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    Home » Newsletters » Medical Ethics Advisor

    Medical Ethics Advisor

    www.reliasmedia.com

    November 1, 2020

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    As a valued Relias Media subscriber, you can find the latest issue of your publication online. The articles below provide timely strategies and research for healthcare providers:

    Ethical Concerns When Calling Security Is Top Tactic to Handle Agitated Patients

    Police officers are not mental healthcare professionals, but often are the ones called to help a person in crisis, even if that person is in the hospital at the time. Instead, police should be teamed with a mental health professional to help de-escalate volatile situations.

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    When Hospitals Refuse to See Medicaid Patients

    Serving the best interests of patients while remaining financially solvent is a high-wire act. Ethicists can help clarify a hospital’s obligations to Medicaid patients, including policies relating to admission criteria, such as for patients with inadequate funding. These policies also can clear up confusion over ethical and legal obligations to Medicaid patients who present with emergencies.

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    Controversy Surrounds Exception from Informed Consent Enrollment

    The term “exception from informed consent” for some clinical trials has been around for decades, but most patients know nothing about it. Researchers set out to explore attitudes about enrolling subjects in studies without consent.

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    Unexpected Issues Hinder Ethics Committees’ Effectiveness

    Conflicts of interests and bloated, unfocused panels can torpedo good intentions.

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    Family Members Encouraged to Offer More Care for Loved Ones in ICU

    Researchers provide guidance to worried family members who may not know how to act in the intimidating ICU setting.

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    Growing Movement Toward More Family Participation in ICUs

    Family satisfaction scores increased after ICUs implemented family-centered care initiatives as part of the Society of Critical Care Medicine’s Family Engagement Collaborative.

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    Conflicts Over Decision-Making Frequent in ICUs

    Consider psychological, biological, spiritual, and social factors, and the role they play in understanding illness and healthcare delivery. Using this model, clinical ethicists can encourage dialogue between healthcare professionals caring for seriously ill patients.

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    Where Should Clinicians Draw the Line on ‘Grateful Patient’ Donations?

    Healthcare philanthropy is an essential activity, but approaches to encourage donations must be mindful of ethical considerations and public attitudes.

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    Treatment Withdrawal Policies Could Harm Families

    Chaplain: "Your patient is not just the person in the bed. It’s the whole family."

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    Do Not Intubate Orders Becoming More Common

    Rates increased over time, from about one in 10 patients 20 years ago to about one in three patients in the past five years. The exact reasons for this increase remain unclear.

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    Medical Ethics Advisor

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    Medical Ethics Advisor (Vol. 36, No. 11) - November 2020
    November 1, 2020

    Table Of Contents

    Ethical Concerns When Calling Security Is Top Tactic to Handle Agitated Patients

    When Hospitals Refuse to See Medicaid Patients

    Controversy Surrounds Exception from Informed Consent Enrollment

    Unexpected Issues Hinder Ethics Committees’ Effectiveness

    Family Members Encouraged to Offer More Care for Loved Ones in ICU

    Growing Movement Toward More Family Participation in ICUs

    Conflicts Over Decision-Making Frequent in ICUs

    Where Should Clinicians Draw the Line on ‘Grateful Patient’ Donations?

    Treatment Withdrawal Policies Could Harm Families

    Do Not Intubate Orders Becoming More Common

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    Financial Disclosure: Physician Editor Arthur R. Derse, MD, JD, Nurse Planner Susan Solverson, RN, BSN, CMSRN, Editor Jonathan Springston, Editor Jill Drachenberg, Editorial Group Manager Leslie Coplin, Accreditations Director Amy M. Johnson, MSN, RN, CPN, and Author Stacey Kusterbeck report no consultant, stockholder, speakers’ bureau, research, or other financial relationships with companies having ties to this field of study.

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