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Commentary 1 - Reflections on Part I

from Part I - Starting at the Beginning

Published online by Cambridge University Press:  17 May 2025

Paul J. Ford
Affiliation:
The Cleveland Clinic Foundation, Cleveland
Denise M. Dudzinski
Affiliation:
University of Washington School of Medicine, Seattle
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Summary

In this chapter of Complex Ethics Consultations: Cases that Haunt Us, the author reviews chapters from Volume 1 that describe ethics consultations in the perinatal and neonatal patient population. Enduring lessons from these cases include pausing before making recommendations, the value of trust and the importance of emotional intelligence and genuine self-reflection. It includes a brief discussion of how these consultations might be different today and offers suggestions for how clinical ethicists should manage the impact of the affective components of doing ethics consultation.

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Type
Chapter
Information
Complex Ethics Consultations
Cases that Haunt Us
, pp. 39 - 46
Publisher: Cambridge University Press
Print publication year: 2025

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References

Ford, PJ, Dudzinski, DM. Live and learn: Courage, honest and vulnerability. In: Ford, PJ, Dudzinski, DM, eds. Complex Ethics Consultations: Cases that Haunt Us. Cambridge: Cambridge University Press, 2008; 112.CrossRefGoogle Scholar
Weise, KL, Okun, AL, Carter, BS, et al. Guidance on forgoing life-sustaining medical treatment. Pediatrics, 2017; 140(3): e20171905. https://doi.org/10.1542/peds.2017-1905CrossRefGoogle ScholarPubMed
Wocial, LD. Life support decisions involving imperiled infants. J Perinat Neonatal Nurs, 2000; 14(2): 7386.CrossRefGoogle ScholarPubMed
Reingold, RB, Gostin, LO, Goodwin, MB. Legal risks and ethical dilemmas for clinicians in the aftermath of Dobbs. JAMA, 2022; 328(17): 1695–6. https://doi.org/10.1001/jama.2022.18453CrossRefGoogle ScholarPubMed
Bosslet, GT, Pope, TM, Rubenfeld, GD, et al. An official ATS/AACN/ACCP/ESICM/SCCM policy statement: Responding to requests for potentially inappropriate treatments in intensive care units. Am J Respir Crit Care Med, 2015; 191(11): 1318–30.CrossRefGoogle ScholarPubMed
Fox, E, Danis, M, Tarzian, AJ, Duke, CC. Ethics consultation in US hospitals: A national follow-up study. Am J Bioeth, 2022; 22(4): 518. https://doi.org/10.1080/15265161.2021.1893547CrossRefGoogle ScholarPubMed
Murthy, VH. Confronting health worker burnout and well-being. N Engl J Med, 2022 Aug 18; 387(7): 577–9. https://doi.org/10.1056/NEJMp2207252CrossRefGoogle ScholarPubMed

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