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One emergency physician might feel comfortable giving a medication by injection to a man distraught from hallucinating and in danger of attempting homicide, while another might prefer a psychiatric consultation for almost all of the psychiatric patients seen in the emergency department.
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If a patient comes to a provider asking for a specific name-brand medication, how much weight should the request be given?
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Many pediatricians feel some distress over parents who refuse to vaccinate their children, says Douglas S. Diekema, MD, MPH, attending physician and director of education at the Treuman Katz Center for Pediatric Bioethics at Seattle (WA) Children's Hospital and professor in the Department of Pediatrics at the University of Washington School of Medicine, also in Seattle.
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If a nursing home resident has a urinary tract infection, he or she may want to avoid the discomfort and side effects of being transported to the hospital for intravenous antibiotics, and would rather be cared for with medications in the nursing home.
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If genetic testing reveals a woman has a 60% chance of developing breast cancer in her lifetime, what good does this information do for a patient?
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In the near future, genomics will become an ordinary part of physician office visits, predicts Kenneth W. Goodman, PhD, professor and director of the University of Miami (FL)'s Bioethics Program.
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If a patient has high blood pressure, prescribing medication might seem like a "no-brainer" to the physician. However, this isn't always true for the patient, according to Mary Catherine Beach, MD, MPH, core faculty at the Berman Institute of Bioethics at Johns Hopkins University in Baltimore.
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When an institution's study portfolio gets large enough, its review board must decide: Is it time for a new board? And if so, how do you divide the work? At many institutions, that division is based on methodology studies are assigned to either a biomedical review board or one devoted to social-behavioral studies.
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Illegal immigration and health care have been mentioned a great deal in the news recently, and the issue has Nebraska's lawmakers at odds. Some conservatives are supporting a plan to offer state aid to pregnant women in the United States illegally.
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Is a doctor's spirituality an obstacle or a benefit in the clinic? Does religious affiliation affect medical decision making? Can a spiritual calling protect doctors against career burnout?
