Abstract:
:A report of a problem-based learning project on the ethics of terminal care, offered as one of the options available to first year MB ChB students in Edinburgh University Medical School. The project formed part of the 'clinical correlation course' in the new curriculum. Six students took part under the supervision of two clinical tutors and a moral philosopher. The course was case-based and practical with students being given the opportunity over a period of eight weeks to meet patients, relatives and hospital staff at a local geriatrics hospital and terminal care home. The main issue studied was the degree of choice available to patients electing to be treated at home, in hospital or in a hospice. Other issues included: pre-death, disposal of the dead, certification of death, communication with relatives and follow-up bereavement services.
journal_name
J Med Ethicsjournal_title
Journal of medical ethicsauthors
Thompson IE,Lowther CP,Doyle D,Bird J,Turnbull Jdoi
10.1136/jme.7.2.62subject
Has Abstractpub_date
1981-06-01 00:00:00pages
62-6issue
2eissn
0306-6800issn
1473-4257journal_volume
7pub_type
杂志文章abstract::In popular lay discourse, objections to human biological enhancement technologies are sometimes expressed in terms of the charge that they are unnatural. This paper critiques the literal claim that seems to be presented here, namely that such technologies are in some ordinary sense 'unnatural' and that it follows from...
journal_title:Journal of medical ethics
pub_type: 杂志文章
doi:10.1136/medethics-2018-104991
更新日期:2019-02-01 00:00:00
abstract:OBJECTIVE:The purpose of this article is to investigate the need for ethics support in Dutch healthcare institutions in order to understand why ethics support is often not used in practice and which factors are relevant in this context. METHODS:This study had a mixed methods design integrating quantitative and qualita...
journal_title:Journal of medical ethics
pub_type: 杂志文章,多中心研究
doi:10.1136/jme.2010.040626
更新日期:2011-08-01 00:00:00
abstract::In 2016, the Office of the State Coroner of New South Wales released its report into the death of an Australian woman, Sheila Drysdale, who had died from complications of an autologous stem cell procedure at a Sydney clinic. In this report, we argue that Mrs Drysdale's death was avoidable, and it was the result of a p...
journal_title:Journal of medical ethics
pub_type: 杂志文章
doi:10.1136/medethics-2016-104046
更新日期:2017-11-01 00:00:00
abstract::One theme of London University lawyer Ian Kennedy's 1980 Reith Lectures on medical ethics was the need to change the emphasis in physician patient relations from paternalism on the part of doctors to self determination on the part of patients. Bamford, a specialist in obstetrics and gynecology, demonstrates how reali...
journal_title:Journal of medical ethics
pub_type: 杂志文章
doi:10.1136/jme.7.4.179
更新日期:1981-12-01 00:00:00
abstract:OBJECTIVES:To compare the perceptions of physician executives and clinicians regarding ethical issues in Saudi Arabian hospitals and the attributes that might lead to the existence of these ethical issues. DESIGN:Self-completion questionnaire administered from February to July 1997. SETTING:Different health regions i...
journal_title:Journal of medical ethics
pub_type: 杂志文章
doi:10.1136/jme.25.1.51
更新日期:1999-02-01 00:00:00
abstract::A National Committee for the Ethics of Research could consider new questions arising from innovations in research or practice, deal with multi-centre trials, adjudicate when separate local committees give conflicting advice about similar projects, or oversee the work of district committees. The value of each of these ...
journal_title:Journal of medical ethics
pub_type: 杂志文章
doi:10.1136/jme.16.3.146
更新日期:1990-09-01 00:00:00
abstract::Dental tourism is patients travelling across international borders with the intention of receiving dental care. It is a growing phenomenon that raises many ethical issues, particularly regarding the dentist-patient relationship. We discuss various issues related to this phenomenon, including patient autonomy over prac...
journal_title:Journal of medical ethics
pub_type: 杂志文章
doi:10.1136/medethics-2013-101415
更新日期:2014-03-01 00:00:00
abstract::The notion of consent which rose to the forefront in biomedical ethics as an attempt to safeguard patients' autonomy, is relatively new. The notion itself requires qualification, for it precludes neither duress nor ignorance. More seriously, I argue here that consent is redundant except in situations where paternalism...
journal_title:Journal of medical ethics
pub_type: 杂志文章
doi:10.1136/jme.26.3.183
更新日期:2000-06-01 00:00:00
abstract:OBJECTIVE:This article describes a method for investigating attitudes towards prioritisation in medicine. SETTING:University of Kuopio, Finland. DESIGN:The method consisted of a set of 24 paired scenarios, which were imaginary patient cases, each containing three different ethical indicators randomly selected from a ...
