When patients are unable to express their wishes and do not have surrogates or advance directives, which and whose values should inform decision making for them? We discuss ethical complexities of caring for unrepresented patients.

Dr Julia Feinstein joins Ethics Talk to discuss her article: “What Might It Mean to Have a Right to Bear a Pregnancy Peacefully?”

Dr Emily Roberts joins Ethics Talk to discuss her article: “How Innovative Designs Can Help Ease Ethical Tension in Good Dementia Caregiving and Decision-Making.”

Professor Richard L. Cupp Jr joins Ethics Talk to discuss his article: “How Might Corporations’ and Nonhuman Animals’ Personhood Compare Under the Fifth and Fourteenth Amendments?”

Dr Jennifer T. McIntosh joins Ethics Talk to discuss her article, coauthored with Dr Mona Shattell: “How Should Suicide Prevention and Healing Be Expressed as Goals of Inpatient Psychiatric Unit Design?”

Alice J. Liu joins Ethics Talk to discuss her article, coauthored with Drs David S. Im and Laura D. Hirshbein: “What Does the History of Inpatient Psychiatric Unit Design Tell Us About Balancing Safety and Healing for Patients With Suicidal Behaviors?”

Although identical twin-to-twin skin grafting has resulted in excellent survival rates in burn patients, the nature and scope of ethical decision making in monozygotic sibling skin grafting needs further examination.

Physicians, committees, and guardians all make decisions for unrepresented patients in the US. This article considers a “tiered” approach as an alternative.

Research is needed on surrogates’ susceptibility to believing that clinical trials provide individual therapeutic benefit.

Long-term care facilities should assess residents for capacity to consent to sexual activity and be prepared to accommodate sexual intimacy.