Medical Ethics Advisor – May 1, 2004
May 1, 2004
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Ethics during epidemics: Old lessons get new look
Last years worldwide outbreak of a deadly new virus, severe acute respiratory syndrome (SARS), made health systems around the world re-examine their preparedness to deal with a sudden epidemic of infectious disease. But in addition to designing new methods for detecting outbreaks and improving measures to prevent spread, health care providers again must look at the complex ethical issues that epidemics pose to society, experts say. -
Federal ethics council releases report on ART
The current lack of oversight for assisted reproductive technology (ART) and human embryo research is compromising the future of children created using ART as well as hindering the progress of research into new and innovative treatments for diseases and conditions, a new report from the Presidents Council on Bioethics indicates. -
Research reveals pain problems in ED
More education for physicians and research into pain management strategies appropriate to the emergency setting are needed to ensure appropriate care in the emergency department (ED), new research indicates. Two upcoming studies published in the April issue of the Annals of Emergency Medicine reveal that ED physicians prescribing practices vary widely even when the clinical scenarios are the same. -
Communicate with surrogate decision makers
Recent studies in intensive care units1 (ICU) have found that critical care specialists often try to base decisions about withdrawal of advanced life support measures based on their perception of the patients wishes and the likelihood of survival in the ICU. But making accurate decisions about a patients wishes in such situations often requires clinicians to communicate effectively with surrogate decision makers members of the patients family or others empowered to make decisions should the person become incapacitated. -
Health 'illiteracy' may cause disparities in care
Many adults do not understand health information. Nearly half of all American adults 90 million have difficulty understanding and using health information, and there is a higher rate of hospitalization and use of emergency services among patients with such limited health literacy, states a new report from the Institute of Medicine (IOM).