Medical institutions didn’t always understand the importance of ethics to physician training, notes Timothy Lahey, MD, MMSc, chair of the clinical ethics committee at Lebanon, NH-based Dartmouth-Hitchcock Medical Center, and associate professor at Dartmouth’s Geisel School of Medicine.
Almost all major healthcare systems are adopting some form of telehealth, and it is rapidly becoming a standard of care, says David A. Fleming, MD, MA, MACP, director of University of Missouri’s Center for Health Ethics in Columbia.
While ethics consults typically focus on individual patients’ unique situations, many involve scenarios that recur repeatedly. These are ideally addressed at an organizationwide level, according to Edward J. Dunn, MD, ScD, a fellow in Hospice and Palliative Medicine at Wright State University in Dayton, OH. Dunn is a former director of the Integrated Ethics Program at Lexington (KY) VA Medical Center.
In light of multiple recent studies linking feeding tubes in patients with advanced dementia with numerous treatment burdens and complications, the American Geriatrics Society released an updated position statement in July 2014 on this practice.
In one sense, undocumented patients are like any other patients some have health insurance, but many will not. Whats particularly challenging is that undocumented patients who are uninsured will usually not qualify for the safety net programs that provide assistance for similar patients with citizenship, says Mark Kuczewski, PhD, chair of the Department of Medical Education and director of the Neiswanger Institute for Bioethics at Loyola University in Maywood, IL.