scholarly journals Ethical issues in the access to emergency care for undocumented immigrants

2021 ◽  
Vol 2 (3) ◽  
Author(s):  
Jay M. Brenner ◽  
Erik Blutinger ◽  
Brandon Ricke ◽  
Laura Vearrier ◽  
Nicholas H. Kluesner ◽  
...  
Keyword(s):  
Emergency Care ◽  
Undocumented Immigrants ◽  
Ethical Issues

Ethical Issues in Emergency Care

1993 ◽  
Vol 9 (3) ◽  
pp. 655-664 ◽  
Author(s):  
John Arras
Keyword(s):  
Emergency Care ◽  
Ethical Issues

scholarly journals Ethical issues and obligations with undocumented immigrants relying on emergency departments for dialysis

2021 ◽  
Vol 2 (6) ◽  
Author(s):  
Nicholas H. Kluesner ◽  
Norine McGrath ◽  
Nathan G Allen ◽  
Monisha Dilip ◽  
Jay Brenner
Keyword(s):  
Emergency Departments ◽  
Undocumented Immigrants ◽  
Ethical Issues

scholarly journals Undocumented Latina/o Immigrants in Multidisciplinary Settings: Behavioral Health Providers’ Role in Promoting Optimal, Ethical Healthcare

2016 ◽  
Vol 8 (1) ◽  
pp. 89-108
Author(s):  
Rachel Becker Herbst ◽  
Darren R Bernal ◽  
Jonathan Terry ◽  
Brian Lewis
Keyword(s):  
Behavioral Health ◽  
Undocumented Immigrants ◽  
Ethical Issues ◽  
Healthcare Access ◽  
The United States ◽  
Health Providers ◽  
Ethical Challenges ◽  
Treatment Disparities ◽  
Integral Role ◽  
Case Vignettes

Undocumented immigrants experience health and treatment disparities exceeding those experienced by other immigrants (Hacker et al., 2011). Behavioral health providers in multidisciplinary medical settings play an integral role in the delivery of services to the 11 million undocumented immigrants residing in the United States, most of whom are Latina/o. Undocumented immigrants face cultural, legal, language, and psychological barriers that affect healthcare access, treatment utilization, and adherence (Achkar and Macklin, 2009). In the context of these disparities, little consensus exists regarding an ethical decisionmaking process specific to this population. How does a behavioral health provider respond to these dilemmas? This article reviews the changing sociopolitical landscape for the healthcare of undocumented immigrants. Case vignettes highlight and address important ethical issues arising from behavioral health providers’ work with this population. We conclude with recommendations regarding the navigation of these ethical challenges and the provision of high quality, accessible healthcare to undocumented immigrants.

Case Study: Laparoscopic Appendicectomy Requirements and Human Factors Surrounding Emergency Care

2017 ◽  
Vol 27 (5) ◽  
pp. 104-110
Author(s):  
J Widdecombe ◽  
M Owen
Keyword(s):  
Human Factors ◽  
Emergency Care ◽  
Ethical Issues ◽  
Vital Role ◽  
Laparoscopic Appendicectomy ◽  
Emergency Situations ◽  
Unscheduled Care ◽  
Legal Professional

The purpose of this case study is to inform practitioners of the requirements for non-scheduled surgery and the legal, professional and ethical issues surrounding emergencies. Areas for learning include the surgical requirements for appendectomy, evaluation of the differences between scheduled and unscheduled care, and consideration of the vital role that human factors play in emergency situations.

scholarly journals Major Challenges and Barriers in Clinical Decision-making as Perceived by Emergency Medical Services Personnel: A Qualitative Content Analysis

2020 ◽  
Author(s):  
Mostafa bijani ◽  
Saeed Abedi ◽  
Shahnaz Karimi ◽  
Banafsheh Tehranineshat
Keyword(s):  
Decision Making ◽  
Content Analysis ◽  
Emergency Care ◽  
Clinical Decision Making ◽  
Ethical Issues ◽  
Qualitative Content Analysis ◽  
Organizational Management ◽  
Clinical Decision ◽  
Critical Conditions ◽  
The Right

Abstract Background: Having to work in unpredictable and critical conditions, emergency care services (EMS) personnel experience complicated situations at the scene of accidents which, inevitably, influence their clinical decisions. There is a lack of research into the challenges which these professionals encounter. Accordingly, the present study aims to explore the major challenges and barriers which affect clinical decision-making from the perspective of EMS personnel. Methods: The present study is a qualitative work with a content analysis approach. Selected via purposeful sampling, the subjects were 25 members of the EMC personnel in Iran who met the inclusion criteria. The study lasted from December 2019 to July 2020. Sampling was maintained to the point of data saturation. Data were collected using semi-structured, in-depth, individual interviews. The collected data were analyzed via qualitative content analysis. Results: 4 main categories—professional capabilities, occupational and environmental factors, inefficient organizational management, and ethical issues—and 23 subcategories were extracted from the findings of the study. Conclusion: The results of the present study show that personal and occupational factors, organizational management, and ethical issues are the most significant sources of challenge which affect the clinical decision-making and, consequently, the performance of EMC personnel at the scene of accidents. Thus, it is essential that pre-hospital emergency care managers improve the quality of EMC personnel’s clinical decision-making skills and the reliability of care provided by them by creating the right professional and organizational settings, free of occupational distress.

Little Secrets, Big Lies

2020 ◽  
pp. 161-168
Author(s):  
Simiao Li-Sauerwine ◽  
Diane L. Gorgas
Keyword(s):  
Decision Making ◽  
Acute Leukemia ◽  
Emergency Care ◽  
Ethical Issues ◽  
Developmental Level ◽  
Parental Consent ◽  
Rights Of The Child ◽  
National Organizations ◽  
A Minor

This chapter addresses the ethical issues surrounding provision of emergency care to minor patients. The highlighted case illustrates a scenario in which a 12-year-old boy is diagnosed with acute leukemia. Recommendations by national organizations are reviewed regarding care of minors. First discussed is the concept of assent by a minor that acknowledges the decision-making abilities and rights of the child, tailored to an appropriate developmental level. This is in juxtaposition to the concept of parental dissent, which also is addressed. Finally, the focus is on care of minors in special situations, including the ethics of emergent conditions when care without parental consent is necessary. Additionally, criteria for emancipated minor and mature minor designations are reviewed.

Confronting the grey zone after severe brain injury

2019 ◽  
Vol 3 (6) ◽  
pp. 707-711 ◽  
Author(s):  
Andrew Peterson ◽  
Adrian M. Owen
Keyword(s):  
Brain Injury ◽  
Ethical Issues ◽  
Vegetative State ◽  
Clinical Care ◽  
Grey Zone ◽  
Severe Brain Injury ◽  
New Methods ◽  
Legal Decision Making ◽  
Technological Developments ◽  
The Brain

In recent years, rapid technological developments in the field of neuroimaging have provided several new methods for revealing thoughts, actions and intentions based solely on the pattern of activity that is observed in the brain. In specialized centres, these methods are now being employed routinely to assess residual cognition, detect consciousness and even communicate with some behaviorally non-responsive patients who clinically appear to be comatose or in a vegetative state. In this article, we consider some of the ethical issues raised by these developments and the profound implications they have for clinical care, diagnosis, prognosis and medical-legal decision-making after severe brain injury.

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