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Medical Ethics Advisor

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Articles

  • Is nursing crisis health system’s perfect storm?

    The worsening nursing shortage is a crisis that can completely sink the struggling U.S. health care system if hospitals and other institutions dont do more to address the root causes of the shortage, health executives told government leaders last month.
  • Iowa judge withdraws order for pregnancy test results

    An Iowa district court judge has rescinded his order requiring a local Planned Parenthood clinic to turn over the names of women receiving positive pregnancy tests to law enforcement officials investigating the death of a newborn.
  • DNRs in the field: EMS providers face conflicts

    With more terminally ill patients receiving care outside the hospital, in hospices, home health or in nursing homes, it is becoming increasingly common for emergency medical service (EMS) providers to encounter patients with advance directives or living wills that ask that they not be resuscitated or that certain lifesaving measures not be performed should their hearts stop beating.
  • Pharmaceutical companies must find new ways to market products

    For years, professional medical societies have warned their members that accepting the free meals, trips, and other gifts offered by pharmaceutical sales personnel can compromise physician-patient relationships and should be avoided.
  • Is more treatment better or a cause for concern?

    The nations spending on prescription drugs for children and young adults has soared 85% over the past five years, with spending in some categories of pediatric prescriptions jumping more than 600%, according to a report released by the pharmaceutical benefits manager Medco Health Solutions Inc., located in Franklin Lakes, NJ, and a subsidiary of the pharmaceutical giant Merck Inc.
  • Chaplains natural fit in organ donation process

    The list of people awaiting solid organ transplants grows, and more hospitals are turning to interdisciplinary teams of medical professionals, social workers, organ procurement experts, and family support personnel who are trained to work with families of potential organ donors to ensure that opportunities for donations are not missed. Research has shown that such efforts increase consents for organ donation.
  • Alzheimer’s patients EOL care often misdirected

    The patient Jan Daugherty was visiting at an Arizona long-term care facility was very near the end of his life. Barely able to move and unable to speak, he communicated only with his eyes, which brightened when she gave him a drink of water. Later during the visit, she was able to feed him three glasses of juice and two cups of ice cream.
  • Good transplant candidate? Yes or no depends on who’s doing the evaluating

    A 50-year-old man with end-stage heart failure is referred to your medical center for evaluation to receive a heart transplant. He is in reasonably good health, considering his condition, but has only entered a smoking cessation program two months ago. His previous attempts to quit smoking all have been unsuccessful. Is this patient an appropriate candidate for organ transplantation?
  • Providers aren’t keeping up with genetic medicine

    As controversies over fetal tissue research, cloning, and stem cells grab the headlines, other applications of genetic research are quietly making their way into clinical practice. But many health care providers arent ready for them.
  • Group purchasing orgs review ethics standards

    Following Congressional scrutiny of their business practices, hospital group purchasing organizations (GPOs) are moving to adopt new standards governing how they collect fees, contract with vendors, and manage potential conflicts of interest.