Articles Tagged With:
-
Surrogates’ Authority Varies on Mental Health Treatment Decision-Making
Ethicists should be familiar with their respective jurisdictions’ statutes and case law, especially those whose health systems cross state borders.
-
Ongoing Ethical Concerns with Misleading Advertising by Cancer Centers
Recent guidance outlines ethical concerns when cancer centers advertise directly to the public. The authors recommend these centers ensure fair and balanced promotion of cancer services, avoid exaggeration of claims, and provide data and statistics to support direct and implied assertions of treatment success.
-
Frail Older Patients Receiving Higher-Intensity End-of-Life Care
There is an opportunity for targeted interventions for all older patients, especially frail older adults, undergoing emergency general surgery to establish better prognostic understanding and discuss advance care planning before hospital discharge.
-
Routine Ethics Consults Helpful if ECMO Is Considered
When a patient is placed on extracorporeal membrane oxygenation (ECMO), usually emergently, families have begun to face the gravity of the situation. Suddenly, ECMO offers new hope. Even though the primary team explains ECMO will be a time-limited trial and a bridge to recovery, transplant, or device, many families remain focused only on the possibility of hope.
-
Ethics Services Want to Know How Consult Data Compare to Other Hospitals
Ethics services often struggle to obtain data to improve the quality of consults even at their own hospitals, let alone outside institutions. Yet some ethicists are forging ahead with this challenging proposition, trying to move from the qualitative to the quantitative.
-
Court Ruling on Life Support Withdrawal Affects Ethics Committees
Hospitals may need to afford more procedural due process when deciding on whether to withhold or withdraw life-sustaining treatment without consent.
-
Patients, Families Viewing Ethics Consult Notes in Real Time
In reading ethics notes, clinicians often glean insights on how the ethics service contributes to patient care. Patients, along with their surrogates and proxies, will be able to learn from such consultations. For some ethicists, this may be a good time to reassess the goals of ethics notes.
-
Cabotegravir Extended-Release and Rilpivirine Injectable Suspension (Cabenuva) and Cabotegravir Tablets (Vocabria)
Cabotegravir/rilpivirine (CAB/RPV) should be prescribed to treat HIV-1-infected adults. This combination should replace the current antiretroviral (ARV) regimen in those who are virologically suppressed (HIV-1 RNA < 50 copies/mL) on a stable regimen with no history of treatment failure and no known or suspected resistance to ether CAB or RPV.
-
Subclinical Influenza Infection in Healthcare Workers
Despite all precautions, influenza vaccination, handwashing campaigns, and messaging to staff not to come to work with respiratory symptoms, healthcare workers are an important source of nosocomial influenza and respiratory infection. Now, it is happening with COVID-19.
-
Excess Deaths During COVID-19
Compared with death data for the same weeks from prior years, nearly 300,000 excess deaths occurred in the United States between the weeks ending Jan. 26 through Oct. 3, 2020. Two-thirds were attributed to COVID-19.