Dr Helen Stanton Chapple joins Ethics Talk to talk about teaching health professions students and trainees about acknowledging and realizing dying in a healthy way.

Virtual Mentor issue editor Sophia Cedola, a medical student at Columbia University College of Physicians and Surgeons, interviewed Dr. Craig Blinderman about talking with patients who are terminally ill, asking him whether there are some key “do’s” and “don’ts” for having end-of-life conversations with patients and their families.

Dr Ariane Lewis discusses how we can navigate uncertainty and ambiguity about brain death by understanding clinical criteria for brain death determination and how our approaches to death are culturally and socially situated.

Which distinctions between minimally conscious states and vegetative states should clinicians consider?

The diagnostic and clinical criteria for diagnosing persistent vegetative state.

As high-tech care decisions led to value clashes in hospital corridors, ethics committees developed to respond to diverse viewpoints, families’ concerns, and clinicians’ moral distress. They now exist in almost all US health care organizations.

Hospital ethics committees originated with concerns about legal liability, but today they educate, develop and implement policies, and review cases.

Neurologists need to understand and be able to identify the most distinguishing features of permanent vegetative state.

Physicians must maintain strong communication lines and document discussions with patient surrogates to avoid confusion regarding end-of-life care and decisions for patients with irreversible brain damage.

For many physicians, lack of understanding about brain death leads to confusion and muddles interactions with patients’ loved ones at the end of life.