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Area of Science:

  • Medical Ethics
  • Bioethics
  • Clinical Communication

Background:

  • Bodily imagery strongly influences affect and decision-making.
  • Video calls in clinical settings present unique ethical challenges when displaying patients.
  • Surrogates may need visual information for informed consent, yet clinicians control image presentation.

Purpose of the Study:

  • To explore ethical issues arising from using patient bodily imagery in clinician-surrogate video calls.
  • To identify potential manipulation through affective responses to visual information.
  • To provide recommendations for ethical video call practices regarding patient condition perception.

Main Methods:

  • Ethical analysis of clinical scenarios involving video calls with patient imagery.
  • Exploration of manipulation risks related to affective impact, selectivity, and framing.
  • Focus on goals of care discussions.

Main Results:

  • Video technology can bridge information gaps for surrogates but also empowers clinicians to frame patient conditions.
  • The affective power of bodily images creates a risk of manipulation.
  • Ethical considerations are paramount when balancing information provision with potential bias.

Conclusions:

  • Clinicians must be aware of the dual potential of video calls to inform and manipulate surrogates.
  • Ethical guidelines are needed to mitigate risks associated with visual patient information in remote communication.
  • Prioritizing patient-centered goals of care is essential during these interactions.