LeagueTLC/June
2003.
Discover
how Miami-Dade Community College’s Institute for Ethics in
Health Care has developed a website to promote ethics
throughout the curriculum in
this month's LeagueTLC
update.
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Schiavo
right-to-die case back to court
The following article appeared in THE
TAMPA TRIBUNE (January 19, 2002; page 2)
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Failed Talks Send Schiavo's Fate, Family To Trial DAVID
SOMMER HUSBAND, PARENTS UNABLE TO AGREE ON
RIGHT TO DIE CLEARWATER - Family members
battling over Terri Schiavo's life will face
each other once again in a trial, a judge ruled Friday. Michael
Schiavo and his in-laws, Bob and Mary Schindler, called a truce
last fall in their dispute over Terri Schiavo's right to die.
Rather than follow an appeals court order to choose a total of
five doctors to examine Terri Schiavo and give opinions on her
chances of improvement, the family decided
to try to resolve its dispute through mediation,
with a retired judge acting as referee. But the talks broke down,
and neither side feels there is much hope of an out-of-court
settlement, lawyers in the case told Pasco-Pinellas Circuit Judge
George Greer. Greer told both sides to resume following the
appeals court's directions on selecting doctors. The judge also
scheduled a trial to begin Oct. 14; it will be the second in a
decade long family feud. Terri
Schiavo, now 38, suffered a heart attack in 1990 that cut off
oxygen to her brain and left her in what her husband's doctors
describe as a coma like, persistent vegetative
state. Michael Schiavo says his wife has no
hope of improvement and would not want to be kept
alive with the help of a feeding tube implanted in her stomach.
The Schindlers say their daughter reacts to them
with laughter, tears and moans during
bedside visits and could improve if given aggressive
therapy. In February 2000, after a trial,
Greer ruled that Terri Schiavo made
statements prior to her illness indicating she would not want to
be kept alive with no hope of recovery. Since
then, the two sides have fought a legal battle that went as
high as the U.S. Supreme Court, while a series of
deadlines for disconnecting Terri Schiavo's
feeding tube came and went. At one point
last year, the tube was disconnected for several days on one
judge's order, only to be reconnected on another
judge's order. About half of a $700,000
medical malpractice award intended for Terri
Schiavo's perpetual care has been spent on care, and on Michael
Schiavo's legal bills. Her parents have accused
their son-in-law of seeking to inherit the
money upon his wife's death. Michael Schiavo
has accused his in-laws of wanting him out of the picture
so they could inherit the money. In October, the 2nd District
Court of Appeal ruled that Terri Schiavo should be
kept alive only if the Schindlers can prove
that medical advances could help their daughter. The appeals court
said each side should pick two doctors, with Greer
choosing a fifth, to examine Terri Schiavo and offer their opinions.
Greer said that process will culminate in the October trial.
In order to prevail, the Schindlers must prove that new treatments
can improve their daughter's quality of life to the
point that she would want to undergo them if
she were able to make the decision, the judge said.
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Nurses
Rank No. 2 in Gallup "Honesty and Ethics" Poll
The nation's nurses rank second for their honesty and integrity,
with 84 percent of Americans rating them "high" or
"very high," according to a CNN/USA Today/Gallup Poll.
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University
at Sea
Continuing Education course for contact hours are
provided by the University of South Florida College aboard a Holland America Cruise . |
MANA
Midwives Alliance of North America
Click on MANA info. then click on
to essential documents; go to MANA Statement on values and Ethics
and Position Statements |
"Bioethics:
Strengthening Nursing's Role," by
Maureen Habel, MA, RD
(from Nurseweek) |
From
Online Journal of Issues in Nursing:
- "Administrative
Ethics: What Is Your Integrity Quotient (IQ)?" by
Mary Cipriano Silva, RN, PhD, FAAN
- "Organizational
and Administrative Ethics in Health Care: An Ethics Gap,"
by Mary Cipriano Silva, PhD, RN, FAAN
- "Administrative
Ethics and Confidentiality Privacy Issues," by Laurie
A. Badzek,
et al
- "Administrative
Ethics and the Allocation of Scarce Resources," by
P.J. Maddox, EdD, MSN, RN
- "Interstate
Nursing Practice and Regulation: Ethical Issues for the 21st
Century," by Mary Cipriano Silva, PhD, RN, FAAN and
Ruth Ludwick, PhD, RN,
- "Ethical
Thoughtfulness and Nursing Competency,",
by Ruth Ludwick, PhD, RN,
- "Nursing
Around the World: Cultural Values and Ethical Conflicts,"
by Ruth Ludwick, PhD, RN, and Mary Cipriano Silva, PhD, RN,
FAAN
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University of Miami and Virginia
DIALOGUES IN RESEARCH ETHICS
Dialogues in Research Ethics is a series of monthly conferences.
