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Bioethics and Medical Ethics Commons

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A Christian Ethical Perspective On Surrogacy, Mark E. Lones 2017 Presence Health

A Christian Ethical Perspective On Surrogacy, Mark E. Lones

Bioethics in Faith and Practice

Infertility is a painful reality for many couples. Assisted reproductive technologies (A.R.T.) are becoming increasingly more popular for infertile couples desperate to conceive. In 1972 physician and ethicist Leon Kass warned that “infertility is a relationship as much as a condition – a relationship between husband and wife, and also between generations too. More is involved than the interests of any single individual”. Yet, most Christians have been reticent in asking what boundaries or principles need to be drawn. A recent Pew Research study found Americans, including evangelical Christians, largely do not see in vitro fertilization and surrogacy as ...


Method In Catholic Bioethics: Anh And Pvs Patients, Gregory J. Smith 2017 Loyola University Chicago

Method In Catholic Bioethics: Anh And Pvs Patients, Gregory J. Smith

Bioethics in Faith and Practice

This paper discusses the methods used in Catholic Social Teaching (CST), a part of the Catholic Moral Tradition (CMT), as applied to bioethical problem solving and decision-making. In order to apply CST to a concrete bioethical problem and to analyze the methods used in CST, the nature and extent of the obligation to provide artificial nutrition and hydration (ANH) to patients in a persistent vegetative state (PVS) is addressed. In particular, this paper focuses upon the extent to which providing ANH to PVS patients is or should be considered morally obligatory. In this discussion, the current official view of the ...


Crispr: Race To The Cure, Heather G. Kuruvilla 2017 Cedarville University

Crispr: Race To The Cure, Heather G. Kuruvilla

Bioethics in Faith and Practice

On November 15th, the scientific world was taken by storm when Chinese researchers announced that the gene editing technique, CRISPR, was being used for the first time in a clinical trial.i CRISPR, which stands for clustered regularly interspaced short palindromic repeats, allows scientists to target specific genes for knockout, or even for replacement by other genes. The technique has showed promising results in both in vitro and animal models, and researchers foresee myriad medical uses for it. The aforementioned Chinese study involves genetically engineering T-cells to make them better able to fight cancer. Another CRISPR study involving reprogramming T-cells ...


The New Push For Assisted Suicide, Dennis Sullivan 2017 Cedarville University

The New Push For Assisted Suicide, Dennis Sullivan

Bioethics in Faith and Practice

The new push to legalize physician assisted suicide is a bad idea. It violates the Hippocratic tradition, dating back 2400 years. It impairs the trust relationship between doctor and patients, and would detract from modern efforts to improve palliative care and hospice. Finally, it is contrary to clear principles from the God's Word.


Senior Editor's Preview, Dennis Sullivan 2017 Cedarville University

Senior Editor's Preview, Dennis Sullivan

Bioethics in Faith and Practice

Welcome to Bioethics in Faith and Practice! As we close out 2016, the New Year brings many challenging issues. This issue of the journal features ethical dilemmas at the beginning of life, the end of life, and in the laboratory.


Repealing The Aca Without A Replacement — The Risks To American Health Care, Barack Obama 2017 President of the United States

Repealing The Aca Without A Replacement — The Risks To American Health Care, Barack Obama

Public Health Resources

Health care policy often shifts when the country’s leadership changes. That was true when I took office, and it will likely be true with President-elect Donald Trump. I am proud that my administration’s work, through the Affordable Care Act (ACA) and other policies, helped millions more Americans know the security of health care in a system that is more effective and efficient. At the same time, there is more work to do to ensure that all Americans have access to high-quality, affordable health care. What the past 8 years have taught us is that health care reform requires ...


Developing Morally Sensitive Policy In The Nicu: Donation After Circulatory Determination Of Death, Michael van Manen, Nicole Kain 2017 University of Alberta Faculty of Medicine and Dentistry

Developing Morally Sensitive Policy In The Nicu: Donation After Circulatory Determination Of Death, Michael Van Manen, Nicole Kain

The Qualitative Report

Policy development is an important activity for the practice of healthcare. Policies, after all, may cultivate common practices and ensure that best available evidence is employed in clinical decision making. Qualitative research and individuals with expertise in qualitative research methods have much to offer policy makers. We were confronted with the situation of developing policy for donation after circulatory death (DCD) for our newborn intensive care program. Due the moral-ethical complexities surrounding DCD, and the limited experience with DCD in this context, we approached policy development from an iterative design perspective employing qualitative methods. We describe our experience in employing ...


