OHSU

Ethics Knowledge Base

 

Issues

Case Title

Overview of Ethics
Click on links in this column to view PDF files of the case
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
Interprofessionalism  
Oaths and Codes
 
Codes of conduct and standards of care  
Medical oaths and codes of ethics  
Policy obligations  
Professional Conduct
 
Trust and fidelity  
Truth telling  
Disclosing and managing errors Managing a medical error
Unprofessional behavior  
Impaired colleagues An impaired colleague
Conscientious objection  
Refusal to care for patients Duty to treat
Reporting responsibility  
Communication
 
Respectful communication  
Communication among teams The Naturopath case
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
Care of Vulnerable Persons
 
Definitions and limitations by law  
Abuse of children, elders, spouse, partners Harvest in the city
Confidentiality  
Reporting responsibilities Please stop him from driving
Forced treatment  
Decision-making capacity  
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  
Refusal of treatment Patient refusal of treatment
Confidentiality/privacy  
Difficult patients  
Determination of decisional capacity  
Surrogate determination Family conflict over withdrawing life sustaining treatment
Decision making for minors  
Distributive Justice
 
Stewardship of scarce resources  
Health care reform  
Health policy  
Social responsibility  
Relationship to Organizations and Community
 
Business ethics  
Conflict of interest/perception of conflict  
Gifts  
Disclosing financial relationships  
Relationships to industry  
Selling and revenue enhancement  
Stress from financial issues  
Research in care settings  
Advertising  
Systems conflict/moral distress