32 – Bio-Ethics

— THESE ARE LARGE TIFF FILES — SOMETIMES DIFFICULT TO SEE ON SCREEN — BUT THEY PRINT WELL —
I HAVE BEEN A MEMBER OF A HOSPITAL BIO-ETHICS COMMITTEE FOR 15 YEARS. THE FOLLOWING
SHEETS HAVE BEEN AN INVALUABLE SOURCE OF CONFRONTATION FOR ME OF MY PREJUDICES,
MY BELIEFS, MY FEELINGS, AND MY KNOWLEDGE OF THE COMPLEXITY OF REAL LIFE
DECISIONS MADE IN MEDICINE, BUSINESS, PSYCHOLOGY AND POLICY.

SOME IDEAS FOR USE OF THESE SHEETS

ORGANIZE A SMALL GROUP TO TAKE THE MANY DIFFERENT ROLES OF THE PARTICIPANT, THE PATIENT,

THE FAMILY, THE SPOUSE, THE PARTNER, THE CHILDREN, THE DOCTOR, THE NURSE, THE HOSPITAL
ADMINISTRATOR, THE HOSPITAL ACCOUNTANT, THE STATE AND FEDERAL LEGISLATORS
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DISCUSS WITHOUT JUDGMENTALNESS OR PERSONAL ATTACKS – INQUIRY AND QUESTIONS ARE THE NORM

THE PURPOSE IS TO BECOME MORE AWARE OF THE COMPLEX & DIFFICULT VARIABLES IN DECISION MAKING
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HAVE THE PARTICIPANTS SWITCH ROLES TO “WALK-IN-THE-SHOES” OF UNFAMILIAR RESPONSIBILITIES

WHAT PARENT VALUES – MORALS – ETHICS – POLITICAL —– ISSUES ARE INVOLVED?

WHAT ADULT RATIONAL – FINANCIAL – POLITICS – SCIENTIFIC —– ISSUES ARE INVOLVED ?

WHAT CHILD FEELINGS – FEARS – FANTASIES – HOPES – DREAMS – WISHES —– ARE INVOLVED ?
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Surrogate Motherhood: Three Levels Of Concern

May We Take Baby Theresa's Organs To Save Others?

Physician-Assisted Death: Three Levels Of Concern

Persistent Vegetative State (PVS)

Jack Kevorkian Assists Jonathon Greanz

Home Health Case Study

Case Twilight Of The Golds

Burn Case – Futile Treatment? (See Also, Starting Over. . .)

Case: Is Mob Money Acceptable?

Doctors Refuse Smoker's Bypass

Physician Joint Ventures

Aging Population

Life Support For Brian-Dead Pregnant Woman

A Home Care Case

The Harder Case

3-D Pictures Of The Heart Without Surgery

Consider The Use Of A Feeding Tube

Should The Pastor Take Hooters' Money?

A Long-Term Care Case

Hospitals Mirror Bias of Society

Medical Emergecny Or Vehicular Manslaughter

Weighing The Risks

Risks And Responsibilities: Reporting Medical Errors

Medical Error, Adverse Event, Or Informed Consent?

Complying With Patient's Wishes

Collaborating On Care

The Privacy Of A Patient And Friend

The Cancer Patient And IRB-Approved Research

Healthcare Ethics Committees – Has Their Time Passed?

Starting Over. . .

Futile Treatment – Santa Monica Guidelines

The Body Of Evidence