Author / Monica Delles
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Advance Directives – Are They Effective?
Have advance directives led to progress in patients’ rights?
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Caring Conversations – A Partnership Between You and Your Agent
Appointing an agent is the beginning of a partnership.
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Project Talk
Can family philanthropy advance health, healthcare and science?
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The Case of Jack: What are the Limits of a Community’s Right to Know?
Scrutinizing the Individual:
What are the limits of a community’s right to know? -
The Case of Immigrant Populations: Cultural Competence in Health Care
Delivering health care to non-English speaking immigrant populations requires knowledge and appreciation of the patient’s culture. Acquiring the skills to bridge the two worlds calls for self-awareness by the practitioner and a commitment to cultural competence by the organization.
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The Case of Herman: Rejecting Doctors Orders
Herman, a fifty-five-year-old farmer, has come into the office of Dr. X complaining of an increase in the symptoms of a chronic problem.
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The Case of Helga Wanglie – Futile Treatment
Does the suggestion of withdrawal of life-sustaining technologies reflect moral decay in our culture?
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The Case of Ginger: Autism and Blood Cancer Treatments
A 30-year-old woman, “Ginger,” is in the clinic, having been diagnosed several years ago with myelodysplastic syndrome (MDS, a blood disorder). There is a high chance that the disease will progress to acute myeloid leukemia (AML), with lower chance of survival, so physicians had started chemotherapy.
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The Case of Freda: Nursing Staff in Moral Distress When Patient’s Wishes Not Followed
Freda is a thirty-two-year-old woman in an advanced fixed stage of multiple sclerosis. Freda’s inability to swallow has caused her to lose weight to the point that she is clinically malnourished. Freda’s mother insists on insertion of a gastric feeding tube, which puts the nursing staff in a high state of moral distress.
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The Case of Claire Conroy
Must Patients Always Be Given Food and Water? An eighty-four-year-old non-ambulatory nursing home patient was confined to semi-fetal condition with “severe organic brain syndrome.” She had necrotic gangrenous leg ulcers and no bowel control. The patient was not in a vegetative state; her life expectancy could not be predicted but it was thought to…
