Bert Molewijk, Tineke Abma, Margreet Stolper, Guy Widdershoven
A traditional approach to teaching medical ethics aims to provide knowledge
about ethics. This is in line with an epistemological view on ethics in which
moral expertise is assumed to be located in theoretical knowledge and not in the
moral experience of healthcare professionals. The aim of this paper is to
present an alternative, contextual approach to teaching ethics, which is
grounded in a prag... hiện toàn bộ
This article gives a brief overview of the state of the art concerning physical
restraint use among older persons in nursing homes. Within this context we
identify some essential values and norms that must be observed in an ethical
evaluation of physical restraint. These values and norms provide the ethical
foundation for a number of concrete recommendations that could give clinical and
ethical su... hiện toàn bộ
Whether it is fair to use personal responsibility of patients for their own
health as a rationing criterion in healthcare is a controversial matter. A host
of difficulties are associated with the concept of personal responsibility in
the field of medicine. These include, in particular, theoretical considerations
of justice and such practical issues as multiple causal factors in medicine and
freedo... hiện toàn bộ
The practice of coercive measures in psychiatry is controversial. Although some
have suggested that it may be acceptable if patients are a danger to others or
to themselves, others committed themselves to eliminate it. Ethical, legal and
clinical considerations become more complex when the mental incapacity is
temporary and when the coercive measures serve to restore autonomy. We discuss
these iss... hiện toàn bộ
Background and AimsThe prevalence of religious faith among doctors and its
relationship with decision-making in end-of-life care is not well documented.
The impact of ethnic differences on this is also poorly understood. This study
compares ethnicity and religious faith in the medical and general UK
populations, and reports on their associations with ethically controversial
decisions taken when pr... hiện toàn bộ
Stem cells are likely to be used as an alternate source of biological material
for neural transplantation to treat Parkinson’s disease in the not too distant
future. Among the several ethical criteria that must be fulfilled before
proceeding with clinical research, a favourable benefit to risk ratio must be
obtained. The potential benefits to the participant and to society are evaluated
relative t... hiện toàn bộ
Despite the fact that psychedelics were proscribed from medical research half a
century ago, recent, early-phase trials on psychedelics have suggested that they
bring novel benefits to patients in the treatment of several mental and
substance use disorders. When beneficial, the psychedelic experience is
characterized by features unlike those of other psychiatric and medical
treatments. These inclu... hiện toàn bộ
Background:The increasing number of elderly people in nursing homes with failing
competence to give consent represents a great challenge to healthcare staff’s
protection of patient autonomy in the issues of life-prolonging treatment,
hydration, nutrition and hospitalisation. The lack of national guidelines and
internal routines can threaten the protection of patient autonomy.Objectives:To
place fo... hiện toàn bộ