AMA Journal of Ethics

End-stage heart failure patients can experience depression along with their chronic illness. Multidisciplinary responses are critical.

Social determinants and freedom situate newcomers’ capacity for well-being.

Clinical trials should assess patients’ distress and test interventions to address it, just as they assess adverse events and test novel therapeutic agents.

Principles of respect for autonomy, beneficence, and nonmaleficence guide trauma-informed care. Care ethics should also support this framework for responding to the health needs of trafficked patients.