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.
AMA Journal of Ethics theme editor William R. Smith, a third-year medical student at Emory University School of Medicine and a doctoral candidate in philosophy at the University of Notre Dame, interviewed James Mohr, PhD, about how the medical profession has been regulated—and regulated itself—over the course of American history.
When the patient delivers a low-birth-weight infant that requires extensive time in the neonatal intensive, should she be held responsible? Where do we draw the line? More importantly, on what basis do we draw the line?
Moral distress arises not only from organizational constraints on moral action but also from the environmental impacts of health care and climate change.
AMA J Ethics. 2017; 19(6):617-628. doi:
10.1001/journalofethics.2017.19.6.mhst1-1706.
Today’s modern trauma system is a relatively new phenomenon, and trauma surgeons are constantly responding to the changing needs of the populations they serve.
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.