Advocation For The Universal Legalization Of Physician-Assisted Suicide As A Last Resort Measure, McKinley Nevins 2016 University of Puget Sound

Advocation For The Universal Legalization Of Physician-Assisted Suicide As A Last Resort Measure, Mckinley Nevins

Sound Decisions: An Undergraduate Bioethics Journal

Considerations of physician-assisted suicide are pressing, emotionally charged, and urgently needed. Current safeguards that exist to protect the patients from coercion and abuses of power are crucial, but incomplete. Additional safeguards must be implemented to protect the role of physicians in cases of PAS as well. Also, improved palliative care measures should be advocated for and considered as the best option in cases of individuals suffering horrendously in the last month of a terminal illness. The universal legalization of physician-assisted suicide in all 50 states should be advocated for, so that once all palliative care measures available have been exhaustively ...


Reconciling Eugenics For The Sake Of Human Survival, Conor O'Keefe 2016 University of Puget Sound

Reconciling Eugenics For The Sake Of Human Survival, Conor O'Keefe

Sound Decisions: An Undergraduate Bioethics Journal

This paper will attempt to argue for the moral permissibility of genetic enhancement through the ethical lens of principlism, which necessitates the consolidation of positive and negative eugenics as therefore equally permissible. I will argue that through modern medicine and technology we have a moral obligation to establish a more fair baseline of human functioning, and that giving consent to such enhancement is morally justifiable.


Superdoctors: A Consideration Of Virtue Ethics And Human Enhancement, Rosa Dale-Moore 2016 University of Puget Sound

Superdoctors: A Consideration Of Virtue Ethics And Human Enhancement, Rosa Dale-Moore

Sound Decisions: An Undergraduate Bioethics Journal

Much of the technology used in today’s society could be considered enhancements under some framework. Human uses of substances and practices such as caffeine, meditation, brain training apps and creativity courses, plus countless other extracurricular activities and products all force the human body to be its best, or even past its best. The need for ethical consideration arises when deciding the uses for technology and enhancements. This paper will consider the ethics of human enhancement with regards to the specific profession of physician under the framework of virtue ethics.


The Ethics Of Using Animal Stem Cells, Katelyn Rosen 2016 University of Puget Sound

The Ethics Of Using Animal Stem Cells, Katelyn Rosen

Sound Decisions: An Undergraduate Bioethics Journal

Stem cell research is highly debated in fields of bioethics. This project examines the often-overlooked issue of using animal versus human stem cells. Stem cells can either be cultivated from embryonic cells, which are undifferentiated and pluripotent, or they are cultivated from adult stem cells, which normally replace worn out or damaged cells. Regenerative medicine uses stem cells to create new therapies to produce new cells, organs, and tissues with the intention to improve someone’s functioning, being healthier. Most research on stem cells aims to use embryonic stem cells to help create therapies to treat diseases and injuries or ...


Longevity Extension From A Socioeconomic Perspective: Plausibility, Misconceptions, And Potential Outcomes, Eric Ralph 2016 University of Puget Sound

Longevity Extension From A Socioeconomic Perspective: Plausibility, Misconceptions, And Potential Outcomes, Eric Ralph

Sound Decisions: An Undergraduate Bioethics Journal

In the last several decades, a significant amount of progress has been made in pursuits to better understand the process of aging and subsequently gain some level of control over it. Wide-ranging successes with gene therapy and increased comprehension of the genetic components of aging have also recently culminated in numerous successes in extending the longevity of animals and the first human trial of a gene therapy to extend life through telomerase manipulation is already underway, albeit on a small scale (Mendell et al. 2015; Bernardes de Jesus et al. 2012; Konovalenko 2014). In light of these recent accomplishments, bioethicists ...


Improving Healthcare Provider Knowledge In Acute And Primary Transgender Health Needs: The Implementation Of A Clinical Education Program With Urgent Care And Emergency Room Staff And Providers, Tonia Lower 2016 Otterbein University

Improving Healthcare Provider Knowledge In Acute And Primary Transgender Health Needs: The Implementation Of A Clinical Education Program With Urgent Care And Emergency Room Staff And Providers, Tonia Lower

Doctoral Theses

The purpose of this project was to improve knowledge and identify personal bias and beliefs in the acute and primary healthcare needs of transgender persons, through the implementation of a clinical education program with healthcare providers and staff working within the urgent care and emergency department settings. The need for such a program exists due to the lack of suitable and accessible healthcare that may lead to misdiagnosis, delay of treatment and poor health outcomes. Including clinical education in the acute and primary healthcare needs of transgender persons that can be integrated into healthcare organizations may aid in the improvement ...


