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

Author(s):  
Nicholas H. Kluesner ◽  
Norine McGrath ◽  
Nathan G Allen ◽  
Monisha Dilip ◽  
Jay Brenner
2016 ◽  
Vol 8 (1) ◽  
pp. 89-108
Author(s):  
Rachel Becker Herbst ◽  
Darren R Bernal ◽  
Jonathan Terry ◽  
Brian Lewis

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.


Author(s):  
Jay M. Brenner ◽  
Erik Blutinger ◽  
Brandon Ricke ◽  
Laura Vearrier ◽  
Nicholas H. Kluesner ◽  
...  

2019 ◽  
Vol 3 (6) ◽  
pp. 707-711 ◽  
Author(s):  
Andrew Peterson ◽  
Adrian M. Owen

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.


Pflege ◽  
2001 ◽  
Vol 14 (1) ◽  
pp. 13-16
Author(s):  
Monika Bobbert

Pflegeethik als relativ neuer Bereich der angewandten Ethik hat unter anderem die Aufgabe, auf ethische Probleme in der pflegerischen Praxis aufmerksam zu machen und diese zu reflektieren. An einem Fallbeispiel wird gezeigt, dass das pflegerische Vorgehen bei der Ernährung von Frühgeborenen ethische Konflikte bergen kann. Am konkreten Fall werden Fragen der Patientenautonomie und Fürsorge diskutiert, die auch für andere pflegerische Situationen relevant sind. Der Artikel leistet einen Beitrag zur Klärung der spezifischen Inhalte einer auf den Handlungsbereich der professionellen Pflege bezogenen Ethik.


Crisis ◽  
2010 ◽  
Vol 31 (1) ◽  
pp. 1-6 ◽  
Author(s):  
Gregory Luke Larkin ◽  
Annette L. Beautrais

Crisis ◽  
2010 ◽  
Vol 31 (5) ◽  
pp. 238-246 ◽  
Author(s):  
Paul W. C. Wong ◽  
Wincy S. C. Chan ◽  
Philip S. L. Beh ◽  
Fiona W. S. Yau ◽  
Paul S. F. Yip ◽  
...  

Background: Ethical issues have been raised about using the psychological autopsy approach in the study of suicide. The impact on informants of control cases who participated in case-control psychological autopsy studies has not been investigated. Aims: (1) To investigate whether informants of suicide cases recruited by two approaches (coroners’ court and public mortuaries) respond differently to the initial contact by the research team. (2) To explore the reactions, reasons for participation, and comments of both the informants of suicide and control cases to psychological autopsy interviews. (3) To investigate the impact of the interviews on informants of suicide cases about a month after the interviews. Methods: A self-report questionnaire was used for the informants of both suicide and control cases. Telephone follow-up interviews were conducted with the informants of suicide cases. Results: The majority of the informants of suicide cases, regardless of the initial route of contact, as well as the control cases were positive about being approached to take part in the study. A minority of informants of suicide and control cases found the experience of talking about their family member to be more upsetting than expected. The telephone follow-up interviews showed that none of the informants of suicide cases reported being distressed by the psychological autopsy interviews. Limitations: The acceptance rate for our original psychological autopsy study was modest. Conclusions: The findings of this study are useful for future participants and researchers in measuring the potential benefits and risks of participating in similar sensitive research. Psychological autopsy interviews may be utilized as an active engagement approach to reach out to the people bereaved by suicide, especially in places where the postvention work is underdeveloped.


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