Item Details

Ethics Consultation at UVA: Resources for Negotiating 'Tight Spaces'

University of Virginia. School of Medicine
Online; Online Video; Video
Filmed Lectures
Ethical issues in clinical settings often present as highly charged, high-stakes situations for patients, surrogate decision makers, and clinicians. Hospitals are required by the Joint Commission to have resources to help patients and caregivers navigate thorny cases. One such resource is clinical ethics, a practical discipline dealing with real-world health care problems and practices and focusing especially on controversies and difficult decisions in patient care. Clinical ethics consultation is considered an integral part of good ethical practice by health professionals and the institutions in which they work. UVA has a comprehensive program in clinical ethics, including the Medical Center Ethics Committee and Ethics Consult Service, the Complex Patient Project, and the Program in Biomedical Ethics in the Center for Biomedical Ethics and Humanities. Clinical ethics cases can range from conflict at the bedside (decisions at the end of life), reproductive issues (posthumous gamete retrieval or perinatal substance use), inadequate pain management, surrogate decision-making, the rights and management of patients who are incarcerated, and patient refusals of recommended treatment. Other issues arise at the bedside but are fundamentally system/organization matters that affect the entire health care moral community, including approaches to staff safety and development of new policies. In this Medical Center Hour, representatives of UVA's comprehensive program in clinical ethics explore the breadth of ethical issues that patients, families, and staff encounter and discuss ways to prevent or resolve ethical quandaries at the bedside, mitigate moral distress, manage the care of complex patients, and help to develop organizational solutions to clinically based ethical dilemmas. The panel offers UVA's newly revised policy on Resuscitative Code Status orders as an example of how clinical ethics bridges bedside and boardroom. A John F. Anderson Memorial Lecture
University of Virginia. School of Medicine
Epstein, Elizabeth
Bourque, Jamieson
Hurst, Ashley
Mahanes, Dea
Marshall, Mary Faith
Claude Moore Health Sciences Library
Medical Center Hour
Terms of Use
The speakers in this lecture have given the University of Virginia permission to make their presentations and any content used in those presentations that is owned by the speakers accessible to local users at the University of Virginia only. To request permission to reproduce, republish, and/or repost this presentation please contact the Historical Collections and Services Department of the Claude Moore Health Sciences Library at the University of Virginia.
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