Clinical
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Patients’ Contraceptive Choices Evolve Over Time and Life Needs
Women’s preferences in contraceptive methods can change with time and circumstances in their lives, new research shows. Values and preferences are influenced by the contraceptive method’s effectiveness, access, convenience, side effects, societal norms, and other issues. -
Providers Can Improve Condom Messaging to Patients
Reproductive health providers could help patients better understand their risks of both pregnancy and sexually transmitted infections (STIs) by asking nonjudgmental questions about their sexual activity, and offering testing for STIs and a vaccine for HPV. -
Surgeon General Says Boosting Youth Mental Health ‘Will Require a Whole-of-Society Effort’
Sweeping advisory includes detailed action items for families all the way to the federal government and everyone in between.
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CDC Study Shows Low Condom Use Among LARC Users
Women increasingly are using long-acting reversible contraception (LARC). But LARC users might also be forgoing condoms, the only contraceptive that protects against most sexually transmitted infections, the results of a recent study suggest. -
Most PICU Clinicians Report Moral Distress During COVID-19 Pandemic
Ethicists should join rounds on various units, routinely conduct multiprofessional team debriefing sessions within departments and units, and offer educational workshops on ethical frameworks.
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Remote Consults Expand Reach of Ethics, But Complex Cases Remain Challenging
It is too difficult for an ethicist to mediate and facilitate if he or she is not physically present in the room.
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Medical Residents Know Little About Surrogate Decision-Making Laws
Ethicists can educate clinicians about how to identify appropriate decision-makers and the roles proxies and surrogates ought to play in patient care. Equally important is ensuring providers know where to go for help if such questions arise.
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Infectious Complications Carry Ethical Implications for End-of-Life Care
Many assume antibiotics are a simple solution to infectious complications, which is not always the case. Clinicians must explain the downstream effects of traumatic injuries and ICU care to families in detail so they can see how each bump in the road will affect the patient.
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Ethical Considerations When Nurses Perform ‘Slow Codes’ at End of Life
On some occasions, limited resuscitation efforts occurred without the family’s knowledge. Not all resuscitation measures are medically beneficial, and clinicians often must decide in the moment if they are clinically appropriate to perform.
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Notification Practices Vary for Emergency Research, Few Participants Withdraw
Find consent processes that protect and preserve patients’ autonomy to the extent possible, while also allowing medical progress to occur and giving participants access to potentially beneficial therapies. Doing so may require
a more creative process than just following the rules.