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Medicine, Health Care, and Philosophy

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https://www.readbyqxmd.com/read/28332007/rethinking-critical-reflection-on-care-late-modern-uncertainty-and-the-implications-for-care-ethics
#1
Frans Vosman, Alistair Niemeijer
Care ethics as initiated by Gilligan, Held, Tronto and others (in the nineteen eighties and nineties) has from its onset been critical towards ethical concepts established in modernity, like 'autonomy', alternatively proposing to think from within relationships and to pay attention to power. In this article the question is raised whether renewal in this same critical vein is necessary and possible as late modern circumstances require rethinking the care ethical inquiry. Two late modern realities that invite to rethink care ethics are complexity and precariousness...
March 22, 2017: Medicine, Health Care, and Philosophy
https://www.readbyqxmd.com/read/28289851/withdrawal-of-artificial-nutrition-and-hydration-in-neonatal-intensive-care-parents-and-healthcare-practitioners-views
#2
Véronique Fournier, Elisabeth Belghiti, Laurence Brunet, Marta Spranzi
Withdrawing Artificial Nutrition and Hydration (WANH) in the neonatal intensive care units (NICUs) has long been controversial. In France, the practice has become a legal option since 2005. But even though, the question remains as to what the stakeholders' experience is, and whether they consider it ethically appropriate. In order to contribute to the debate, we initiated a study in 2009 to evaluate parental and health care professionals (HCP) perspectives, after they experienced WAHN for a newborn. The study included 25 cases from 5 different clinical neonatology departments...
March 13, 2017: Medicine, Health Care, and Philosophy
https://www.readbyqxmd.com/read/28275937/-re-disclosing-physician-financial-interests-rebuilding-trust-or-making-unreasonable-burdens-on-physicians
#3
Daniel Sperling
Recent professional guidelines published by the General Medical Council instruct physicians in the UK to be honest and open in any financial agreements they have with their patients and third parties. These guidelines are in addition to a European policy addressing disclosure of physician financial interests in the industry. Similarly, In the US, a national open payments program as well as Federal regulations under the Affordable Care Act re-address the issue of disclosure of physician financial interests in America...
March 8, 2017: Medicine, Health Care, and Philosophy
https://www.readbyqxmd.com/read/28258404/some-thoughts-on-phenomenology-and-medicine
#4
Miguel Kottow
Phenomenology in medicine's main contribution is to present a first-person narrative of illness, in an effort to aid medicine in reaching an accurate disease diagnosis and establishing a personal relationship with patients whose lived experience changes dramatically when severe disease and disabling condition is confirmed. Once disease is diagnosed, the lived experience of illness is reconstructed into a living-with-disease narrative that medicine's biological approach has widely neglected. Key concepts like health, sickness, illness, disease and the clinical encounter are being diversely and ambiguously used, leading to distortions in socio-medical practices such as medicalization, pharmaceuticalization, emphasis on surveillance medicine...
March 4, 2017: Medicine, Health Care, and Philosophy
https://www.readbyqxmd.com/read/28251445/a-phenomenological-construct-of-caring-among-spouses-following-acute-coronary-syndrome
#5
Janice Gullick, Mark Krivograd, Susan Taggart, Susana Brazete, Lise Panaretto, John Wu
The aim of this study was interpret the existential construct of family caring following Acute Coronary Syndrome. Family support is known to have a positive impact on recovery and adjustment after cardiac events. Few studies provide philosophically-based, interpretative explorations of carer experience following a spouse's ischaemic event. As carer experiences, behaviours and meaning-making may impact on the quality of the support they provide to patients, further understanding could improve both patient outcomes and family experience...
March 1, 2017: Medicine, Health Care, and Philosophy
https://www.readbyqxmd.com/read/28247200/compulsory-administration-of-oxytocin-does-not-result-in-genuine-moral-enhancement
#6
Vojin Rakić
The question will be raised whether oxytocin can serve as an effective moral enhancer. Different types of moral enhancement will be addressed, one of them being compulsory moral enhancement. It will be argued that oxytocin cannot serve as an effective moral enhancer if its use is being made compulsory. Hence, compulsory administration of oxytocin does not result in genuine moral enhancement. In order to demonstrate this, a stipulation of the main potentially beneficial outcomes of using oxytocin as a moral enhancer will be offered, as well as a discussion of objections to the notion that oxytocin can be an effective moral enhancer...
