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1.
JAMA ; 323(10): 1000, 2020 03 10.
Artigo em Inglês | MEDLINE | ID: mdl-32154854
2.
JAMA ; 323(10): 1000-1001, 2020 03 10.
Artigo em Inglês | MEDLINE | ID: mdl-32154857
6.
Lancet ; 395(10220): 248, 2020 01 25.
Artigo em Inglês | MEDLINE | ID: mdl-31982049
8.
J Bioeth Inq ; 16(4): 483-488, 2019 12.
Artigo em Inglês | MEDLINE | ID: mdl-31792783

RESUMO

Discussions of the proper role of conscience and practitioner judgement within medicine have increased of late, and with good reason. The cost of allowing practitioners the space to exercise their best judgement and act according to their conscience is significant. Misuse of such protections carve out societal space in which abuse, discrimination, abandonment of patients, and simple malpractice might occur. These concerns are offered amid a backdrop of increased societal polarization and are about a profession (or set of professions) which has historically fought for such privileged space. There is a great deal that has been and might yet be said about these topics, but in this paper I aim to address one recent thread of this discussion: justification of conscience protection rooted in autonomy. In particular, I respond to an argument from Greenblum and Kasperbaur (2018) and clarify a critique I offered (2016) of an autonomy-based conscience protection argument which Greenblum and Kasperbaur seek to improve and defend. To this end, I briefly recap the central contention of that argument, briefly describe Greenblum and Kasperbaur's analysis of autonomy and of my critique, and correct what appears to be a mistake in interpretation of both my work and of autonomy-based defenses of conscience protection in general.


Assuntos
Consciência , Recusa do Médico a Tratar , Dissidências e Disputas , Humanos , Rememoração Mental
9.
BMC Neurol ; 19(1): 308, 2019 Dec 01.
Artigo em Inglês | MEDLINE | ID: mdl-31787094

RESUMO

BACKGROUND: Great auricular nerve schwannoma is extremely rare. Herein, we reported the first case of schwannoma arising from great auricular nerve trunk. CASE PRESENTATION: A 29 year-old female complained of a slowly-growing superfacial neck mass for 6 months. MRI revealed a high possibility of schwannoma. Although the patient underwent successfully surgical removal of the tumor, ipsilateral numbness of both auricle and peripheral skin developed due to traction of the nerve. Immunohistochemistry staining confirmed the diagnosis of schwannoma. And the patient has been followed regularly. CONCLUSION: For superficial cervical tumors, the cervical plexus cutaneous nerve should be considered if MRI and other imaging findings suggest neurogenic tumors.


Assuntos
Plexo Cervical/diagnóstico por imagem , Pescoço/diagnóstico por imagem , Neurilemoma/diagnóstico por imagem , Adulto , Dissidências e Disputas , Feminino , Humanos , Hipestesia , Imuno-Histoquímica , Imagem por Ressonância Magnética
14.
G Ital Nefrol ; 36(5)2019 Sep 24.
Artigo em Italiano | MEDLINE | ID: mdl-31580541

RESUMO

Conflicts are situations in which two or more people come into disagreement: they are an integral part of social life caused by the inability to find a solution to a dispute. Conflicts are constantly present within families and in all social organizations; in the health sector, they are part of the daily routine. The most common causes of conflict are the lack of resources and the divergence in objectives. All conflicts can quickly escalate, so it is essential to recognize them in order to defuse them as soon as possible. Doctors, as managers, must recognize the early signs of latent conflict in order to better manage them and possibly use them in order to stimulate change in the organization.


Assuntos
Comunicação , Assistência à Saúde , Dissidências e Disputas , Negociação , Humanos , Relações Interpessoais
18.
Perspect Biol Med ; 62(3): 543-559, 2019.
Artigo em Inglês | MEDLINE | ID: mdl-31495797

RESUMO

Lauris Kaldjian defends conscientious objection against opponents who claim that there is no place for a physician's personal moral beliefs in the practice of medicine. This essay argues that Kaldjian's defense of conscientious objection relies on a controversial "thick" conception of conscience that opponents may justifiably question. It offers a defense that relies on a relatively "thin" conception of conscience as an agent's core moral beliefs and that understands conscience-based refusals to provide medical services as refusals based on those core beliefs. Enabling physicians to practice medicine without compromising their moral integrity is an important pro tanto reason to accommodate physicians who conscientiously object to providing medical services. However, giving due consideration to the professional obligations of physicians requires constraints on accommodation. Accommodation should not: (1) impede a patient's timely access to relevant information; (2) impede a patient's timely access to referral and counselling; (3) impede a patient's timely access to medical services that are consistent with prevailing professional standards; (4) enable physicians to practice invidious discrimination; (5) place an excessive burden on other health professionals and institutions; or (6) authorize physicians to unilaterally decide to forgo life-sustaining treatment against the wishes of patients or surrogates.


Assuntos
Princípios Morais , Relações Médico-Paciente/ética , Médicos/ética , Atitude do Pessoal de Saúde , Consciência , Recusa Consciente em Tratar-se/ética , Dissidências e Disputas , Humanos , Obrigações Morais , Sociedades Médicas , Suicídio Assistido/ética , Suicídio Assistido/legislação & jurisprudência , Estados Unidos
19.
Perspect Biol Med ; 62(3): 560-575, 2019.
Artigo em Inglês | MEDLINE | ID: mdl-31495798

RESUMO

Disputes about conscientious refusals reflect, at root, two rival accounts of what medicine is for and what physicians reasonably profess. On what we call the "provider of services model," a practitioner of medicine is professionally obligated to provide interventions that patients request so long as the interventions are legal, feasible, and are consistent with well-being as the patient perceives it. On what we call the "Way of Medicine," by contrast, a practitioner of medicine is professionally obligated to seek the patient's health, objectively construed, and to refuse requests for interventions that contradict that profession. These two accounts coexist amicably so long as what patients want is for their practitioners to use their best judgment to pursue the patient's health. But conscientious refusals expose the fact that the two accounts are ultimately irreconcilable. As such, the medical profession faces a choice: either suppress conscientious refusals, and so reify the provider of services model and demoralize medicine, or recover the Way of Medicine, and so allow physicians to refuse requests for any intervention that is not unequivocally required by the physician's profession to preserve and restore the patient's health.


Assuntos
Relações Médico-Paciente/ética , Atitude do Pessoal de Saúde , Consciência , Recusa Consciente em Tratar-se , Dissidências e Disputas , Feminino , Humanos , Masculino , Médicos/ética , Suicídio Assistido/ética
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