Trinity Health
Ethics Topics  

Ethics Champions: Acute Care

Module Index

01 | 02 | 03 | 04 | 05 | 06 | 07 | 08 | 09 | 10 | 11 | 12 | 13 | 14 | 15 | 16 | 17 | 18 | 19 | 20 | 21 | 22 | 23 | 24

 + Trial Recording (6M)
Recording

Module 01

 Module 01 Bon Secour Decision Model (35K)
Keywords: Values-Based, Decision, Making, Model
 Module 01 Case of Mrs. W (24K)
Keywords: Cases
 Module 01 CHE Values-based Decision Model  (69K)
Booklet
Keywords: Values-Based, Decision, Making, Model
 Module 01 CHW Decision Model (74K)
Keywords: Values-Based, Decision, Making, Model
 Module 01 Consultation Satisfaction Form (41K)
 Module 01 Covenant Decision Model (98K)
Keywords: Values-Based, Decision, Making, Model
 Module 01 Ethical & Religious Directives
 Module 01 Ethics Committee Function and Composition
 Module 01 Ethics Committee Models
 Module 01 Ethics Committee Self-Evaluation (34K)
 Module 01 How to Perform an Ethics Consult
 Module 01 Presentation 04/0606 (1M)
Presentation for 040606
 Module 01 Providence Decision Model (34K)
Keywords: Values-Based, Decision, Making, Model
 Module 01 Trinity's Discernment Model (50K)
Keywords: Values-Based, Decision, Making, Model

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Module 02

 Module 02 Informed Consent in Surgery
 Module 02 Understainding Informed Decision Making (32K)
Keywords: Cases
 Module 02 Case of Dax Cowart
Keywords: Cases
 Module 02 Daisy's Dilemma
Keywords: Cases
 Module 02 Educational Guide - Determination of Decisional Capacity (31K)
Educational tool for ethics committee
 Module 02 Educational Guide-Informed Consent (42K)
 Module 02 Four Cases of Informed Consent (29K)
Keywords: Cases
 Module 02 Presentation (931K)
 Module 02 Seven Scenarios of Capacity (25K)
Keywords: Cases

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Module 03

 Module 03 Record of Consultation (31K)
Capacity Determination
 Module 03 91-year-old Man With Dementia (24K)
Keywords: Cases
 Module 03 Advance Directives Powerpoint Presentation 061006 (370K)
Carol Bayley's lecture notes
 Module 03 Case of Helen Wanglie
Keywords: Case
 Module 03 Case of Mrs White (24K)
Keywords: Case
 Module 03 Case of Sidney, a minor (24K)
Keywords: Cases
 Module 03 Educational Guide - Clear and Convincing Evidence  (112K)
 Module 03 Informed Consent, Parental Permission, & Assent in Pediatrics
Statement of the American Academy of Pediatrics on Assent, Parental Permission, and Consent
 Module 03 Sammy Linares
Keywords: Cases

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Module 04

 Module 04 Confidentiality: An Overview (29K)
Questions & Answers
 Module 04 Education Guide - Confidentiality  (104K)
 Module 04 Five Cases of Confidentiality (27K)
Keywords: Cases
 Module 04 PowerPoint Presentation (933K)
Keywords: Duty, to, warn, Privacy
 Module 04 Tarasoff v Regents (26K)
Keywords: Legal, Cases

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Module 05

 Module 05 Attempted Suicide & Refusing Rescue
Attempted Suicide Patient Requesting to Die and Refusing Rescue
Keywords: Case
 Module 05 Case of Martha (28K)
Keywords: Case
 Module 05 Education Guide-Withholding or Withdrawing Treatment (128K)
 Module 05 Handout - Termination  (34K)
Outline of lecture on the termination of life-sustaining treatment
 Module 05 Powerpoint Presentation on Termination of Life sustaining treatment (269K)
 Module 05 Washington v. Glucksberg
Keywords: Legal, Cases

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Module 06

 Module 06 A Case of Medical Error
Keywords: Cases
 Module 06 Buckmans Six-Step Protocol
Robert Buckman's Six-Step Protocol for Breaking Bad News
 Module 06 Four Cases (26K)
Who is Sylvia? 65 year Old Man 80 year old Asian Woman Breaking Bad News
 Module 06 Truth Telling & Withholding Information
Truthtelling and Withholding Information Two Cases
 Module 06 Truthtelling and Diagnosis (21K)
Telling theTruth in Diagnosis
 Module 06 Use of Placebo in Clincal Care
 Module 06 Web Resource "Truth Telling"
University of Washington School of Medicine

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Module 07

 Module 07 Declaration of Helsenki
 Module 07 Ethical Principles (36K)
Ethical Principles and Concerns Related to Research on Human Subjects
 Module 07 Five Case Studies  (28K)
Keywords: Cases
 Module 07 History and Paradigm Cases (42K)
Keywords: Cases
 Module 07 The Belmont Report
Seminal 1970s report of the Presidential Commission on research ethics
 Module 07 The Nuremberg Code

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Module 08

 Module 08 Case of the Ruptured Esophagus (25K)
Keywords: Case, Resource, Allocation
 Module 08 Resouce Allocation Outline (31K)
Lecture outline
Keywords: allocation, rationing, triage, priority
 Module 08 PowerPoint Presentation (233K)
Allocation of Resources

