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.
A 3-step analgesic ladder was introduced in 1986 and needs change. Surgical interventions could reduce opioid use and motivate expansion of current pain management approaches.
AMA J Ethics. 2020;22(8):E695-701. doi:
10.1001/amajethics.2020.695.
Mary Perkinson, DMA, Vaishali Phatak, PhD, and Meghan K. Ramirez
There is evidence of the benefits of music for health and wellness, but current US clinical practice does not yet commonly incorporate arts-based interventions.
AMA J Ethics. 2022;24(7):E611-616. doi:
10.1001/amajethics.2022.611.
Dr Vaishali Phatak joins Ethics Talk to discuss her article, coauthored with Dr Mary Perkinson and Meghan K. Ramirez: “Leveraging Cross-Campus Expertise to Contribute to Dementia Care Through Music.”
AMA Journal of Ethics theme editor Subha Perni, MD, a recent graduate of the Columbia University College of Physicians and Surgeons, interviewed Elizabeth Epstein, PhD, RN, about strategies for understanding and address moral distress in clinical settings.