Because knowledge about the efficacy of long-term opioid use is lacking, decisions about opioid treatment for chronic nonmalignant pain should be guided by a six-step decision making process that is based in clinical ethics.
AMA J Ethics. 2015;17(6):521-529. doi:
10.1001/journalofethics.2015.17.6.nlit1-1506.
Although there are valid reasons to suspend do-not-resuscitate (DNR) orders during surgery, the decision to do so should be discussed with patients and should take into account their goals and objectives.
AMA J Ethics. 2015;17(3):229-235. doi:
10.1001/journalofethics.2015.17.3.nlit1-1503
A discussion of ethics concerns in psychiatric genetics focusing on predictive genetic testing, psychosocial consequences for patients, effects on family and communities, and the ethics of some emerging technologies.
A survey suggests that there is broad consensus among physicians about the importance of honesty with patients, but there is variation in physicians' behavior in disclosing certain information to patients.
Instead of trying to reduce the number of people who have access to a patient's medical record by quarantining information, hospitals should explain the current meaning of confidentiality to patients as part of the informed consent process.
Review of an article that takes the position that the hospital/physician-employee relationship can work if it is built on the socially directed ideals both parties share.
David S. Gierada, MD and Lawrence M. Kotner, Jr., MD
Despite strong supportive evidence on and professional society endorsement of CT screening for lung cancer, there is minimal demand from patients or physicians.
Research has shown that ethics committees are less prevalent in rural hospitals than elsewhere, they do not fulfill the typical role, and they are seldom used; rural health care workers do not see bioethics analysis as applicable to the challenges they face, and they are hesitant to take action about many ethical problems.