February 28, 2017: Medicine, Health Care, and Philosophy
https://www.readbyqxmd.com/read/28220344/personal-factors-affecting-ethical-performance-in-healthcare-workers-during-disasters-and-mass-casualty-incidents-in-iran-a-qualitative-study
#7
Mehrzad Kiani, Mohsen Fadavi, Hamidreza Khankeh, Fariba Borhani
In emergencies and disasters, ethics are affected by both personal and organizational factors. Given the lack of organizational ethical guidelines in the disaster management system in Iran, the present study was conducted to explain the personal factors affecting ethics and ethical behaviors among disaster healthcare workers. The present qualitative inquiry was conducted using conventional content analysis to analyze the data collected from 21 in-depth unstructured interviews with healthcare workers with an experience of attending one or more fields of disaster...
February 20, 2017: Medicine, Health Care, and Philosophy
https://www.readbyqxmd.com/read/28204950/-unnatural-thoughts-on-moral-enhancement-of-the-human-animal
#8
Norman K Swazo
Recent discussions about moral enhancement presuppose and recommend sets of values that relate to both the Western tradition of moral philosophy and contemporary empirical results of natural and social sciences, including moral psychology. It is argued here that this is a typology of thought that requires a fundamental interrogation. Proponents of moral enhancement do not account for important critical analyses of moral discourse, beginning with that of Friedrich Nietzsche and continuing with more prominent twentieth century thinkers such as the poststructuralist Michel Foucault, the deconstructionist Jacques Derrida, and the moral philosopher Alasdair MacIntyre...
February 15, 2017: Medicine, Health Care, and Philosophy
https://www.readbyqxmd.com/read/28204949/caregiver-burden-and-the-medical-ethos
#9
Karsten Witt, Johanne Stümpel, Christiane Woopen
Are physicians sometimes morally required to ease caregiver burden? In our paper we defend an affirmative answer to this question. First, we examine the well-established principle that medical care should be centered on the patient. We argue that although this principle seems to give physicians some leeway to lessen caregivers' suffering, it is very restrictive when spelled out precisely. Based on a critical analysis of existing cases for transcending patient-centeredness we then go on to argue that the medical ethos should indeed contain a rule requiring physicians to alleviate caregiver burden under certain circumstances...
February 15, 2017: Medicine, Health Care, and Philosophy
https://www.readbyqxmd.com/read/28181154/emerging-technologies-and-the-voice-of-reason
#10
EDITORIAL
Bert Gordijn, Henk Ten Have
No abstract text is available yet for this article.
February 8, 2017: Medicine, Health Care, and Philosophy
https://www.readbyqxmd.com/read/28176166/blurring-nature-at-its-boundaries-vague-phenomena-in-current-stem-cell-debate
#11
Martin Hähnel
This paper illuminates the explanatory role of vagueness und species membership against the background of scientific developments in recent stem cell research. With the help of the Neo-Aristotelian concept of "life form naturalism" ontologically vague entities such as stem cells, all above induced pluripotent stem cells (iPS), could be described as necessary constituents for the correct sorting and naming of natural processes and its bearers. Furthermore this specific assessment allows drawing some important ontological and ethical consequences...
February 7, 2017: Medicine, Health Care, and Philosophy
https://www.readbyqxmd.com/read/28130719/inspectors-ethical-challenges-in-health-care-regulation-a-pilot-study
#12
W Seekles, G Widdershoven, P Robben, G van Dalfsen, B Molewijk
There is an increasing body of research on what kind of ethical challenges health care professionals experience regarding the quality of care. In the Netherlands the Dutch Health Care Inspectorate is responsible for monitoring and regulating the quality of health care. No research exists on what kind of ethical challenges inspectors experience during the regulation process itself. In a pilot study we used moral case deliberation as method in order to reflect upon inspectors' ethical challenges. The objective of this paper is to give an overview of the ethical challenges which health care inspectors encounter in their daily work...
January 27, 2017: Medicine, Health Care, and Philosophy
https://www.readbyqxmd.com/read/28124195/the-form-of-causation-in-health-disease-and-intervention-biopsychosocial-dispositionalism-conserved-quantity-transfers-and-dualist-mechanistic-chains
#13
David W Evans, Nicholas Lucas, Roger Kerry
Causation is important when considering: how an organism maintains health; why disease arises in a healthy person; and, how one may intervene to change the course of a disease. This paper explores the form of causative relationships in health, disease and intervention, with particular regard to the pathological and biopsychosocial models. Consistent with the philosophical view of dispositionalism, we believe that objects are the fundamental relata of causation. By accepting the broad scope of the biopsychosocial model, we argue that psychological and social constructs be considered objects...