Book Review, Mitchell M. Simon 2016 University of New Hampshire

Book Review, Mitchell M. Simon

RISK: Health, Safety & Environment

Review of: MARC A. RODWIN, MEDICINE, MONEY & MORALS: PHYSICIANS' CONFLICTS OF INTEREST. (Oxford University Press 1993). [430 pp.] Acknowledgements, acronyms, appendices, foreword, index, notes. LC: 92-49488; ISBN: 0-19-508096-3. [Cloth $25.00. 200 Madison Avenue, New York NY 10016.]


Book Review, Bradley J. Olson 2016 University of New Hampshire

Book Review, Bradley J. Olson

RISK: Health, Safety & Environment

Review of: JOHN HARRIS, WONDERWOMAN AND SUPERMAN: THE ETHICS OF HUMAN BIOTECHNOLOGY. (Oxford University Press 1992) [271 pp.] Acknowledgements, further reading, index, introduction, notes. LC 91-23939; ISBN 0-19-2177540-0. [$22.95 cloth. 200 Madison Avenue; New York NY 10016.]


Medicine Outside The Clinic: The Growing Need For Physicians In Sexual Education Policy, Zachary Sanford 2016 Marshall University

Medicine Outside The Clinic: The Growing Need For Physicians In Sexual Education Policy, Zachary Sanford

Marshall Journal of Medicine

Sex and sexuality are both topics of immense social and personal importance, owing their openness or constraint in large part to the society in which they are discussed. In homogenous groups it may be possible to reach firm consensus on what is, or is not, appropriate to consider a sexual norm and use an overarching set of religious or spiritual morals to reaffirm this decision. However, in western society and specifically in the United States, a theme of integration and amalgamation of wildly different cultures has presented an interesting case study in searching for common ground on basic social issues ...


Commentary: The Worst 4-Letter Word In Healthcare, Peter G. Holub 2016 Nova Southeastern University

Commentary: The Worst 4-Letter Word In Healthcare, Peter G. Holub

Internet Journal of Allied Health Sciences and Practice

“Wait” is a four-letter word to patients who are rarely patient when it comes to waiting. What can caregivers do to help patients cope with waiting while their entire lives are put on hold?


Physician-Assisted Suicide: The Legal And Practical Contours, Anthony J. Dangelantonio 2016 University of New Hampshire

Physician-Assisted Suicide: The Legal And Practical Contours, Anthony J. Dangelantonio

RISK: Health, Safety & Environment

This paper considers current medical and legal perspectives on patients' right to assistance in dying. In highlighting the competing policy objectives that must be resolved, it examines failed legislative initiatives in Washington and California. It also considers a pending New Hampshire proposal. The last shows the difficulty of simultaneously alleviating physician's objections and achieving proponents' goals.


Book Review, Bradley J. Olson 2016 University of New Hampshire

Book Review, Bradley J. Olson

RISK: Health, Safety & Environment

Review of the following: THE CODE OF CODES: SCIENTIFIC AND SOCIAL ISSUES IN THE HUMAN GENOME PROJECT. (Daniel J. Kevles & Leroy Hood, eds., Harvard University Press 1992) [397 pp.] Contributors, figures, index, notes, preface, selected bibliography, tables. LC 91-38477, ISBN 0- 674-13645-4. [Cloth $29.95. 79 Garden Street, Cambridge MA 02138.]


Moral Distress: Cowardly Lion To Courageous Action, Frances Johnson 2362973 2016 Southern Adventist University

Moral Distress: Cowardly Lion To Courageous Action, Frances Johnson 2362973

Faculty Works

Moral distress is a key issue in the healthcare work environment. This course will explore situations in which health care providers may find themselves that result in moral distress; situations can arise from patients, their families, co-workers, or the organization. Providing quality, evidence based practice is many times limited to doing what is allowed per protocols or payors, and not always what is best for that given situation. Included in this presentation are ways to affirm what is felt, assess sources of distress, contemplate risks and benefits of action, and prepare for action.


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