Resources For Clinical Ethics Consultation
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Resources For Clinical Ethics Consultation
Clinical ethics support services initially developed in the United States of America, following court cases such as the Karen Ann Quinlan case, which stressed the need for mechanisms to resolve ethical disputes within health care. The Joint Commission on Accreditation of Healthcare Organizations requirement for hospitals, nursing homes, and home care agencies to have a standing mechanism to address ethical issues has also fostered this development (this requirement no longer appears in the Joint Commission regulations, however). Despite initial doubts as the possibility of importing what was initially felt to be a specificity of the US system, ethics support services have developed in many other countries, including Canada but also various countries in Europe and Asia. In order to share experience and resources among these clinical research ethics consultation and support services, networks and platforms have increasingly developed.Slowther A. et al: Development of clinical ethics c ...
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Karen Ann Quinlan Case
''In re Quinlan'' (70 N.J. 10, 355 A.2d 647 (NJ 1976)) was a landmark 1975 court case in the United States in which the parents of a woman who was kept alive by artificial means were allowed to order her removal from artificial ventilation. Karen Ann Quinlan Karen Ann Quinlan was 21 years old in 1975. After a night of drinking alcohol and ingesting tranquilizers, Quinlan passed out and ceased breathing for two 15-minute periods. After it was determined that she was in a persistent vegetative state, her father, Joseph Quinlan, wished to remove her from the medical ventilator. Quinlan's primary physician and the hospital both refused. Legal case Quinlan's father retained attorneys Paul W. Armstrong, a Morris County, New Jersey, Legal Aid attorney, and James M. Crowley, an associate at the New York City law firm of Shearman & Sterling with degrees in theology and Church law, and filed suit in the New Jersey Superior Court in Morris County, New Jersey, on September 12, 1975, to be ...
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Euthanasia
Euthanasia (from el, εὐθανασία 'good death': εὖ, ''eu'' 'well, good' + θάνατος, ''thanatos'' 'death') is the practice of intentionally ending life to eliminate pain and suffering. Different countries have different euthanasia laws. The British House of Lords select committee on medical ethics defines euthanasia as "a deliberate intervention undertaken with the express intention of ending a life, to relieve intractable suffering". In the Netherlands and Belgium, euthanasia is understood as "termination of life by a doctor at the request of a patient". The Dutch law, however, does not use the term 'euthanasia' but includes the concept under the broader definition of "assisted suicide and termination of life on request". Euthanasia is categorized in different ways, which include voluntary, non-voluntary, or involuntary.
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Jonathan D
Jonathan may refer to: *Jonathan (name), a masculine given name Media * ''Jonathan'' (1970 film), a German film directed by Hans W. Geißendörfer * ''Jonathan'' (2016 film), a German film directed by Piotr J. Lewandowski * ''Jonathan'' (2018 film), an American film directed by Bill Oliver * ''Jonathan'' (Buffy comic), a 2001 comic book based on the ''Buffy the Vampire Slayer'' television series * ''Jonathan'' (TV show), a Welsh-language television show hosted by ex-rugby player Jonathan Davies People and biblical figures Bible * Jonathan (1 Samuel), son of King Saul of Israel and friend of David, in the Books of Samuel *Jonathan (Judges), in the Book of Judges Judaism *Jonathan Apphus, fifth son of Mattathias and leader of the Hasmonean dynasty of Judea from 161 to 143 BCE *Rabbi Jonathan, 2nd century *Jonathan (High Priest), a High Priest of Israel in the 1st century Other *Jonathan (apple), a variety of apple * "Jonathan" (song), a 2015 song by French singer and songwrit ...
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Edmund D
Edmund is a masculine given name or surname in the English language. The name is derived from the Old English elements ''ēad'', meaning "prosperity" or "riches", and ''mund'', meaning "protector". Persons named Edmund include: People Kings and nobles *Edmund the Martyr (died 869 or 870), king of East Anglia *Edmund I (922–946), King of England from 939 to 946 *Edmund Ironside (989–1016), also known as Edmund II, King of England in 1016 *Edmund of Scotland (after 1070 – after 1097) *Edmund Crouchback (1245–1296), son of King Henry III of England and claimant to the Sicilian throne *Edmund, 2nd Earl of Cornwall (1249–1300), earl of Cornwall; English nobleman of royal descent * Edmund of Langley, 1st Duke of York (1341–1402), son of King Edward III of England * Edmund Tudor, earl of Richmond (1430–1456), English and Welsh nobleman * Edmund, Prince of Schwarzenberg (1803–1873), the last created Austrian field marshal of the 19th century In religion * Saint Edmund (d ...
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Joseph Fins
Joseph J. Fins, M.D., D. Hum. Litt., M.A.C.P., F.R.C.P. (born 1959) is an American physician and medical ethicist. He is chief of the Division of Medical Ethics at New York Presbyterian Hospital and Weill Cornell Medical College, where he serves as The E. William Davis Jr., M.D. Professor of Medical Ethics, and Professor of Medicine, Professor of Public Health, and Professor of Medicine in Psychiatry. Fins is also Director of Medical Ethics and an attending physician at New York Presbyterian Hospital-Weill Cornell Medical Center. Fins is also a member of the adjunct faculty of Rockefeller University and has served as Associate for Medicine at The Hastings Center. He is the Solomon Center Distinguished Scholar in Medicine, Bioethics and the Law and a Visiting Professor of Law at Yale Law School. He was appointed by President Bill Clinton to ''The White House Commission on Complementary and Alternative Medicine Policy'' and currently serves on ''The New York State Task Force on Li ...
