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Ethical Issues

Ethical Issues

Nurses are essential in patient care, upholding the ethical principles of their profession and effectively navigating ethical dilemmas. Neglecting ethical issues can lead to inadequate patient care, compromised therapeutic relationships, and moral distress among healthcare workers.
Ethical Concerns in Healthcare:

Ethical Dilemmas I

Ethical Dilemmas I

Ethical dilemmas in nursing are of utmost importance, as they often arise from the tension between adhering to core ethical principles and the practical realities of healthcare delivery. These dilemmas require nurses to navigate complex situations where competing ethical considerations pull them in different directions.
Let us explore some examples to understand the potentially complex moral decisions nurses face.
Take the case of caring for minors, particularly in areas related to reproductive...

Ethical Dilemmas II

Ethical Dilemmas II

Resolving an ethical dilemma in healthcare involves a systematic approach that considers every aspect of the issue, respecting both the patient's needs and values and the healthcare professional's ethical obligations. Here are potential steps to resolve an ethical dilemma:

Standards of Care II

Standards of Care II

Nurses bear specific legal responsibilities under several federal statutes, including:

Nursing Ethical Principles II

Nursing Ethical Principles II

Ethical principles are essential in guiding nurses to fulfill their responsibilities, focusing on the quality of nursing care and decision-making. These principles, including autonomy, beneficence, non-maleficence, justice, and fidelity, shape the ethical framework within healthcare settings.
Consider the following scenario, which illustrates how these principles are applied in the care of Mr. John, a fifty-year-old teacher diagnosed with metastatic liver cancer.
Initially, Mr. John's cancer...

Pharmaceutical Poisoning: Potential Scenarios

Pharmaceutical Poisoning: Potential Scenarios

Pharmaceutical poisoning can occur through various channels, impacting an estimated 2 million hospitalized patients in the U.S. annually with serious adverse drug responses. These scenarios encompass both therapeutic uses, such as drug toxicity, where even standard dosages can lead to severe central nervous system depression, and non-therapeutic exposures, including accidental ingestion by children, and environmental and occupational exposures.Unintentional poisonings often involve exploratory...

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Updated: May 21, 2026

Remotely Supervised Transcranial Direct Current Stimulation: An Update on Safety and Tolerability

Remotely Supervised Transcranial Direct Current Stimulation: An Update on Safety and Tolerability

Published on: October 7, 2017

When Off-Label Ketamine Meets Direct-to-Consumer Telehealth: Liability Risks and Ethical Responsibilities.

Joshua Mitchell¹, Benjamin Bregman², Renuka Surujnarain³

¹Ethical Legal Implications of Psychedelics in Society Program, Center for Medical Ethics and Health Policy, Baylor College of Medicine, Houston.

Psychiatric Services (Washington, D.C.)

|May 20, 2026

Summary

Telehealth ketamine, while expanding mental health access, strains clinical safeguards due to off-label prescribing and at-home delivery. This model requires robust clinician support for patient safety, monitoring, and accountability.

Keywords:

Affective Disorders Ethics Ketamine Off-Label Prescribing Psychedelic Telehealth

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Last Updated: May 21, 2026

Remotely Supervised Transcranial Direct Current Stimulation: An Update on Safety and Tolerability

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Area of Science:

Mental Health
Pharmacology
Digital Health

Background:

Direct-to-consumer telemedicine has expanded mental health care access, particularly with COVID-19 regulatory flexibilities.
Ketamine is increasingly marketed online for psychiatric conditions and delivered at home via telehealth platforms, often prescribed off-label.

Purpose of the Study:

To examine the challenges to clinical safeguards when combining off-label ketamine prescribing with on-demand telehealth delivery.
To analyze the implications for patient safety, clinician responsibility, and liability in telehealth mental health care.

Main Methods:

Case study approach using a wrongful death lawsuit against a telehealth ketamine provider.
Analysis of the interplay between off-label prescribing, on-demand delivery, and clinical oversight within telehealth platforms.

Main Results:

The combination of off-label prescribing and on-demand telehealth delivery can strain existing clinical safeguards.
Limited oversight of many telehealth platforms places significant responsibility and liability for patient safety on clinicians.

Conclusions:

Robust clinical relationships, monitoring, and accountability structures are essential to support responsible care in telehealth ketamine services.
The current model necessitates enhanced support systems to ensure patient safety and manage clinician liability.