The Ethics Workup: A Case-Based Approach To Ethical Decision-Making Instruction

Futility in Rehabilitation

“…Deliberations on futility should start with a thoughtful evaluation of the consequences of the alternative courses of action. This should take into account the seriousness, reversibility, and probability of the potential consequences . The mandate to prevent or minimize the adverse consequences of the action taken inflates as the magnitude of the consequences increases.…”

“…This practice is representative of the virtue of honesty which should be espoused by all health care providers. To ensure that the information communicated to patients/surrogates conforms to the limits of prognostic certainty, providers should consult evidence‐based practice guidelines, where available . When the limits of certainty are below the threshold for actionable recommendations, providers should recognize that the moral authority to determine what is good for another person is low.…”

Challenges in Deactivating a Total Artificial Heart for a Patient With Capacity

“…These obligations cannot satisfactorily be met by sending the patient home without adequate assistance. [34][35][36] Services including ethics, psychiatry, palliative medicine, and chaplaincy can collaborate to meet the patient's, family's, and team's needs for compassionate support during the deactivation process.…”

Student Research Work and Modeled Situations in Order to Bridge the Gap between Basic Science Concepts and Those from Preventive and Clinical Practice. Meaningful Learning and <i>Informed beneficience</i>

“…When the problem proposed to students is analyzed, one of the dimensions that must be discussed is the consequences for the patient or communities if the proposed solutions are wrong. The ethics of care, the health's worker responsibility is addressed through a consequentialist approach (Veatch et al, 2009) and their experiences connecting PBL and ethics (Tysinger et al, 1997;Fasser et al, 2007).…”