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The clinical ethicist at the bedside.

J La Puma1, D L Schiedermayer

  • 1Center for Clinical Ethics, Park Ridge, IL 60068.

Theoretical Medicine
|June 1, 1991
PubMed
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Clinical ethics consultants resolve patient care moral problems by bedside consultations. This direct approach, unlike committee reviews, ensures comprehensive information gathering and effective ethical decision-making support for healthcare professionals.

Area of Science:

  • Bioethics
  • Medical Ethics
  • Clinical Ethics Consultation

Background:

  • Ethical dilemmas frequently arise in patient care, necessitating specialized consultation.
  • Traditional ethics committees may lack direct patient interaction, potentially limiting information accuracy.

Observation:

  • Clinical ethics consultants directly engage with patients at the bedside.
  • Consultants gather firsthand clinical and ethical data, including patient interviews and medical record review.
  • This contrasts with ethics committees relying on secondhand information from healthcare providers.

Findings:

  • Direct bedside consultation is the optimal method for resolving moral problems in patient care.
  • Clinical ethics consultants possess skills to delineate, resolve, and teach ethical decision-making frameworks.
Keywords:
Bioethics and Professional EthicsProfessional Patient Relationship

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  • Consultants can actively assist primary physicians with case management when required.

    • Implications:

    • Enhances the quality and ethical integrity of patient care.
    • Empowers healthcare professionals with improved ethical decision-making capabilities.
    • Establishes a model for effective, patient-centered clinical ethics support.