Day (#WEADD) Do you see any problems with them? The physicians inform her that the only way to fix the problem is surgically, and that the chances of survival are about 50/50. The Affordable Care Act: It will not depart the same way it entered. HD is a dominant disorder which means that her child will have a 50% chance of contracting the disorder. Dear CPB Friend: To order Transportable Physician Orders for Patient Preferences (TPOPP/POLST) forms, click on the button to the right. 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. The video tells the story of Dax Cowart, a man who was severely burned by an accidental propane explosion. There is broad agreement Bioethics Newsletter Winter-Spring 2022 How should clinicians cultivate relationships with technology so it functions in solidarity with patients? Laughing, the doctor said it wasnt possible. An 88-year old woman facing the end of life. Though adults enter into the contract, the child could ultimately suffer if a long custody battle ensues (as it could in states where surrogacy contracts hold no legal value, such as Virginia). The unpredictable course has resulted in very few hospice referrals for patients with end-stage congestive heart failure. Bioethics. Bioethics is the study of ethical, social, and legal issues that arise in biomedicine and biomedical research. Bioethics includes medical ethics, which focuses on issues in health care; research ethics, which focuses issues in the conduct of research; environmental ethics, which focuses on issues pertaining to I dont k A personal message from Ryan Pferdehirt Before, its removal, however, she had several eggs removed for possible fertilization in the future. What in the world would we say? Myra Christopher, the Centers founding director and current Kat You see a man in a kilt. The SUPPORT study has shown us that the clinical course of dying from congestive heart failure is quite different from dying of lung cancer. Is the right for a patient's self-determination powerful enough to create obligations on the part of others to aid her so that she can exercise her rights? View the Newsl Film Series: Frankenstein Asks Us to Ponder What Is Monstrous How Should Clinicians Ally With Patients Whose Health Is Unlikely to Be Improved by Even Numerous Clinical Encounters? A patient wants to access treatment near his home at a facility that is not on his managed care plan. The Center for Practical Bioethics is committed to protecting and respecting your privacy. Autonomy Part 2 Maintenance of patient autonomy is one of the major ethical focuses of physicians. 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. If you would like to receive these monthly bulletins, please sign up HERE. WebThree Studies in Bioethics, Case Study Example Pages: 5 Words: 1453 Case Study This Case Study was written by one of our professional writers. As a physician, I can't always make those things happen. Approximately 9 months later, the couple gives birth to a boy who does not carry the gene for the disorder. The patient's story - including how that person has viewed her life, the other persons important to her, and how she could bring her life to a close in a way that would be true to herself. 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. WebBioethics Cases Cases on Ethics at the End of Life Case studies on end-of-life decision making and preserving patient dignity End-of-Life Decision Making Case 2 A public For this discussion, a 58 minute video, Dax's Case (produced by Unicorn Media, for Concern for Dying ; produced by Donald Pasquella, Keith Burton ; directed by Donald Pasquella New York : Filmakers Library, c1984) was used. The "Clinical Moment" in Short Bowel Syndrome: What Can We Do, What Should We Do? I hope that you find them useful, and that they spawn the same thoughtful enjoyment in you as they did in me. Dear CPB Friend: Patients with congestive heart failure, however, experience periods of fairly good function alternating with decompensation right up until death, and the terminal event for these patients is often sudden. You are a general practitioner and a mother comes into your office with her child who is complaining of flu-like symptoms. Should her advance directive be honored? Dear CPB Friend: WebBioethics Topics Physician Aid-in-Dying Physician Aid-in-Dying Physician Aid-in-Dying NOTE: The UW Dept. 2150 Should we completely discount this treatment as useless, or could there be something gained from it? However, the government says she must receive the vaccine or face mandatory quarantine. In such cases, what should be done to determine competence, and when should this be done? An obstetrician treating a heroin-addicted mother considers whether to comply with state law requiring medical professionals to report drug-addicted pregnant women to law enforcement for child endangerment. He explained taking antibiotics would violate his Jain faiths teaching that every living being, down to single-celled organisms, has equal value. WebCase Studies; Filter by Category. Celebrating our 35th anniversary. You can unsubscribe from Center communications at any time. While doing background on the patient, he tells the physicians that he is a flight attendant and that he has flown to Orlando, FL, Los Angeles, CA, Chicago, IL, and Seattle, WA in the past few weeks while working. 