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Often, training is viewed as a way to stop ethical violations. But a recent analysis of 280 cases suggests this is not the answer. Nearly all cases of serious ethical violations involved repeated instances of intentional wrongdoing that went undetected.
Is a person’s goal to be cured, to live long enough to see a particular event, to be comfortable, or something else? Researchers wanted to know how many ICU proxies believed they knew the answer. They also wondered how many proxies felt confident that they knew what limits their loved one would place on pursuing that goal — would the patient choose not to resuscitate?
Some accountable care organizations are replacing in-person visits with lower-cost virtual visits. Using data from more than 35,000 patients from 2014 to 2017 within a Massachusetts-based ACO, researchers found that the use of virtual visits reduced in-person visits by 33%.
Despite multiple ethical concerns raised regarding providers searching for online information about their patients, specific recommendations have been lacking.
Ethics consultations are categorized in a surprisingly heterogeneous way, found a recent analysis of 30 articles. The most common categories were do not resuscitate orders, capacity, withholding, withdrawing, and surrogate or proxy. Only 26% of the typologies (seven of 27 unique typologies) contained the five most common categories.
When patients with significant underlying comorbidities suffer life-threatening or serious complications at Indiana University Health, the palliative team is consulted. All too often, they find there is no advance directive in place.
The authors of a recent literature review looked at the current state of spiritual care in the ICU setting. The findings reveal both the benefits of spiritual care services and the persistent unmet needs.
Financial Disclosure: Consulting Editor Arthur R. Derse, MD, JD, Nurse Planner Susan Solverson, RN, BSN, CMSRN, Editor Jill Drachenberg, Editor Jonathan Springston, Editorial Group Manager Terrey L. Hatcher, and Author Stacey Kusterbeck report no consultant, stockholder, speakers’ bureau, research, or other financial relationships with companies having ties to this field of study.
