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Jeffrey P. Spike [32]Jeffrey Philip Spike [1]
  1.  20
    Informed Consent Is the Essence of Capacity Assessment.Jeffrey P. Spike - 2017 - Journal of Law, Medicine and Ethics 45 (1):95-105.
    Informed consent is the single most important concept for understanding decision-making capacity. There is a steady pull in the clinical world to transform capacity into a technical concept that can be tested objectively, usually by calling for a psychiatric consult. This is a classic example of medicalization. In this article I argue that is a mistake, not just unnecessary but wrong, and explain how to normalize capacity assessment.Returning the locus of capacity assessment to the attending, the primary care doctor, and (...)
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  2.  26
    Do Clinical Ethics Consultants Have a Fiduciary Responsibility to the Patient?Jeffrey P. Spike - 2012 - American Journal of Bioethics 12 (8):13 - 15.
    The American Journal of Bioethics, Volume 12, Issue 8, Page 13-15, August 2012.
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  3.  18
    Quality Assessment of the Ethics Consultation Service at the Organizational Level: Accrediting Ethics Consultation Services.Kenneth A. Berkowitz, Aviva L. Katz, Kathleen E. Powderly & Jeffrey P. Spike - 2016 - American Journal of Bioethics 16 (3):42-44.
  4.  18
    The Birth of Clinical Ethics Consultation as a Profession.Jeffrey P. Spike - 2014 - American Journal of Bioethics 14 (1):20-22.
    The year 2013 may someday be seen as the year a new profession was born. Clinical ethics consultation has been practiced in different ways for roughly 30 years, originally initiated by a group of h...
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  5.  30
    When Ethics Consultation and Courts Collide: A Case of Compelled Treatment of a Mature Minor.Jeffrey P. Spike - 2011 - Narrative Inquiry in Bioethics 1 (2):123-131.
    A fourteen year old is diagnosed with aplastic anemia. The teen and his parents are Jehovah’s Witnesses. An ethics consult is called on the day of admission by an ethically sophisticated social worker and attending. The patient and his parents see this diagnosis as “a test of their faith.” The ethical analysis focuses on the mature minor doctrine, i.e. whether the teen has the capacity to make this decision. The hospital chooses to take the case to court, with a result (...)
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  6.  17
    Obesity, Pressure Ulcers, and Family Enablers.Jeffrey P. Spike - 2018 - American Journal of Bioethics 18 (7):81-82.
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  7.  14
    What “the Straw Man” Teaches Us, Or, Finding Wisdom Between the Horns of a False Dilemma About Ethics Consultation Methodology.Jeffrey P. Spike - 2015 - American Journal of Bioethics 15 (1):48-49.
  8.  11
    Baby Steps Toward the Professionalization and Accreditation of Ethics Consultation Services.Jeffrey P. Spike - 2016 - American Journal of Bioethics 16 (3):52-54.
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  9.  20
    Training in Clinical Ethics Consultation: The Washington Hospital Center Course.Jeffrey P. Spike - 2012 - Journal of Clinical Ethics 23 (2):147-151.
    How can one be trained to enter the evolving field of clinical ethics consultation? The classroom is not the proper place to teach clinical ethics consultation; it is best done in a clinical setting. The author maps the elements that might be included in an apprenticeship, and sets out propositions for debate regarding the training needed for clinical ethics consultants and directors of clinical ethics consultation services.
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  10.  16
    Who's guarding the henhouse? Ramifications of the fox study.Jeffrey P. Spike - 2007 - American Journal of Bioethics 7 (2):48 – 50.
  11.  41
    The philosophy of George Engel and the philosophy of medicine.Jeffrey P. Spike - 2007 - Philosophy, Psychiatry, and Psychology 14 (4):pp. 315-319.