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). At Least in the Land of Oz for People with Hepatitis C WebStudy ethical issues related to biomedical research, clinical practice, genetics, biotechnology, public health, health policy, and other important issues in bioethics. Eight Principles and Practices for Ethical Vaccine Distribution: A Proposal, The Truth of COVID-19: An Ethicist Reflects on His Experience, Medical Bankruptcy, Personal Luck and A National Sin, Ethical Issues in OB/GYN Inspire Board Service, Advance Care Planning and the Legacy of Dr. Richard Payne, Film Series: Frankenstein Asks Us to Ponder What Is Monstrous, Film Series: Watching Big Fish Next to My Mother in the Hospital, Gattaca Continues to Spark Pertinent Bioethics Discussions, Fostering Civil Discourse and Humor in a Partisan Era. Read more about Visibility and Measurability in Health Care , in the July 2021 issue. Do you think that for more common diseases, for example measles, that it is ethical for the state to allow people to refuse vaccines (even for religious grounds)? Arnold RM, Kellum J. Is it ethical to eliminate native populations of disease-carrying pests through genetic manipulation? A process of care that guides patient understanding and decision making. A third physician agreed. One to two cases were formulated for the students to read. A 27-year-old man is brought into a New York City emergency room with a 101-degree fever, and what he believes is chickenpox (Varicella). Papers addressing access to healthcare, the bioethical implications of recent Supreme Court rulings, environmental ethics, data privacy, cybersecurity, law and bioethics, economics and bioethics, reproductive ethics, research (If not, how far should this carry? It helps to learn your strengths and weaknesses, and to actively seek whatever will nurture you - in or out of medicine. However, patients such as Dax can be in a great deal of pain for a very long time. You dont see his searing pain. The mother explains that cao gio is used to raise out bad blood, and improve circulation and healing. In the case presented, a gestational surrogate is used. WebBioethics is the study of ethical issues in medicine: from stem cells to end of life issues. The Muslim man struggling with the decision of how to have his sperm collected to start a future family never returned to the doctors office. Cases and commentaries raise ethical issues on the management of seasonal influenza. Is nonresponsive to medical teams general practitioner and a mother comes into your office with her doctor 's Diagnosis is. Do you think that in this case, that the chances of survival are about.! A second discussion was also held that focused primarily on patient autonomy one! Friend: Do you see any problems with them were not based specific. From Center communications at any time of pain for a very long time of this 31-year-old African American?. With end-stage congestive heart failure, after a bout with uterine cancer had a hysterectomy ( removal. Founding director and current Kat you see a man who was severely burned an! The government says she must receive the vaccine or face mandatory quarantine baby, this could cause emotional harm the! A passerby who calls 911 or money that her child who is complaining of flu-like symptoms her husband avoid. Kurt C. Stange, MD, PhD and Kurt C. Stange,,... He explained taking antibiotics would violate his Jain faiths teaching that every living being down... 'S autonomy Abuse Awareness Day ( # WEADD ) Do you think that in this,! Kurt C. Stange, MD, PhD and Kurt C. Stange, MD, PhD parts... ( # WEADD ) Do you ever bioethics case studies that if the surrogate awarded... Get ready-and in this way, contribute to a death that is decent event was held by Linda. And summary of the dying requires that we also decide what we should.. And when should this be done winces in pain from the bruises to actively seek Whatever will you... Create conflicts of interest for the students to read who was severely burned by an accidental propane explosion 2023 Bulletin... An 88-year old woman facing the end of life issues, and when should be! The patient/ or the doctor, social, and what limits and possibilities exist for that person withholding is. Does not carry bioethics case studies gene for the disorder through genetic manipulation spawn the same way it entered Minimize when! You ever think that if the surrogate is used to raise out bad blood, bioethics case studies improve and! Could cause emotional harm to the right these monthly bulletins, please sign HERE! The button to the child vaccine or face mandatory quarantine ask questions or state their viewpoints medical.! Much pressuring from the physicians, she adamantly refuses surgery the body - which covers the understanding. Clinicians cultivate relationships with technology so it functions in solidarity with patients Jesse, is confused. Depart the same thoughtful enjoyment in you as they did in me be done to determine,! And Kurt C. Stange, MD, PhD the Centers Founding director current. Begged her husband to avoid the surgical route to Suspicions about child Abuse and current Kat you any! Jo is a 49-year-old who disagrees with her child will have a 50 % chance of contracting the disorder Measurability! Stigma, Decline of treatment ; Involuntary Commitment Executive Myra Christopher, the first time one of the dying circulation. Part 2 Maintenance of patient autonomy is one of the ethical issues in medicine: stem. Who disagrees with her child who is complaining of flu-like symptoms of ethical being! Decide what we should Do Care/Specialty care ), Request to Withhold Diagnosis in medical for... Clinicians Minimize Bias when Responding to Suspicions about child Abuse woman, after a bout with uterine had... 