For more
information, phone 305-243-5723, write to Campus
Box M-825 or send E-mail
to ethics@miami.edu
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Where
have all the organs gone?
New
federal guidelines for donated organs.
by Jeffrey P. Kahn, Ph.D., M.P.H.
Director, Center for Bioethics
University
of Minnesota |
NSNA Weekly Chat Session for
Nurses -
Tuesday Evenings 8 PM EST
Students- Tuesday
Evenings 9 PM EST |
Bioethics: Impact On Your Practice as a
Healthcare Professional
Dr.
Katie Callahan gave a comprehensive workshop, at
Miami-Dade
Community College, on understanding the standards
and principles
of modern bioethics. Case
studies were
discussed and are presented on this website for your review.
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Changes in the health
care delivery system, advances in technology and the competing
demands of various demographic groups are causing conflicts in
which nurses can become enmeshed. Learn about situations in
which these conflicts have occurred, how to analyze ethical
conflicts and how to resolve them in a manner consistent with
your principles and the wishes of your patient
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The
Center for Ethics and Human Rights
of the American Nurses
Association
has launched "Issues Update," their new online
newsletter.
There
is no charge. The first issue addresses important
topics that directly impact staff nurses the changing face of
healthcare resulting from the proliferation of genetic information;
and, the challenges posed by
relieving pain at the end of life. There
is also a case study you can
view. |
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Conferences
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Journals
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American
Journal of Bioethics
Annals of
Internal Medicine
Cambridge
Quarterly of Healthcare Ethics
The Journal of
the American Medical Association
The Journal of
Issues in Nursing
The
Journal of Medical Humanities
Literature
and Medicine
The
Journal of Medicine and Philosophy
The
Hastings Center Report
RB:
A Review of Human Subjects Research
Kennedy
Institute of Ethics Journal
Medical
Ethics, Education and Assessment Journals
The
New England Journal of Medicine
Papers
from the 20th. World Congress of Philosophy
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Books
The
Success Ethic, Education, and the American Dream
Joseph L. DeVitis and John Martin Rich
Ethical
Choices: Case Studies for Medical Practice
Springer Publications
American
College of Physicians Ethics Manual
The Manual was developed as a tool to facilitate high-quality, ethical care
for patients. Broad categories include the physician-patient relationship, end
of life issues, the ethics of practice, the physician, and society and
research. A step-by-step “case method” useful for clarifying issues in
ethical decisions is introduced in the appendix.
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Books
on Health Care Ethics / Bioethics |
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Activities
Archived Activities
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Institute Activities Fall and Spring August 2002- May
2003
Consultations for Students and Faculty via the web site
and face to face interactions.
Brad Stocker and Clifford Young, faculty from the
Kendall Campus, were sponsored to attend a conference entitled Conference on
Philosophical Issues in Ethics Across the Curriculum at the University of
Florida Jan 30-Feb 3, 2002. Both
faculty members presented a workshop at the Kendall Campus entitled Teaching
Ethics in a Multicultural Environment on 11/20/02. The workshop objectives were developed by Eric Weaver,
another sponsored faculty member from MCC.
The director served as a member of the College-Wide
Screening Committee for Philosophy faculty positions..
The faculty will be responsible for teaching The Critical Thinking
and Ethics Course, required for all Allied Health and Nursing Students.
The Ethics Teaching Primer is reaching its final stage.
All of the slides are completed.
Dr. Kass piloted the primer in her Dental Hygiene class.
Drs. Aronovitz and Petrozella attended the FIPSE
conference in Washington, DC.
The Institute sponsored one of the concurrent sessions
at Miami-Dade Community College’s Professional Development Day, March 6,
2003. This session, entitled
Ethical Dimensions of Human Cloning, was presented by Mark Neunder and Allen
McPhee. They philosophy faculty and Institute’s Advisory Committee
members. CE’s were provided.
The Institute sponsored the following workshops in
conjunction with Student Life and College Training and Development.
OSHA & HIV/AIDS 2003 and
Beyond 2/10/03
Curriculum Issues: Bio/Chem
Terrorism 3/10/03
Institute Director classroom visitations were made
during the Fall Term and are scheduled for the Spring Term 2002-2. The Fall
term visitations included some of the HSC courses, three clinical nursing
classes and all the nursing leadership classes.
All the nursing leadership classes and some HSC classes
are scheduled for the Spring. It
is hoped that at the conclusion of the grant the faculty will continue to
focus some of their class time on ethics and use the Institute as a
resource.
Director attended the
Honor’s College Student Meeting, (3/10/03) to acquaint students with the
Institute and offer to serve as a faculty resource.
Future Workshops:
Integration of End of Life Care into the Health Care Curriculums 5/19/03
Hospice and Ethics (date to be determined)
Ethics 4 Everyone Eric Harvey ordered by School of Nursing.
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