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Full-Text Articles in Medicine and Health Sciences
Regulating The Placebo Effect In Clinical Practice, Tracey Chan
Regulating The Placebo Effect In Clinical Practice, Tracey Chan
Tracey E Chan
Recent research and ethical analysis have forced a clinical and ethical reappraisal of the utility of placebos in medical practice. The main concern of ethics and law is that using placebos in health care involves deception, which is antithetical to patient autonomy and trust in the physician-patient relationship. This paper reviews the various, more nuanced scientific conceptions of the placebo effect, and evaluates the ethical and legal objections to deploying placebos in clinical practice. It argues that the placebo effect may be legitimately accommodated on the basis that it does not engage the requirement for material or quasi-fiduciary disclosures of …
Informed Consent For Facial Transplantation, Katrina Bramstedt
Informed Consent For Facial Transplantation, Katrina Bramstedt
Katrina A. Bramstedt
Here, we outline the ethical presentation of patients’ informed consent.
The Silence Of Good Samaritan Kidney Donation In Australia: A Survey Of Hospital Websites, Katrina Bramstedt, Sameer Dave
The Silence Of Good Samaritan Kidney Donation In Australia: A Survey Of Hospital Websites, Katrina Bramstedt, Sameer Dave
Katrina A. Bramstedt
It is common for living donor candidates to use the Internet as a tool to enhance their decision-making process. Specifically, the websites of transplant hospitals can potentially be a vital source of information for those contemplating living donation. In an effort to explore the low incidence of Good Samaritan kidney donation (donations to strangers) in Australia, two raters conducted a nine-attribute website content analysis for all hospitals which participate in these transplants (n = 15). Overall, the concept of living donation is relatively silent on Australian hospital websites. Only four hospitals mention their living donor program, and only one mentions …
Family Refusals Of Registered Consents: The Disruption Of Organ Donation By Double-Standard Surrogate Decision-Making, Katrina Bramstedt
Family Refusals Of Registered Consents: The Disruption Of Organ Donation By Double-Standard Surrogate Decision-Making, Katrina Bramstedt
Katrina A. Bramstedt
Some countries such as Australia, Spain, Norway, Italy and Canada allow next of kin to override the consent of registered organ donor candidates if they personally do not concur with the donation desire of their relative. This form of surrogate decision-making represents a double standard in terms of the principle of substituted judgment (the surrogate's duty). Further, double-standard surrogate decision-making in the setting of organ donation is a slippery slope to unethical surrogate decision-making while patients are alive. Concerns about family distress and donor candidate revocation of consent can still be managed without permitting double-standard surrogate decision-making.