    In lieu of an abstract, here is a brief excerpt of the content:The Philosophy of George Engel and the Philosophy of MedicineJeffrey P. Spike (bio)KeywordsGeorge Engel, psychosocial medicine, medical education, medical humanities, interviewing skills, philosophy of medicine, scientific methodDoctor Brad Lewis has encouraged us to consider George Engel’s philosophy with his excellent essay on Engel and Pragmatism. As a philosopher teaching full time in a medical school, it is refreshing to have an opportunity to analyze the work of two physicians (...)
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  12.  25
    Pregnancy, Brain Death, and Posthumous Motherhood: A Provisional Policy Proposal.Jeffrey P. Spike - 2014 - American Journal of Bioethics 14 (8):48-50.
    Fifteen years ago I was the ethicist involved in a case of a 20-year-old woman who had a stroke, and who was discovered in the emergency room to be 16 weeks pregnant on the same day she was declare...
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  13.  21
    Care versus Treatment at the End of Life for Profoundly Disabled Persons.Jeffrey P. Spike - 2012 - Journal of Clinical Ethics 23 (1):79-83.
    Individuals who are profoundly mentally handicapped do not have the capacity to make their own decisions and also do not have a past record of decisions, from when they had capacity, to guide us in making decisions for them. They represent a difficult group, ethically, for surrogate decision making. Here I propose some guidelines, distinguishing between these patients and patients in a persistent vegetative state (PVS). As the life span of patients becomes shorter, or their level of consciousness becomes permanently (...)
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  14.  4
    A Model Ethics Board for Innovative Practice and Centers of Excellence.Kenneth Moise & Jeffrey P. Spike - 2019 - American Journal of Bioethics 19 (10):W5-W8.
    Volume 19, Issue 10, October 2019, Page W5-W8.
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  15. A Casebook in Interprofessional Ethics: A Succinct Introduction to Ethics for the Health Professions.Jeffrey P. Spike - 2016 - Cham: Imprint: Springer. Edited by Rebecca Lunstroth.
    The first ethics casebook that integrates clinical ethics (medical, nursing, and dental) and research ethics with public health and informatics. The book opens with five chapters on ethics, the development of interprofessional ethics, and brief instructional materials for students on how to analyze ethical cases and for teachers on how to teach ethics. In today's rapidly evolving healthcare system, the cases in this book are far more realistic than previous efforts that isolate the decision-making process by professions as if each (...)
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  16.  1
    Anesthesiological Ethics: Can Informed Consent Be Implied?Jeffrey P. Spike - 2012 - Journal of Clinical Ethics 23 (1):68-70.
    Surgical ethics is a well-recognized field in clinical ethics, distinct from medical ethics. It includes at least a dozen important issues common to surgery that do not exist in internal medicine simply because of the differences in their practices. But until now there has been a tendency to include ethical issues of anesthesiology as a part of surgical ethics. This may mask the importance of ethical issues in anesthesiology, and even help perpetuate an unfortunate view that surgeons are “captain of (...)
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  17.  22
    Comfort Care Request for Preterm Infant.Jeffrey P. Spike & Anita J. Tarzian - 2017 - American Journal of Bioethics 17 (1):82-83.
  18.  23
    Clinical Ethics: Case Reports, Consults, and Commentaries.Jeffrey P. Spike - 2014 - American Journal of Bioethics 14 (1):36-37.
  19.  12
    Clinical Ethics: Case Reports, Consultations, Commentaries.Jeffrey P. Spike - 2015 - American Journal of Bioethics 15 (1):62-62.
  20.  6
    Clinical Ethics: Case Reports, Consults, and Commentaries.Jeffrey P. Spike - 2014 - American Journal of Bioethics 14 (7):44-45.
    This is the second issue of Clinical Ethics cases. Every six months we plan to present two cases, each with a few commentaries by ethical, clinical, and legal experts who include ethics consultatio...
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  21.  21
    Getting to “Yes” When the Patient Says “No”.Jeffrey P. Spike - 2015 - American Journal of Bioethics 15 (1):66-67.
    On the face of it, this is a very simple case. But in fact it has at least two different dilemmas that make it exceedingly difficult. For that reason, I find it almost a paradigm for clinical ethic...
