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Medical Ethics Advisor

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  • Is compensation for organ donation ethical?

    The evolution of "transplant tourism" drives home the point that people are willing to go to extreme lengths to procure an organ, according to Leslie M. Whetstine, PhD, an assistant professor of philosophy at Walsh University in North Canton, OH. "Despite the fact that the public overwhelmingly supports organ donation in this country, our actions unfortunately do not reflect that sentiment," she says.
  • Do physicians give life support recommendations? Practices vary

    Approximately one in five (22%) out of 608 critical care physicians surveyed reported always providing surrogates of critically ill adult patients with a recommendation about limiting life support, while one in 10 (11%) reported rarely or never doing so, according to a just-published study.1 Surrogates' desires for recommendations and physicians' agreements with surrogates' likely decisions may influence whether recommendations are provided.
  • Focus on satisfaction: Too much autonomy?

    Linking payment to patient satisfaction could have a profound impact on the doctor-patient relationship, argues James N. Kirkpatrick, MD, an assistant professor of medicine at the Hospital of the University of Pennsylvania who is affiliated with the University of Pennsylvania Department of Medical Ethics and Health Policy.
  • Focus on ethics of narcotics prescribing

    Prescribing potentially addictive medications "is often a very challenging situation for physicians," says David A. Fleming, MD, MA, FACP, professor and chairman of the Department of Internal Medicine and director of the Center for Health Ethics at University of Missouri in Columbia.
  • Underinsured patients will need cost-effective options

    It's a "tremendous victory to have something approaching universal access" as a result of the Patient Protection and Affordable Care Act, but the resulting increase in underinsured patients will pose ethical challenges for providers, according to Joseph J. Fins, MD, MACP, chief of the Division of Medical Ethics at Weill Cornell Medical College and director of medical ethics at New York Presbyterian Hospital-Weill Cornell Center in New York City.
  • Should post-transplant quality of life determine patient's eligibility?

    Recently ripped from the headlines is the heartbreaking story of a 3-year-old girl in dire need of a kidney transplant. Additionally, she was diagnosed with a rare genetic disease called Wolf-Hirschhorn, which is characterized by a distinctive facial appearance, delayed growth and development, diminished intellectual disability, and epileptic-like seizures.
  • Study: Spirituality may improve quality of life

    According to the results of a study1 in Psychiatry Research, spirituality and religiousness might contribute to improved quality of life (QOL) in patients who have been diagnosed with residual schizophrenia.
  • News Briefs

    A Massachusetts appeals court has overturned a ruling by Norfolk probate judge Christina L. Harms who ordered that a 32-year-old mentally ill woman, known as "Mary Moe," have an abortion against her will even if it meant she had to be coaxed, bribed, or even enticed into a hospital. Additionally, Harms ordered that the Moe be sterilized.
  • New hospice facts and figures

    The National Hospice and Palliative Care Organization's (NHPCO) annual report, Facts and figures: hospice care in America, shows the number of patients served remains fairly constant at 1.58 million in 2010 (a slight rise from 1.56 million served in 2009). Yet a statistic of concern to hospice and palliative care professionals is the drop in median and average length of service.
  • Improving consent in organ donation

    Research published in the British Journal of Anaesthesia suggests that organ donation rates in the United Kingdom (UK) could be increased if the issues affecting declined consent are improved. At present, only 30% of the UK population is registered on the National Health Service (NHS) Organ Donor Register (ODR).