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.
A guardian’s request to sterilize a woman with intellectual disabilities is not ethically justifiable unless the woman assents and it is to her benefit.
AMA J Ethics. 2016;18(4):365-372. doi:
10.1001/journalofethics.2016.18.4.ecas2-1604.
Women who are pregnant might not treat their mental illnesses because they overestimate risks of medication and underestimate risks of leaving their illness untreated.
AMA J Ethics. 2016;18(6):614-623. doi:
10.1001/journalofethics.2016.18.6.stas1-1606.
Shared decision making honors patient autonomy, particularly for preference-sensitive care decisions and even when patients have impaired decision-making capacity.
AMA J Ethics. 2020;22(5):E358-364. doi:
10.1001/amajethics.2020.358.
Shared decision making is practically difficult to implement in mental health practice but remains an ethical ideal for motivating therapeutic capacity.
AMA J Ethics. 2020;22(5):E446-451. doi:
10.1001/amajethics.2020.446.
Some physicians who value collective bargaining remain concerned that patient services could suffer, but unionization can be driven by a focus on improving care.
AMA J Ethics. 2020;22(3):E193-200. doi:
10.1001/amajethics.2020.193.
Health workers care for COVID-19 patients, just as St Roch tended to bubonic plague victims during the Renaissance. Three artworks relate Roch’s story and apply key insights to the 2020 pandemic.
AMA J Ethics. 2020;22(5):E441-445. doi:
10.1001/amajethics.2020.441.