Clinical & Medical Ethics

The Global Outcomes Movement: Is it Compatible with Medicine?

We will look at these two characteristics, the claim to objectivity and the scientistic turn, by examining competency-based medical education in some detail. The effects of this now-mandated system on the medical profession will be discussed.

Podcast Episode: 
125

Shared Decision Making: A Spectrum of Directiveness

This presentation discusses paternalism and 6 styles of shared decision making, examining whether each style is ethically defensible. The spectrum spans from least directive to most: abdication, informational, guidance, persuasion, manipulation, and coercion. Clinical examples of each will be given. A suggested model to improve when to utilize each style will also be offered.

Podcast Episode: 
124

When I Was Hungry, You Gave Me to Eat: The Dignity of Hand Feeding in Persons with Dementia

Preserving the dignity of those who inhabit Nursing Homes at the end of life—individuals frequently bearing the concurrent burden of dementia— is a critical feature of cultures that embrace compassion. In the United States, such persons comprise a demographic estimated at five million. One demanding aspect of care in this population is feeding. The ethical dilemma resides in the choice between hand feeding by staff or family versus feeding tubes. Hand feeding is adopted when it is comfortable and safe, that is, unaccompanied by aspiration; and although human intimacy integral to hand feeding would be preferable, feeding tubes have become de rigueur in contemporary medical practice. As Kenneth Ludmerer poignantly asked, might the efficiency in time and effort derived from feeding tubes, as well as their reimbursement as medical procedures, be the dynamic driving choice in this context?[1] Recent publications are noteworthy in this regard.

Podcast Episode: 
145

Professionalism in Peril

Plenary Address from CBHD's 15th Annual Conference: Healthcare and the Common Good.

On the Permissibility of a DNR Order for Patient with Dismal Prognosis

  • Download audio file
  • Length: 11:25 minutes (13.09 MB)
  • Format: MP3 Joint stereo 44kHz 160Kbps (CBR)

Is it ethically permissible to write a DNR order and withdraw the ventilator from this patient with a dismal prognosis?

Podcast Episode: 
121

勿傷害?

  • Download audio file
  • Length: 7:45 minutes (8.89 MB)
  • Format: MP3 Joint stereo 44kHz 160Kbps (CBR)

  

  

Podcast Episode: 
116

Do No Harm?

  • Download audio file
  • Length: 7:45 minutes (8.89 MB)
  • Format: MP3 Joint stereo 44kHz 160Kbps (CBR)

ne Christian-Hippocratic position pertaining to the essentials of ethical medical practice has been unequivocal. There should be total separation between “black and white” medicine as described through the pregnant admonition: “do no harm.” Originally, the “black” side of medicine could be summarized neatly by two activities proscribed within the body of the Hippocratic Oath itself, abortion and euthanasia (or assisted suicide). Unfortunately, as distance between the precepts of the Oath and the realities of contemporary practice diverged, the list of prohibitions arguably qualifying as harm have increased.

Podcast Episode: 
116

Technology and Technique: Master or Servant? Reflections on Reading Ellul, Huxley, and Lewis

  • Download audio file
  • Length: 34:47 minutes (39.83 MB)
  • Format: MP3 Joint stereo 44kHz 160Kbps (CBR)

Editor's Note: Parallel Paper Presentation from CBHD's 2008 Annual Conference, Healthcare and the Common Good.

Podcast Episode: 
115

Pages