journal_title:Journal of medical ethics
pub_type: 杂志文章
doi:10.1136/jme.22.4.238
更新日期:1996-08-01 00:00:00
abstract::Conflicts between the ethical values of an organisation and the ethical values of the employees of that organisation can often lead to conflict. When the ethical values of the employee are considerably higher than those of the organisation the potential for catastrophic results is enormous. In recent years several hig...
journal_title:Journal of medical ethics
pub_type: 杂志文章
doi:10.1136/jme.2003.006940
更新日期:2004-02-01 00:00:00
abstract::Current UK legislation is impacting upon the feasibility and cost-effectiveness of medical record-based research aimed at benefiting the NHS and the public heath. Whereas previous commentators have focused on the Data Protection Act 1998, the Health and Social Care Act 2001 is the key legislation for public health res...
journal_title:Journal of medical ethics
pub_type: 杂志文章
doi:10.1136/jme.2006.019661
更新日期:2008-01-01 00:00:00
abstract:BACKGROUND:Discussing treatment risks has become increasingly important in medical communication. Still, despite regulations, physicians must decide how much and what kind of information to present. OBJECTIVE:To investigate patients' preference for information about a small risk of a complication of colonoscopy, and w...
journal_title:Journal of medical ethics
pub_type: 杂志文章
doi:10.1136/jme.2008.025031
更新日期:2009-05-01 00:00:00
abstract::The present and future rapid increase in the hospital population of geriatric patients is discussed with particular reference to the problem of advanced brain degeneration. The consequences of various clinical management options are outlined and it is suggested that extreme attempts either to preserve or terminate lif...
journal_title:Journal of medical ethics
pub_type: 杂志文章
doi:10.1136/jme.8.4.173
更新日期:1982-12-01 00:00:00
abstract::Despite concerns about the relationships between health professionals and the medical device industry, the issue has received relatively little attention. Prevalence data are lacking; however, qualitative and survey research suggest device industry representatives, who are commonly present in clinical settings, play a...
journal_title:Journal of medical ethics
pub_type: 杂志文章
doi:10.1136/medethics-2018-104804
更新日期:2018-09-01 00:00:00
abstract:OBJECTIVES:This study aimed to determine the ability to successfully contact past paediatric patients and their families to request participation in research, to assess familial views on the use of previously collected archival clinical samples for research purposes, and to highlight the ethical and practical issues in...
journal_title:Journal of medical ethics
pub_type: 杂志文章
doi:10.1136/medethics-2015-103141
更新日期:2016-07-01 00:00:00
abstract:OBJECTIVE:To determine the views of people with multiple sclerosis (MS) and professionals in relation to confidentiality, consent and access to data within a proposed MS register in the UK. DESIGN:Qualitative study using focus groups (10) and interviews (13). SETTING:England and Northern Ireland. PARTICIPANTS:68 peo...
journal_title:Journal of medical ethics
pub_type: 杂志文章
doi:10.1136/jme.2008.025304
更新日期:2009-02-01 00:00:00
abstract::Students at Newcastle are exposed to patients during their first week at medical school and attached to a family within the first month. The object is to sensitise them to patients as people rather than vehicles of disease. Medical ethics is introduced as part of the multidisciplinary Human Development, Behaviour and ...
journal_title:Journal of medical ethics
pub_type: 杂志文章
doi:10.1136/jme.11.1.35
更新日期:1985-03-01 00:00:00
abstract::Children participating in clinical research may show signs of discomfort, discontent, dissent and so on, that cannot be solved by comforting the child. When, and on what ground, should such signs lead to the decision to withdraw the child from the trial? In order to adequately protect children participating in clinica...
journal_title:Journal of medical ethics
pub_type: 杂志文章
doi:10.1136/medethics-2016-103788
更新日期:2017-08-01 00:00:00
abstract::Reproductive tourism is the travelling by candidate service recipients from one institution, jurisdiction, or country where treatment is not available to another institution, jurisdiction, or country where they can obtain the kind of medically assisted reproduction they desire. The more widespread this phenomenon, the...
journal_title:Journal of medical ethics
pub_type: 杂志文章
doi:10.1136/jme.28.6.337
更新日期:2002-12-01 00:00:00
abstract::The law ordinarily recognises the woman who gives birth as the mother of a child, but in certain jurisdictions, it will recognise the commissioning couple as the legal parents of a child born to a commercial surrogate. Some commissioning parents have, however, effectively abandoned the children they commission, and in...
