Center for Health Ethics publications (MU)
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Items in this collection are the scholarly output of the Department of Center for Health Ethics faculty, staff, and students, either alone or as co-authors, and which may or may not have been published in an alternate format. Items may contain more than one file type.
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Item Ethical Issues: Ethics Consultation(Center for Health Ethics, 2003-09) Fleming, David A.; University of Missouri-Columbia. School of Medicine. Department of Health Management and Informatics. Center for Health EthicsMaking decisions within the complexities of modern health care is not easy. This is especially true in a training environment. Ethical dilemmas often present themselves, and having a mechanism available to effectively address complex ethical issues in a timely fashion is critical to the quality and safety of patient care. One of the most common ethical challenges presents itself when a patient needs intervention but has questionable capacity to make decisions and it is unclear what they would want us to do.Item Organizational Ethics Committees(Center for Health Ethics, 2009-10) Fleming, David A.; University of Missouri-Columbia. School of Medicine. Department of Health Management and Informatics. Center for Health EthicsThe first official healthcare ethics committee convened in 1971. But the origin of such committees came years earlier in response to a rising tide of moral concern in health care. “Committees for the Discussion of Morals in Medicine” were formed by U.S. Catholic Hospitals in the 1960s in response to increasing social awareness of personal rights and the new dilemmas created by evolving life saving medical technology.Item The Terri Schiavo Crisis(Center for Health Ethics, 2003-11) Fleming, David A.; University of Missouri-Columbia. School of Medicine. Department of Health Management and Informatics. Center for Health EthicsTerri Schindler-Schiavo has lived in a persistent vegetative state in Florida for thirteen years, since her collapse and resuscitation at age 26 due to apparent severe hypokalemia. She has been kept alive with a jejunal feeding tube these many years, life support that her husband claims she would not want.Item Partial DNR Orders(Center for Health Ethics, 2003-12) Fleming, David A.; University of Missouri-Columbia. School of Medicine. Department of Health Management and Informatics. Center for Health EthicsWriting formal “Do Not Resuscitate” (DNR) orders is a relatively new practice that has come about over the last 30 years as a result of medical innovation coupled with a growing understanding that sometimes it's just not in the patient's best interest to delay the process of dying, even if we can. The notion of doing a “partial code”, such as selectively not intubating or using medication only (“chemical code”), arose out of the recent patient autonomy movement.Item Ethical Issues: The Difficult Family(Center for Health Ethics, 2004-01) Fleming, David A.; University of Missouri-Columbia. School of Medicine. Department of Health Management and Informatics. Center for Health EthicsSome of the most difficult situations faced by physicians have been when loving and caring families, often out of guilt or misunderstanding, disagree or become demanding. This challenge intensifies when those demands do not seem to coincide with what seems to be in the best interest of the patient. This is particularly true in end of life care when conflicts between physicians and families often create emotionally difficult and time consuming situations for everyone involved in the care of the patient.