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Commentary 3 - Reflections on Part III

from Part III - Diversity of Desires and Limits of Liberty

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

The series of cases discussed in Part III are humbling reminders of how intertwined our patients and their support systems are with healthcare practitioners. TJ, Jimmy, Mrs. Blue, and Mrs. Winthorpe all have unique experiences in different corners of the healthcare system. Each case touches on the familiar experience of a healthcare team identifying what they believe is in the best interest of patient, and there being a factor, often the patient themselves, complicating that coming to fruition. Their experiences, and different experiences of privilege and power, or disempowerment are salient elements of their stories. These “haunting” and morally distressing cases are revisited with an additional lens of diversity, equity, identity, and bias and considerations for how ethicists might more fully integrate these critical perspectives into ethics consultation.

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Type
Chapter
Information
Complex Ethics Consultations
Cases that Haunt Us
, pp. 102 - 108
Publisher: Cambridge University Press
Print publication year: 2025

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References

Groves, JE. Taking care of the hateful patient. N Engl J Med, 1978; 298(16): 883–7. https://doi.org/10.1056/nejm197804202981605CrossRefGoogle ScholarPubMed
American Association of Critical Care Nurses. Resources for moral distress. Available from www.aacn.org/clinical-resources/moral-distress.Google Scholar
Epstein, E, Delgado, S. Understanding and addressing moral distress. Online J Issues Nurs, 2010; 15(3). https://doi.org10.3912/ojin.vol15no03man01CrossRefGoogle Scholar
Williams, MT. Colorblind ideology is a form of racism. Psychology Today; 2011 Dec 27. Available from www.psychologytoday.com/us/blog/culturally-speaking/201112/colorblind-ideology-is-form-racism.Google Scholar

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