journal_title:Journal of medical ethics
pub_type: 杂志文章
doi:10.1136/medethics-2017-104331
更新日期:2018-08-01 00:00:00
abstract::The practice of covertly administering medication is controversial. Although condemned by some as overly paternalistic, others have suggested that it may be acceptable if patients have permanent mental incapacity and refuse needed treatment. Ethical, legal, and clinical considerations become more complex when the ment...
journal_title:Journal of medical ethics
pub_type: 杂志文章
doi:10.1136/jme.2003.007336
更新日期:2005-05-01 00:00:00
abstract::This article, prompted by an extended essay published in the Journal of Medical Ethics by Charles Foster, and the current controversy surrounding the case of Vincent Lambert, analyses the legal and ethical arguments in relation to the withdrawal of life-sustaining treatment from patients with prolonged disorders of co...
journal_title:Journal of medical ethics
pub_type: 杂志文章
doi:10.1136/medethics-2019-105599
更新日期:2019-12-01 00:00:00
abstract::The Brisbane Supreme Court has denied an Australian woman's request to harvest and freeze her dead fiancé's sperm for future impregnation. After she was denied access to the sperm, the woman learnt that her fiancé may have been a sperm donor and she began checking to find out if his sperm was still available. Given wh...
journal_title:Journal of medical ethics
pub_type: 杂志文章
doi:10.1136/jme.2003.004432
更新日期:2004-08-01 00:00:00
abstract:INTRODUCTION:Future HIV vaccine efficacy trials with adolescents will need to ensure that participants comprehend study concepts in order to confer true informed assent. A Hepatitis B vaccine trial with adolescents offers valuable opportunity to test youth understanding of vaccine trial requirements in general. METHOD...
journal_title:Journal of medical ethics
pub_type: 杂志文章
doi:10.1136/medethics-2012-101286
更新日期:2013-06-01 00:00:00
abstract::The author, a philosopher, suggests that the concept of death should be left as it is 'in its present indeterminate state', and that we ought to reject attempts to define death in terms of whole-brain death or any other type of brain death, including cerebral death and 'irreversible coma'. Instead of 'fiddling with th...
journal_title:Journal of medical ethics
pub_type: 杂志文章
doi:10.1136/jme.9.1.28
更新日期:1983-03-01 00:00:00
abstract::Each Local Research Ethics Committee (LREC) is expected to produce an annual report for its establishing authority. Reports from 145 LRECs were examined with regard to (a) whether the committees were working within the terms of the most recent guidelines from the Department of Health and (b) observations on the role o...
journal_title:Journal of medical ethics
pub_type: 杂志文章
doi:10.1136/jme.21.4.214
更新日期:1995-08-01 00:00:00
abstract::Does the position of the Roman Catholic Church on contraception also imply that the usage of condoms by HIV-discordant couples is illicit? A standard argument is to appeal to the doctrine of double effect to condone such usage, but this meets with the objection that there exists an alternative action that brings about...
journal_title:Journal of medical ethics
pub_type: 杂志文章
doi:10.1136/jme.2009.030767
更新日期:2009-12-01 00:00:00
abstract::Why do we persist in the relentless pursuit of artificial nourishment and other treatments to maintain a permanently unconscious existence? In facing the future, if not the present world-wide reality of a huge number of persistent vegetative state (PVS) patients, will they be treated because of our ethical commitment ...
journal_title:Journal of medical ethics
pub_type: 杂志文章
doi:10.1136/jme.19.2.71
更新日期:1993-06-01 00:00:00
abstract::This paper develops themes addressed in an article by Eric Wiland in the Journal of Medical Ethics 2000;26:466-8, where he aims to contribute to the debate concerning the moral status of abortion, and to emphasise the importance of analogies in moral argument. In the present paper I try to secure more firmly a novel u...
journal_title:Journal of medical ethics
pub_type: 评论,杂志文章
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更新日期:2002-08-01 00:00:00
abstract::While an ethical obligation to report findings of clinical research to trial participants is increasingly recognised, the academic debate is often vague about what kinds of data should be fed back and how such a process should be organised. In this article, we present a classification of different actors, processes an...
journal_title:Journal of medical ethics
pub_type: 杂志文章
doi:10.1136/jme.2009.034041
更新日期:2011-05-01 00:00:00