January 25, 2017: Medicine, Health Care, and Philosophy
https://www.readbyqxmd.com/read/28040881/books-received
#14
(no author information available yet)
No abstract text is available yet for this article.
December 31, 2016: Medicine, Health Care, and Philosophy
https://www.readbyqxmd.com/read/27638832/trust-me-i-m-a-researcher-the-role-of-trust-in-biomedical-research
#15
Angeliki Kerasidou
In biomedical research lack of trust is seen as a great threat that can severely jeopardise the whole biomedical research enterprise. Practices, such as informed consent, and also the administrative and regulatory oversight of research in the form of research ethics committees and Institutional Review Boards, are established to ensure the protection of future research subjects and, at the same time, restore public trust in biomedical research. Empirical research also testifies to the role of trust as one of the decisive factors in research participation and lack of trust as a barrier for consenting to research...
March 2017: Medicine, Health Care, and Philosophy
https://www.readbyqxmd.com/read/27581427/value-impregnated-factual-claims-and-slippery-slope-arguments
#16
Gert Helgesson, Niels Lynøe, Niklas Juth
Slippery-slope arguments typically question a course of action by estimating that it will end in misery once the first unfortunate step is taken. Previous studies indicate that estimations of the long-term consequences of certain debated actions, such as legalizing physician-assisted suicide, may be strongly influenced by tacit personal values. In this paper, we suggest that to the extent that slippery-slope arguments rest on estimations of future events, they may be mere rationalizations of personal values...
March 2017: Medicine, Health Care, and Philosophy
https://www.readbyqxmd.com/read/27497698/simulation-as-an-ethical-imperative-and-epistemic-responsibility-for-the-implementation-of-medical-guidelines-in-health-care
#17
Luciana Garbayo, James Stahl
Guidelines orient best practices in medicine, yet, in health care, many real world constraints limit their optimal realization. Since guideline implementation problems are not systematically anticipated, they will be discovered only post facto, in a learning curve period, while the already implemented guideline is tweaked, debugged and adapted. This learning process comes with costs to human health and quality of life. Despite such predictable hazard, the study and modeling of medical guideline implementation is still seldom pursued...
March 2017: Medicine, Health Care, and Philosophy
https://www.readbyqxmd.com/read/27491808/the-proposal-of-philosophical-basis-of-the-health-care-system
#18
Andrzej Bielecki, Sylwia Nieszporska
The studies of health care systems are conducted intensively on various levels. They are important because the systems suffer from numerous pathologies. The health care is analyzed, first of all, in economic aspects but their functionality in the framework of systems theory is studied, as well. There are also attempts to work out some general values on which health care systems should be based. Nevertheless, the aforementioned studies, however, are fragmentary ones. In this paper holistic approach to the philosophical basis of health care is presented...
March 2017: Medicine, Health Care, and Philosophy
https://www.readbyqxmd.com/read/27364754/learning-to-live-with-parkinson-s-disease-in-the-family-unit-an-interpretative-phenomenological-analysis-of-well-being
#19
Laura J Smith, Rachel L Shaw
We investigated family members' lived experience of Parkinson's disease (PD) aiming to investigate opportunities for well-being. A lifeworld-led approach to healthcare was adopted. Interpretative phenomenological analysis was used to explore in-depth interviews with people living with PD and their partners. The analysis generated four themes: It's more than just an illness revealed the existential challenge of diagnosis; Like a bird with a broken wing emphasizing the need to adapt to increasing immobility through embodied agency; Being together with PD exploring the kinship within couples and belonging experienced through support groups; and Carpe diem! illuminated the significance of time and fractured future orientation created by diagnosis...
March 2017: Medicine, Health Care, and Philosophy
https://www.readbyqxmd.com/read/27913914/tragedy-in-moral-case-deliberation
#20
Benita Spronk, Margreet Stolper, Guy Widdershoven
In healthcare practice, care providers are confronted with tragic situations, in which they are expected to make choices and decisions that can have far-reaching consequences. This article investigates the role of moral case deliberation (MCD) in dealing with tragic situations. It focuses on experiences of care givers involved in the treatment of a pregnant woman with a brain tumour, and their evaluation of a series of MCD meetings in which the dilemmas around care were discussed. The study was qualitative, focusing on the views and experiences of the participants...
December 2, 2016: Medicine, Health Care, and Philosophy
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