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A Second Opinion: A Case Narrative on Clinical Ethics Mediation
1Thomas Jefferson University, 1100 Walnut Street, Suite 702, Philadelphia, Pennsylvania 19107 USA. Michael.weinstein@jefferson.edu.
The Journal of Clinical Ethics
|January 12, 2016
Summary
Bioethics mediation, unlike traditional ethics consultation, involves all stakeholders to reach consensus. This approach facilitated creative solutions for a patient with advanced cancer facing futile treatment.
Area of Science:
- Medical Ethics
- Bioethics
- Healthcare Decision-Making
Background:
- Traditional ethics consultations may not involve all key stakeholders.
- Identifying and addressing underlying values is crucial for effective ethical deliberation.
Purpose of the Study:
- To contrast traditional ethics consultation with bioethics mediation.
- To illustrate the benefits of mediation in complex patient care scenarios.
Main Methods:
- Case study of a "second opinion" ethics consultation for a patient with advanced cancer.
- Comparison of an initial ethics consultation with a subsequent bioethics mediation process.
Main Results:
- The initial ethics consultation lacked stakeholder involvement and exploration of underlying values.
- Bioethics mediation fostered consensus among stakeholders, leading to creative care solutions.
Conclusions:
- Bioethics mediation offers a more inclusive and effective approach to resolving complex ethical dilemmas in patient care.
- Mediation ensures that all stakeholder perspectives are considered, leading to better outcomes.
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