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Internet research has been an issue for institutional review boards since its roots in the 1990s, and the challenges ethics boards face in reviewing such studies are in pioneer territory.
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While there are uncomplicated patient cases where physician-patient communication is fairly straightforward, such communication also can range to the other end of the continuum involving end-of-life care and related decision-making.
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It's not unusual for a patient to express a desire to go home when facing the end of life, say two experts interviewed by Medical Ethics Advisor. But the decision-making to allow this can be fraught with complexity, depending on the patient's medical condition and needs.
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While not every physician or nurse makes a decision to deviate from standard medical practice or rules and regulations governing that practice, it certainly does happen, according to John D. Banja, PhD, professor, department of rehabilitation medicine and medical ethicist, Center for Ethics at Emory University School of Medicine in Atlanta.
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The United States Conference of Catholic Bishops (USCCB) Secretariat of Pro-Life Activities, Richard Doerflinger, suggests that following the passage of health care reform, "there's still a number of deficiencies in conscience protection."
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Four founding partners in a public-private collaboration to advance performance measurement in behavioral health on July 21 applauded The Joint Commission's (TJC) announcement of the next phase of the "Hospital-Based Inpatient Psychiatric Hospitals" (HBIPS) core measures initiative.
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Palliative care refers to patient- and family-centered care that optimizes quality of life by anticipating, preventing, and treating suffering. Palliative care throughout the continuum of illness involves addressing physical, intellectual, emotional, social, and spiritual needs and facilitating patient autonomy, access to information, and choice.
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In light of "substantial attention in both professional and popular literature" regarding ethical oversight of quality improvement initiatives, researchers at Johns Hopkins University sought systematic data on this topic and they believe that's what they found.
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The chair of the task force responsible for the fifth edition of Diagnostic and Statistical Manual of Mental Disorders, David J. Kupfer, MD, and Darrel A. Regier, co-authors of a recent commentary in JAMA, suggested their perspective in the commentary title: "Why All of Medicine Should Care About DMS-5."
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Sue Dill Calloway, RN, Esq., BSN, MSN, JD, a nurse attorney and medical legal consultant in Columbus, OH,has had considerable experience in dealing with informed consent. Calloway recently presented an audio conference on "Informed Consent 2010: The Latest in CMS and Joint Commission Consent Requirements" for AHC Media, publisher of Medical Ethics Advisor.
