Paul Affleck , Julia Cons, and Simon E. Kolstoe. De Marco et al have challenged the standard account of what makes a medical intervention invasive, stimulating a set of commentaries, including our own. Whilst we have enjoyed this correspondence, we still disagree on some fundamental points. De Marco et al state it is not clear […]
Category: Medical ethics
Voicing the realities of patient consent to unplanned obstetric interventions
By Frances Hand*, Morganne Wilbourne*, Sophie McAllister, Louise Print-Lyons, and Meena Bhatia. Approximately 46% of primiparous women using NHS facilities undergo an obstetric intervention during their labour. For women with a planned intervention (usually a caesarean birth) conversations regarding consent are mostly straightforward and occur during the pregnancy. Where an intervention is unplanned, current practice […]
Trumping rights?
By Ezio Di Nucci. Our team just finished another round of the ethics course at Copenhagen’s medical school, and we are now grading exams, which this semester included the following case study: A 32-year-old woman is in early labor. Tests indicate fetal hypoxia, i.e., that the fetus lacks sufficient oxygen. Various attempts are made to […]
Curb your enthusiasm: how to use large language models in medical ethics?
By Andrea Ferrario and Nikola Biller-Andorno. A technology enthusiast (TE) and a medical ethicist (ME) walk into a bar. Over a few rounds of drinks, their discussion shifts to the topic of large language models (LLMs) and their use in medical ethics. TE: Have you seen the latest? Technology using LLM, like OpenAI’s GPT-4, is […]
‘When the risk of harm is unavoidable…’
By Helen Lynne Turnham, Sarah-Jane Bowen, Sitara Ramdas, Andrew Smith, Dominic Wilkinson, Emily Harrop. Children with medical complexity and technology dependence are at constant risk of sudden death or catastrophic complication. In some cases, their diagnoses may mean that their lives are likely to be short regardless of treatments offered, and remaining in hospital, particularly […]
Advance directives in dementia care: Moving from the philosophical debate to practical guidelines
By Wayne Shelton and Cynthia Geppert. The case of Margo, introduced by Ronald Dworkin in 1993, described an individual with advanced dementia who would spend hours happily gazing at the same magazines, interacting in discrete experiential moments with those around her, and eating heartily. By all accounts, Margo was a happy individual. However, years earlier […]
Terms of cervix: IUD trials as a condition of elective sterilisation
By Teresa Baron. Getting your tubes tied is no easy feat. Plenty has been said in recent years about barriers to elective sterilisation, and persuading a doctor to do the deed is a particularly difficult for young, child-free women. If a woman has a long-term partner, her practitioner will often encourage her to see if […]
The delicate balance between aggressive treatments and palliative care
By Ilaria Bertini. In recent months the story of Indi Gregory has been brought to light by the media as another dreadful story of life and death involving a critically ill 8-month-old baby with no prospect of recovery. When Indi was born, she was admitted as a PICU patient at Queen’s Medical Centre in Nottingham […]
Reflections on a staff-student partnership: teachable moments in ethics
By Jennifer O’Neill. Context In early February 2022, my colleague and I embarked upon a programme of research examining our shared interest in patient healthcare involvement. As lecturers at the University of Glasgow School of Medicine, we identified a unique opportunity to establish a staff-student research partnership. The underlying rationale was that our student partners […]
To care or not to care
By Victoria Min-Yi Wang and Brian Baigrie. The idea for our paper, Caring as the Unacknowledged Matrix of Evidence-Based Nursing, germinated in a philosophy of medicine graduate class that Brian was teaching and Victoria was attending. As a group, we discussed what counts as evidence in medicine, how values do and should enter into clinical […]