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  22.  2
    Have Clinical Ethicists Been Complicit With the Marginalization of Abortion and What Can We Do to Improve Patient’s Rights?Jeffrey P. Spike - 2022 - American Journal of Bioethics 22 (8):54-56.
    Many ethics faculty in medical schools do not include abortion in their required curriculum. On the face of it, this is a singular failure since abortion is certainly an important ethical issue. Th...
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  23.  13
    Hysterectomy to Treat Pain in a Teen With Severe Physical and Intellectual Disabilities: Responding to a Mother's Request.Jeffrey P. Spike - 2018 - American Journal of Bioethics 18 (1):65-66.
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  24.  7
    Memory Identity and Capacity.Jeffrey P. Spike - 2007 - Journal of Clinical Ethics 18 (3):252-255.
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  25.  10
    Quality of Life and Elective C-Sections: Defining Limits to Maternal and Family Interests.Jeffrey P. Spike - 2012 - Journal of Clinical Ethics 23 (3):252-255.
    The author analyzes the lessons for ethics consultants presented by McCrary and colleagues in their case, “Elective Delivery Before 39 Weeks’ Gestation: Reconciling Maternal, Fetal, and Family Interests in Challenging Circumstances.” Clinical ethics cases that involve different specialists representing the best interests of different parties in a case, such as this case involving neonatologists and perinatologists, are complex and time-consuming. The author concludes that ethics must insure the interests of the fetus and future person are not subsumed to the interests (...)
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  26.  17
    Residency education in clinical ethics and professionalism: Not just what, but when, where, and how ought residents be taught?Jeffrey P. Spike - 2006 - American Journal of Bioethics 6 (4):23 – 25.
  27.  30
    The Distinction Between Completing a Suicide and Assisting One: Why Treating a Suicide Attempt Does Not Require Closing the “Window of Opportunity”.Jeffrey P. Spike - 2013 - American Journal of Bioethics 13 (3):26 - 27.
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  28.  3
    The Differing Role of Narrative Unity in the Concepts of Capacity Versus Competence.Jeffrey P. Spike - 2020 - American Journal of Bioethics Neuroscience 11 (1):20-23.
    The author of “How Bioethics and Case Law Diverge in Assessments of Mental Capacity: An Argument for a Narrative Coherence Standard” (2020) arrives at a reasonable conclusion; however, it is far le...
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  29.  26
    The Ethics of Treatment for Hypoplastic Left Heart Syndrome.Jeffrey P. Spike - 2017 - American Journal of Bioethics 17 (7):65-66.
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  30.  22
    Preemptive C-Section Refusal Based on Religious Beliefs.Anita J. Tarzian & Jeffrey P. Spike - 2017 - American Journal of Bioethics 17 (1):92-93.
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  31.  21
    The Role of Patient Comfort and “Comfort Measures Only” in Organ Donation after Cardiac Death (DCD) After a Stroke.Marc Tunzi & Jeffrey P. Spike - 2014 - American Journal of Bioethics 14 (1):39-41.
    This case is in some ways unique, and in other ways very typical of ethics consults. No matter how many consults one has been involved with, new cases always pose new questions. This case is unique...
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  32.  90
    Resolving the vexing question of credentialing: Finding the aristotelian mean. [REVIEW]Jeffrey P. Spike - 2009 - HEC Forum 21 (3):263-273.
    Resolving the Vexing Question of Credentialing: Finding the Aristotelian Mean Content Type Journal Article Pages 263-273 DOI 10.1007/s10730-009-9100-2 Authors Jeffrey P. Spike, University of Texas Health Science Center at Houston Center for Health, Humanities, and the Human Spirit, Director of the Campus Wide Ethics Program 6431 Fannin, JJL 400 Houston Texas 77030 USA Journal HEC Forum Online ISSN 1572-8498 Print ISSN 0956-2737 Journal Volume Volume 21 Journal Issue Volume 21, Number 3.
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