Questions Care Providers Should Ask When They Have Ethical Discretion.

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  • Author(s): Howe EG
  • Source:
    The Journal of clinical ethics [J Clin Ethics] 2023 Spring; Vol. 34 (1), pp. 5-10.
  • Publication Type:
    Journal Article
  • Language:
    English
  • Additional Information
    • Source:
      Publisher: University of Chicago Press Country of Publication: United States NLM ID: 9114645 Publication Model: Print Cited Medium: Print ISSN: 1046-7890 (Print) Linking ISSN: 10467890 NLM ISO Abbreviation: J Clin Ethics Subsets: MEDLINE
    • Publication Information:
      Publication: 2023- : Chicago : University of Chicago Press
      Original Publication: Frederick, MD : Published for the Journal of Clinical Ethics, Inc. by University Pub. Group, c1990-
    • Subject Terms:
      Clinical Decision-Making*/ethics; Humans
    • Abstract:
      AbstractSince some care providers give colleagues' interests priority over patients' and families', they are at risk of imposing their bias on patients without knowing this. In this piece I discuss how the risk increases when care providers have greater discretion and how they can best avoid this risk. I discuss identifying these situations, assessing them, and then, based on what they have concluded, intervening and use their having inadequate resources, their seeing what patients want as futile, and their making decisions regarding surrogate decision makers as paradigmatic examples. As "remedies," I suggest that care providers share with patients their rationales, validate adaptive aspects of difficult behaviors, self-disclose, and sometimes even go beyond their usual clinical practices.
    • Publication Date:
      Date Created: 20230320 Date Completed: 20230328 Latest Revision: 20230328
    • Publication Date:
      20240829
    • Accession Number:
      10.1086/723705
    • Accession Number:
      36940350