Patrick S. Phelan, Mary C. Politi, PhD, and Christopher J. Dy, MD, MPH
During immediate and long-term recovery periods, decisions must account for patients’ personal goals and possible clinical outcomes and should clarify what recovery means.
AMA J Ethics. 2020;22(5):E380-387. doi:
10.1001/amajethics.2020.380.
Legacy patients are so-called because their opioid use behaviors express past, aggressive opioid prescribing by a clinician. Managing their pain and dependence justly is ethically complex.
AMA J Ethics. 2020;22(8):E651-657. doi:
10.1001/amajethics.2020.651.
Jennifer D. Byrne, LCSW, CADC, Katie S. Clancy, MSW, and Isabell Ciszewski, LCSW
Social work perspectives on whether prescribers should authorize opioid refills emphasize the importance of multidisciplinary approaches to patient self-determination.
AMA J Ethics. 2020;22(8):E658-663. doi:
10.1001/amajethics.2020.658.
Benjamin W. Frush, MD, MA, John Brewer Eberly Jr, MD, MA, and Farr A. Curlin, MD
Physicians should accommodate patients’ religious or spiritual understanding of suffering, even when they disagree, as long as they uphold their commitment to health. Both physicians and chaplains, who promote patients’ spiritual well-being, should respectfully challenge patients when necessary.
AMA J Ethics. 2018;20(7):E613-620. doi:
10.1001/amajethics.2018.613.
April R. Christensen, MD, Tara E. Cook, MD, and Robert M. Arnold, MD
Physicians who are uncomfortable with patients’ requests to participate in prayer should pause, listen respectfully, and reflect back their understanding of the request, regardless of whether they pray.
AMA J Ethics. 2018;20(7):E621-629. doi:
10.1001/amajethics.2018.621.
Differentiating between best palliative care options and the curative and palliative potential of surgery is key to developing dual intentional clarity.
AMA J Ethics. 2021;23(10):E766-771. doi:
10.1001/amajethics.2021.766.
Given full information about the risks of long-term opioid therapy, patients often see the value of exploring other options rather than thinking their physicians are reluctant to prescribe narcotics for fear of litigation or regulatory action.
AMA J Ethics. 2015;17(3):202-208. doi:
10.1001/journalofethics.2015.17.3.ecas1-1503.