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Ross Upshur
Ross Upshur (born 1958) is a Canadian physician and researcher. He is a professor at the Dalla Lana School of Public Health of the University of Toronto in Toronto, Canada, and heads its public health division. Upshur received a BA in philosophy from the University of Winnipeg in 1982, and an MA, also in philosophy, from Queen's University in 1983; he completed an MD at McMaster University in 1986, and an MSc in epidemiology Epidemiology is the study and analysis of the distribution (who, when, and where), patterns and determinants of health and disease conditions in a defined population. It is a cornerstone of public health, and shapes policy decisions and evidenc ... at the University of Toronto in 1997. Publications His book publications include: * (as co-author with R.P. Thompson) ''Philosophy of Medicine: An Introduction''. London: Routledge, 2017 * (as co-editor with L. Jaakkimainen, S.E. Schultz and S. Maaten) ''Primary Care in Ontario''. Toronto: Institute f ...
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Ruth Faden
Ruth R. Faden is an American scientist, academic, and founder of the Johns Hopkins Berman Institute of Bioethics. She was the Berman Institute's Director from 1995 until 2016, and the inaugural Andreas C. Dracopoulos Director from 2014 to 2016. Faden is the inaugural Philip Franklin Wagley Professor of Biomedical Ethics. Faden is a member of the Institute of Medicine and a Fellow of The Hastings Center and the American Psychological Association. She has served on President Clinton's Advisory Committee on Human Radiation Experiments, which she chaired. Faden co-launched the Global Food Ethics and Policy Program, sponsor of the 7 by 5 Agenda for Ethics and Global Food Security. She is also a co-founder of the Hinxton Group, a global community committed to advancing ethical and policy challenges in stem cell science, and the Second Wave initiative, an effort to ensure that the health interests of pregnant women are fairly represented in biomedical research and drug and device policie ...
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Arthur Caplan
Arthur L. Caplan (born 1950) is the Drs. William F. and Virginia Connolly Mitty Professor of Bioethics at New York University Grossman School of Medicine and the founding director of the Division of Medical Ethics. Caplan has made many contributions to public policy including: helping to found the National Marrow Donor Program; creating the policy of required request in cadaver organ donation adopted throughout the United States; helping to create the system for distributing organs in the U.S.; and advising on the content of the National Organ Transplant Act of 1984, rules governing living organ donation, and legislation and regulation in many other areas of health care including blood safety and compassionate use. During the COVID-19 pandemic, he repeatedly stepped into controversy by universally criticizing those who were not fully vaccinated. Referring to them in a CNN appearance, he asserted, "I'll condemn them. I'll shame them. I'm blame them ... We can penalize them more, ...
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Psychiatry
Psychiatry is the medical specialty devoted to the diagnosis, prevention, and treatment of mental disorders. These include various maladaptations related to mood, behaviour, cognition, and perceptions. See glossary of psychiatry. Initial psychiatric assessment of a person typically begins with a case history and mental status examination. Physical examinations and psychological tests may be conducted. On occasion, neuroimaging or other neurophysiological techniques are used. Mental disorders are often diagnosed in accordance with clinical concepts listed in diagnostic manuals such as the ''International Classification of Diseases'' (ICD), edited and used by the World Health Organization (WHO) and the widely used '' Diagnostic and Statistical Manual of Mental Disorders'' (DSM), published by the American Psychiatric Association (APA). The fifth edition of the DSM (DSM-5) was published in May 2013 which re-organized the larger categories of various diseases and expanded upon the p ...
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Assisted Suicide
Assisted suicide is suicide undertaken with the aid of another person. The term usually refers to physician-assisted suicide (PAS), which is suicide that is assisted by a physician or other healthcare provider. Once it is determined that the person's situation qualifies under the physician-assisted suicide laws for that place, the physician's assistance is usually limited to writing a prescription for a lethal dose of drugs. In many jurisdictions, helping a person die by suicide is a crime. People who support legalizing physician-assisted suicide want the people who assist in a voluntary death to be exempt from criminal prosecution for manslaughter or similar crimes. Physician-assisted suicide is legal in some countries, under certain circumstances, including Austria, Belgium, Canada, Germany, Luxembourg, the Netherlands, New Zealand, Spain, Switzerland, parts of the United States and all six states of Australia. The constitutional courts of Colombia, Germany and Italy legali ...
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Do Not Resuscitate
A do-not-resuscitate order (DNR), also known as Do Not Attempt Resuscitation (DNAR), Do Not Attempt Cardiopulmonary Resuscitation (DNACPR), no code or allow natural death, is a medical order, written or oral depending on country, indicating that a person should not receive cardiopulmonary resuscitation (CPR) if that person's heart stops beating. Sometimes these decisions and the relevant documents also encompass decisions around other critical or life-prolonging medical interventions. The legal status and processes surrounding DNR orders vary from country to country. Most commonly, the order is placed by a physician based on a combination of medical judgement and patient involvement. Basis for choice Interviews with 26 DNR patients and 16 full code patients in Toronto in 2006-9 suggest that the decision to choose do-not-resuscitate status was based on personal factors including health and lifestyle; relational factors (to family or to society as a whole); and philosophical f ...
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Research Ethics Consultation
Analogous to clinical ethics consultation, Research Ethics Consultation (REC) describes a formal way for researchers to solicit and receive expert ethical guidance related to biomedical research. The first REC service was established at the National Institutes of Health (NIH) Clinical Center in 1997. Today, most REC services are found at academic institutions, and the majority of current services were originally launched in response to the 2006 NIH Clinical and Translational Science Award program, as applicants to that program were required to have procedures in place to address ethical concerns raised by their research. While still a young discipline with no explicit standards, individuals serving as research ethics consultants are expected to be familiar with research ethics and ethical analysis; knowledgeable about the applicable regulations, laws, and policies; and ideally also have some biomedical research experience and scientific expertise. REC is distinct from related servi ...
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