Dr. Jones has a duty to determine how the test results were lost and why, disclose this information to his patient, Mrs. Taylor, and see that she is not held responsible for the costs of rerunning the test.
It is often difficult for the clinical team to accept a patient’s family members as allies rather than adversaries. Close relatives know more about the patient than members of the medical team and may well share some of the patient’s values.
Inquire about the patient’s current living situation. Ask about feelings of neglect or abuse and look for signs (e.g., weight loss, contusions, pressure sores, or poor hygiene) that might indicate an unsafe home environment.
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.
AMA J Ethics. 2018;20(6):537-545. doi:
10.1001/journalofethics.2018.20.6.cscm2-1806.
After the infant’s birth, the neonatologist’s first duty is to his or her patient—the newly born infant. If clinical circumstances are different than anticipated, the physician must first consider the best interests of the baby.
Family presence in the trauma bay is not entirely analogous to family presence during cardiopulmonary resuscitation (CPR) and requires a chaperone system.
AMA J Ethics. 2018;20(5):455-463. doi:
10.1001/journalofethics.2018.20.5.ecas5-1805.
When a child or family begins to stand out because of patterns in history or physical findings, physicians must determine whether to take a closer look at the situation.
The greatest pressure to resuscitate the extremely low-birth-weight infant often results from successful marketing efforts that lead families to expect that their premature infants will be cute and healthy.
Physicians new to a case might object to an established care plan. Practice variation, clinical momentum, and how value is assigned by different parties to acute care and comfort measures can each contribute to conflict in these cases.
AMA J Ethics. 2018;20(8):E699-707. doi:
10.1001/amajethics.2018.699.