OHSU

Ethics Teaching Resources

 

Issues


Case Title


Faculty Notes

Click on links in this column to view PDF files of the case
Please Contact
Jane Applegate for Faculty Notes @ applegja@ohsu.edu
 
Overview of Ethics
 History of bioethics    
Resources for ethics    
Ethical decision making    
Ethics consultation process    
Ethics committee functions    
 
Professional Formation
Capacity for reflection in action    
Well-being and professional life    
Moral formation of professionals    
Altruism - orientation to care for others    
Humanism - capacity for human relationships    
Responsibility - trustworthiness Not enough hours in the day

Yes

Interprofessionalism Fellow Providers  
 
Oaths and Codes
Codes of conduct and standards of care  

The Practice

Pearly Whites

 
Medical oaths and codes of ethics    
Policy obligations    
 
Professional Conduct
 
Trust and fidelity    
Truth telling

The Pillars of Trust

HIV Infection in a Pregnant Illegal Alien

Yes

Disclosing and managing errors

Managing a medical error

Disclosure of Failure to Diagnose

Yes

Unprofessional behavior    
Impaired colleagues An impaired colleague

Yes

Conscientious objection    
Refusal to care for patients Duty to treat

Yes

Reporting responsibility  

Please stop him from driving

Multiple Concerns

Constant Supervision for an HIV Positive Adolescent

Yes

Communication    
Respectful communication    
Communication among teams

The Naturopath case

HIV Status and Disclosure

Yes

Delivering bad news    
Empathy    
  Cultural Issues 
Health literacy    
Culture/race/language    
Ethical use of interpreters    
Cultural competence/sensitivity

Don't talk to her about her condition

Surrogate refusal

Yes

 
Care of Vulnerable Persons 
Definitions and limitations by law Apparent Active Euthanasia of a Patient with Terminal Lymphoma

Yes

Abuse of children, elders, spouse, partners  

Harvest in the city

Different Stories

Family Abuse and Neglect

Penny Wise - IPE Case

Yes

Confidentiality    
Reporting responsibilities

Please stop him from driving

The Problem of Reporting

 
Forced treatment

State Hospital HIV Seropositive Patient Refuses to Wear a Chastity Garment

The Psychotic Pregnant Patient

Yes

Decision-making capacity  To RCT or Not

Yes

Advance directive for mental health    
 
Boundary Issues
Caring for family Family ties that bind  
Sexual relationships with patients/colleagues    
Power in relationships    
Scope of practice    
 
Shared Decision Making
Informed consent  

Informed Consent In The Midst of Uncertainty

Tobacco - Chewing Youngster

Yes

Refusal of treatment

Patient refusal of treatment

A Patient's Right To Choose

A Patient's Conscious Choice

Informed Consent and Refusal

Yes

Confidentiality/privacy    
Difficult patients    
Determination of decisional capacity    
Surrogate determination

Family conflict over withdrawing life sustaining treatment

Passing the Buck

Treatment Limitations

HIV Infection and Life-Sustaining Treatment

Yes

Decision making for minors

Severe Anomalies of the Newborn

Consideration of Withdrawal of Gastrostomy Feedings

The Nurse and Moral Authority

Yes

 
Distributive Justice 
Stewardship of scarce resources

Consideration of the Ethical Responsibilities

Kidney in Oregon

Yes

Health care reform The Meek Shall Inherit the Earth  
Health policy    
Social responsibility Dr. Lester  
 
Relationship to Organizations and Community 
Business ethics Insurance  
Conflict of interest/perception of conflict    
Gifts    
Disclosing financial relationships    
Relationships to industry    
Selling and revenue enhancement The Implant Case  
Stress from financial issues    
Research in care settings    
Advertising    
Systems conflict/moral distress    

 

For faculty notes please e-mail Jane Applegate at applegja@ohsu.edu.