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Chapter 7 - Ethics Consultation Mission, Vision, Goals, and Process

from Section 2 - Consultation

Published online by Cambridge University Press:  17 February 2022

D. Micah Hester
Affiliation:
University of Arkansas for Medical Sciences, College of Medicine
Toby L. Schonfeld
Affiliation:
National Center for Ethics in Health Care, US Department of Veterans Affairs
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Summary

The challenges of Mr. B’s clinical care are integrally tied to tensions in his own values and between his values and those of his clinicians. It is important to understand if Mr. B really wants to receive dialysis, but circumstances make it challenging to do so, such as trouble with transportation or lack of work accommodations. Alternatively, Mr. B’s intermittent participation may be a sign of ambivalence toward the value of the treatment. Exploring Mr. B’s values may help to determine what constitutes best care for him, even when clinically optimal treatment is not possible.

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Publisher: Cambridge University Press
Print publication year: 2022

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References

American Society for Bioethics and Humanities (ASBH). (2011). Core Competencies for Healthcare Ethics Consultation, 2nd ed. Glenview, IL: American Society for Bioethics and Humanities.Google Scholar
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HCEC Certification Commission. (n.d.). Healthcare Ethics Consultant-Certified Program. https://asbh.org/certification/hcec-certificationGoogle Scholar
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Wilkinson, D, Truog, R (2015). In favour of medical dissensus: Why we should agree to disagree about end-of-life decisions. Bioethics, 30(2): 109118.CrossRefGoogle ScholarPubMed

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