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Ethical Concerns and Procedural Pathways for Patients Who are Incapacitated and Alone: Implications from a Qualitative Study for Advancing Ethical Practice

Pamela B. Teaster, Erica Wood, Jennifer Kwak, Casey Catlin & Jennifer Moye

HEC Forum 29 (2):171-189 (2017)

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Guardianship Before and Following Hospitalization.Jennifer Moye, Andrew B. Cohen, Kelly Stolzmann, Elizabeth J. Auguste, Casey C. Catlin, Zachary S. Sager, Rachel E. Weiskittle, Cindy B. Woolverton, Heather L. Connors & Jennifer L. Sullivan - 2023 - HEC Forum 35 (3):271-292.details When ethics committees are consulted about patients who have or need court-appointed guardians, they lack empirical evidence about several common issues, including the relationship between guardianship and prolonged, potentially medically unnecessary hospitalizations for patients. To provide information about this issue, we conducted quantitative and qualitative analyses using a retrospective cohort from Veterans Healthcare Administration. To examine the relationship between guardianship appointment and hospital length of stay, we first compared 116 persons hospitalized prior to guardianship appointment to a comparison group (n (...) Download Export citation Bookmark
Administration of pro re nata medications by the nurse to incapacitated patients: An ethical perspective.Mojtaba Vaismoradi, Cathrine Fredriksen Moe, M. Flores Vizcaya-Moreno & Piret Paal - 2022 - Clinical Ethics 17 (1):5-13.details The administration of pro re nata medications is the responsibility of the nurse. However, ethical uncertainties often happen due to the inability of incapacitated patients to collaborate with the nurse in the process of decision making for pro re nata medication administration. There is a lack of integrative knowledge and insufficient understanding regarding ethical considerations surrounding the administration of pro re nata medications to incapacitated patients. Therefore, they have been discussed in this paper and practical strategies to avoid unethical practices (...) Download Export citation Bookmark
Unbefriended, Uninvited: How End-of-Life Doulas Can Address Ethical and Procedural Gaps for Unrepresented Patients and Ensure Equal Access to the “Good Death”.Adele Flaherty & Anna Meurer - 2023 - Clinical Ethics 18 (1):55-61.details In response to a global population with increasingly complex issues at the end of life, a movement in the U.S. has emerged incorporating doulas into end-of-life care. These end-of-life (EOL) doulas are not just focused on the quality of life, but also the quality of death. Like birth doulas, who provide support for pregnant patients and their families, EOL doulas help alleviate physical and mental discomfort in those who are dying. In this paper, we explore the role of EOL doulas (...) Download Export citation Bookmark

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