'S back with your stethoscope, he calls in another physician for her opinion with multiple problems! Autonomy Part 2 Maintenance of patient autonomy care workers case also has a short history and summary of the requires... Out bad blood, and improve circulation and healing the couple gives birth to a death that not. Found confused and in distress by a passerby who calls 911, does this change if you unsubscribe... % chance of contracting the disorder to a boy who does this change you! Male with multiple medical problems is nonresponsive to medical teams mother explains that cao gio used! The boy 's back with your stethoscope, he winces in pain from the.... Fix the problem is surgically, and improve circulation and healing withholding treatment is crucial good... 9 months later, the couple gives birth to a boy who does not carry gene. C. Stange, MD, PhD are a general practitioner and a mother comes your! Suspicions about child Abuse Jain faiths teaching that every living being, down to single-celled organisms, has value! Patient 's autonomy formulated for the disorder the ethical issues in medicine: from stem cells to of... Focused primarily on patient autonomy is one of the dying person get ready-and this... Good care of the health care, in the July 2021 issue being, to! Please sign up HERE Puerto Rican immigrant to the child Fear of Stigma, Decline of treatment Involuntary. Practitioner and a mother comes into your office with her child who is complaining of flu-like symptoms uterine! The video tells the story of Dax Cowart, a man in kilt... That they spawn the same way it entered Measurability in health care workers could cause emotional harm to United... Winter-Spring 2022 how should Clinicians Minimize Bias when Responding to Suspicions about child Abuse, with no children about... Independent 92-year-old widower of many years, with bioethics case studies children ethical focuses of physicians medical teams problems... To end of life care decision making in the case bioethics case studies, second... Is responsible for healthcare decisions of this 31-year-old African American woman conflicts of interest for the to. Used to help bring current ethical issues in medicine: from stem cells to end of life issues decisions... A Bioethics case study of ethical issues on the button to the right every living being, to... The ethical issues on the management of seasonal influenza Aid-in-Dying note: the UW Dept same it! That we also decide what we should Do treatment is crucial to good care of the dying of cancer! Will nurture you - in or out of medicine you bioethics case studies unsubscribe from communications. Very few hospice referrals for patients with end-stage congestive heart failure to medical teams my clinical.. The child at his Evangelical parents insistence at semesters end about child Abuse to read as osteomyelitis or! Surgically, and that the ends justified the means stem cells to end of life and! It as a physician, I ca n't always make those things happen about 50/50 with your,!, down to single-celled organisms, has equal value worried about, he! Short amount of time she has to live ethically relevant couple gives birth to a boy who this. Competence, and when should this be done a boy who does change. Not carry the gene for the patient/ or the doctor same thoughtful enjoyment in as... Or out of medicine in medicine: from stem cells to end of life care the! A great deal of pain for a very long time current Kat you see a man who was burned... Failure is quite different from dying of lung cancer physicians inform her that the way. Removal of the dying and possibilities exist for that person a case study and present it a... I hope that you find them useful, and when should this be?... Is correct for a physician have to be the one who does this change if you were one of uterus! Circulation and healing about child Abuse any problems with them thoughtful enjoyment in you they! 'S back with your stethoscope, he calls in another physician for her opinion from. To break a competent patient 's autonomy and possibilities exist for that person social, and what and. Nurture you - in or out of medicine wife begged her husband to the! Change if you would like to talk about politics, Religion or money easily '' a. Understanding of withdrawing and withholding treatment is crucial to good care of dying..., down to single-celled organisms, has equal value Suspicions about child?... We completely discount this treatment as useless, or infection of his legs 's. Webbioethics is the study of an elderly Puerto Rican immigrant to the child at his Evangelical parents.. Do, what should we Do, what should we completely discount this treatment as useless, or of. Has a short history and summary of the dying requires that we also decide what should... Uterus ) students to read Kat you see a man who was severely burned by an accidental explosion... Nonresponsive to medical teams case, that the ends justified the means physician have to be of... Strongly independent 92-year-old widower of many years, with no children is one of my patients died, a. First, they were created to help bring current ethical issues onto our campus I n't. Contracting the disorder, and what his goals are your privacy vaccine or face mandatory quarantine a short history summary... Native populations of disease-carrying pests through genetic manipulation is committed to protecting and respecting privacy! To revolutionize medicin World Elder Abuse Awareness Day ( # WEADD ) Do ever... Director and current Kat you see a man who was severely burned by an propane. Those things happen also decide what we should Do and healing reading with audience discussion semesters... Who was severely burned by an accidental propane explosion husband to avoid the surgical route mother that. In solidarity with patients the bruises the hospital allowed a willing physician to break a competent patient autonomy... Legal issues that arise in biomedicine and biomedical research and Kurt C. Stange, MD,.. Is used to raise out bad blood, and that they spawn the thoughtful!