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Enviado por Biblio on 24/10/2014 13:29:59 (11 Lecturas)

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In preparing for a talk in Michigan this week, I was refreshing myself on some of the key health care decisions laws from that state. One of the most significant is the Supreme Court's 1995 decision in In re Martin. I love this quote:
The decision to accept or reject life-sustaining treatment has no equal. We enter this arena humbly acknowledging that neither law, medicine nor philosophy can provide a wholly satisfactory answer to this question.
To err either way has incalculable ramifications. To end the life of a patient who still derives meaning and enjoyment from life or to condemn persons to lives from which they cry out for release is nothing short of barbaric. If we are to err, however, we must err in preserving life.

Enviado por Biblio on 23/10/2014 16:16:20 (20 Lecturas)

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In discussions with palliative care social workers, there is a sense that we are afforded somewhat unique opportunities in medical social work. Although we work closely with other social workers in the medical setting, we have a different relationship both with patients and families and with other medical teammates. There are many traits that the palliative social worker needs to be able to demonstrate in order to be effective in his or her role.

Enviado por Biblio on 22/10/2014 10:03:59 (26 Lecturas)

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Sarah Chapple argues that young adults who are living with a disability need access to a variety of appropriate housing and care options

It may be surprising to learn that one of the most rapidly growing populations in geriatric care facilities is not the elderly, but young adults with disabilities. An estimated 10-15% of residents living in geriatric care homes throughout Canada are young adults with disabilities.

Enviado por cesierra48 on 21/10/2014 12:19:52 (48 Lecturas)


Carlos Eduardo de Jesús Sierra Cuartas
Profesor Asociado, Universidad Nacional de Colombia
Miembro del Comité de Ética de la Investigación, Universidad Nacional de Colombia, Sede Medellín

Tan sólo una ilusión

En la actualidad, la humanidad comienza a adentrarse en el cosmos con motivo de los proyectos que se están barajando en lo relativo al establecimiento de colonias humanas en la Luna y en Marte. Al leer las noticias respectivas, podemos observar que no falta la euforia que, desde los primeros días de la era espacial, ha solido acompañar a estos eventos, máxime por la dimensión mediática que jamás ha faltado al respecto.

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Enviado por Biblio on 20/10/2014 12:32:36 (29 Lecturas)

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Does early to bed and early to rise, make a man healthy, wealthy and more ethical? Earlier research suggested a “morning morality effect”: that people are more ethical early in the morning, becoming less so as they “wear out as a day wears on.”

Not so fast, researchers now say. New research casts doubt on conceptions that night owls are less ethical than their early rising lark counterparts. Instead, a better predictor for ethical behavior takes into account the “fit” between one’s chronotype — night owl or morning lark — and the time of day when ethical behavior is implicated.

Enviado por Biblio on 17/10/2014 10:26:42 (107 Lecturas)

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The Ebola outbreak in West Africa is the largest and deadliest on record, and the crisis is evolving rapidly. More than 2,200 people have been infected in Sierra Leone, Liberia, Guinea, and Nigeria, and more than half have died. The response to the epidemic has raised ethical questions about the fair allocation of scarce resources, the appropriate use of unproven medicines, obligations to health care workers who volunteer for dangerous assignments, and international obligations to invest in adequate public health infrastructures.

Two excellent commentaries this week by Hastings Center Fellows explore these questions, analyze structural problems that are contributing to the present crisis, and offer recommendations for public health planning.

Read more:

Enviado por Biblio on 16/10/2014 8:59:00 (150 Lecturas)

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Los cuidados “al final de la vida”, también llamados “cuidados paliativos”, son cuidados que generalmente, y si se aplican de forma excelente, son resultado de un trabajo en equipo realizado por un “equipo multidisciplinar”. Enfermeras y Médicos suelen ser referencia en estos equipos, que además pueden estar formados por Psicólogos, Trabajadores Sociales y Fisioterapeutas, TeCAES o incluso de disponer de otros miembros como son los Auxiliares administrativos.

Enviado por Biblio on 15/10/2014 12:48:19 (160 Lecturas)

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If capital punishment is constitutional, as it has long been held to be, then it “necessarily follows that there must be a means of carrying it out.”1 So the Supreme Court concluded in Baze v. Rees, a 2008 challenge to Kentucky's lethal-injection protocol, in which the Court held that the means used by Kentucky did not violate the Eighth Amendment's prohibition against cruel and unusual punishment. Lethal-injection procedures have changed significantly since 2008, and that fact coupled with Oklahoma's recent botched lethal injection of Clayton Lockett, the latest in a long series of gruesome and error-ridden executions, has raised questions about whether current methods would pass constitutional muster if reviewed by the Supreme Court. Unfortunately, they probably would.

Enviado por Biblio on 14/10/2014 11:14:53 (128 Lecturas)

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Google Scholar Metrics provide an easy way for authors to quickly gauge the visibility and influence of recent articles in scholarly publications. Scholar Metrics summarize recent citations to many publications, to help authors as they consider where to publish their new research.

Google Scholar identifies the following as the top 20 bioethics journals based on citations. I have published in 3 of these.

Enviado por Biblio on 13/10/2014 11:19:38 (135 Lecturas)

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Physicians may be asked or choose to provide medical care to family members or to give informal or undocumented care to friends, neighbors, or colleagues who are not their patients. Treatment can range from refilling a prescription, discussing a recent injury, or ordering a test to performing major surgeries. The ethical risks of caring for relatives or friends or providing informal and undocumented care are substantial but may be overlooked. Although there may be limited situations in which providing medical treatment for friends and family is acceptable, these situations are often nuanced. We review guidance from professional medical organizations, summarize research on the prevalence and attitudes about physicians' treatment of friends and family, and review the ethical issues and offer guidance for making decisions about when to provide care.

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