Volume 20, Issue 4, May 2020, Page 97-99.

This article utilizes the case of Ms H. to examine the contrasting ways that surrogate decision makers move from simply hearing information about the patient to actually knowing and understanding the patient’s medical condition. The focus of the case is on a family’s request to actually see the patient’s wounds instead of being told about the wounds, and the role of clinical ethicists in facilitating this request. We argue that clinical ethicists have an important role to play in the work (...) of converting information into knowledge and that this can serve as a valuable way forward in the midst of seemingly intractable conflicts in the medical setting. (shrink)

An ethics consultant’s scope of practice is best understood as equipping stakeholders to achieve closure over time following after the ethics consultation. This is in contrast to Autumn Fiester’s position in the article, “Neglected Ends: Clinical Ethics Consultation and the Prospects for Closure,” where she claims that moral closure is a necessary condition for the proper completion of an ethics consultation case.

Sometimes, we operate as though we live in the center of our brains at the top of the tower that is our bodies. We are aware of our bodies as instrumental to accomplishing various pragmatic tasks, but we are unaware or forgetful about how the body constitutes our conscious experience of self and world. The deeper nature and significance of our lived bodily experience is hidden, and it is challenging to discover and describe adequately. Nonetheless, during periods of sickness and (...) injury, we are forced into dramatic confrontations with our bodies and must address our lived bodily experience in often vivid and visceral detail. Fortunately, we are not without resources in the effort to... (shrink)

“Aging and Disasters,” is an effort to tell a consistent and compelling story about the elderly amidst catastrophic disaster, and to then develop an ethical analysis and practical strategy for addressing the unique situation of the elderly. In the first portion of the chapter I make the case that the elderly are routinely overlooked amidst catastrophic disasters, and thereby often suffer disproportionately relative to the general population. More than being just a vulnerable population of people, the elderly are susceptible to (...) additional and compound harms. A failure to recognize the special needs of the elderly population will consistently lead to their marginalization in disaster response efforts. Therefore, in the second section of the chapter, I emphasize our ethical obligations to (1) responsible planning prior to a disaster taking place and also to (2) promoting and maintaining effective communication and collaboration both in planning for and responding to a major disaster as two elements of an approach that seeks to address the particularity of the elderly relative to major disasters. To further specify and make meaningful these broad commitments, I introduce an ethics of place holding, arising out of work by Hilde Lindemann and Iris Marion Young, as an important framework for analysis and assessment. In the final portion of the chapter, I offer some concrete recommendations for a renewed approach to disaster planning and response that is conscious of the elderly amidst catastrophic disasters. (shrink)