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Module 09

 Module 09 Organ Donation and Financial Incentive (47K)
 Module 09 Cases (29K)
The Gift, The Organ Swap, and The Minor
Keywords: Cases
 Module 09 Gospel of Life and Organ Donation (24K)
 Module 09 Rebuilt Hearts are Transplanted (42K)
 Module 09 Report Dead Harvested for Products
Ethical issues surrounding the use of donated human organs and tissue
 Module 09 Who Has the Legal Authority
Who has the legal authority to ask for organ donation?
 Module 09 Donation FAQ  (29K)
FAQ on Organ Donation
 Module 09 Ethical Considerations (51K)
Ethical considerations surrounding organ donation and transplantation
 Module 09 Lessons from Allocating Scare Healthcare Resources: The Case of Distributing Organs (147K)
Case identified of a 42-year old Brooklyn mother of 5 children waiting for a lung transplant. Supporting information based on the case on lessons from allocating scarce healthcare resources.
Keywords: allocation, resource, case
 Module 09 Non-Heart Beating Organ Donations (140K)
Keywords: E-Cases
 Module 09 Organ Donation and the ERDs (24K)
Directives 30 & 63-6
 Module 09 UNOS hite Papers on ethical issues in organ donation and distribution

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Module 10

 Module 10 Gilgunn v. Massachusetts
Keywords: Legal, Case
 Module 10 Time for a Formalized Policy
 Module 10 Talking about 'Futility' to Families of Dying Patients
Talking about 'Futility' to Families of Dying Patients: The Scope & Limits of Medical Judgement

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Module 11

 Module 11 DNR Orders Two Cases
Keywords: Cases

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Module 12

 Module 12 Bibliography (31K)
The ethical issues surrounding artificial hydration and nutrition - A bibliography
 Module 12 Briefing Note on the Obligation to Provide Nutrition & Hydration (356K)
 Module 12 Case of Nancy Cruzan (91K)
Paradigm 1990 case regarding removal of medically assisted nutrition & hydration
Keywords: nutrition, hydration
 Module 12 Church Teaching on the Duty to Preserve Life (54K)
CHAUSA statement on Forgoing Nutrition & Hydration and Euthanasia
 Module 12 Mrs. Vanderbilt (27K)
Keywords: Case
 Module 12 Papal Allocution, March 20 2004 (12K)
International Congress Life-Sustaining Treatments and Vegetative State Scientific Advances and Ethical Dilemmas [Text file]
 Module 12 Powerpoint Presentation on Withholding Nutrition & Hydration (194K)
Presentation
Keywords: Nutrition, Hydration
 Module 12 PVS: Questions & Answers (47K)
 Module 12 Reflections on Artificial Nutrition & Hydration (113K)
By the Canadian Catholic Bioethics Institute July 12 2004
 Module 12 Terri Schiavo (29K)
Keywords: Cases

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Module 13

 Module 13 Access to Health Care (439K)
PowerPoint presentation 04/05/06
 Module 13 Cases of Joe and Frank (24K)
Keywords: Cases
 Module 13 Ethical and Religious Directives (25K)
ERDs 1 & 3
 Module 13 Kaiser: The Cost of Not Covering the Uninsured, Project Highlights
10-page summary of the Kaiser Commission project on Medicaid and the Uninsured. PDF file. 2003. For further information, contact the system office.

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Module 14

 Module 14 Access to Critical Care (106K)
Access to critical care: Medical Rationing of a Public Right or Privilege? Module 14 Acute Care Year II
Keywords: access, critical, care
 Module 14 Afford Medical Care for Alice (79K)
Case for Module 14 Acute Care Year II Can We Afford Medical Care for Alice C
Keywords: Resource, Allocation, Rationing
 Module 14 Bed Rationing Intensive Care Unit (69K)
Bed Rationing and Allocation in the Intensive Care Unit Module 14 Acute Care Year II
Keywords: Bed, Rationing, ICU
 Module 14 Congress Implicit Healthcare Rationing (34K)
Congress implicit healthcare rationing Module 14 Acute Care Year II
Keywords: Health, Care, Rationing
 Module 14 Ethics of Rationing: The Case of the Flu Vaccine (156K)
Keywords: Cases
 Module 14 Presentation (215K)
PowerPoint Presentation for 5/03/06
 Module 14 Principles of Justice in healthcare rationing (215K)
Principles of Justice in healthcare rationing Module 14 Acute Year II
Keywords: Justice, healthcare, rationing
 Module 14 Rationing Medical Care Under Study (182K)
Rationing of Medical Care Under Study Module 14 Acute Care Year II
Keywords: Rationing, Medical, Care
 Module 14 Suing to Stay on Life Support
Article discussing English court case in which a competent patient preemptively sought a legal ruling to prevent the withdrawl of hydration.
Keywords: hydration, withdrawal, law
 Module 14 Taped Webinar Presentation Resource Allocation (1K)
National Ethics Champions 2006 Acute Care II - Resource Allocation & Futility
 Module 14 U of Toronto Report on Ethics of Flu Pandemic  (26K)
 Module 14 Warm-Hearted Care?--or Cold-Hearted Rationing?
From the professional journal Medical Economics, a 2000 article considers whether age-based rationing may be making a comeback, under the guise of managed care.
Keywords: Rationing

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Module 15

 Module 15 Case of Dax Cowart (30K)
Keywords: Cases
 Module 15 Case of Elinore (24K)
Keywords: Case
 Module 15 Case of Elizabeth Bouvia (33K)
Keywords: Case
 Module 15 Consistent Ethic of Life
Presentation by Cardinal Bernadin
 Module 15 Ethical and Religious Directives (54K)
ERDs #32-3 & 56-9
 Module 15 Powerpoint Presentation 060606 (35K)
Carol Bayley's presentation
 Module 15 Taped Webinar Presentation (1K)
National Ethics Champions 2006 Acute Care II - Withdrawal of Treatment

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Module 16

 Module 16 Case of Mr. Johnson (20K)
Keywords: Case
 Module 16 Catholic Health and Sterilization  (72K)
Catholic Health Care and Sterilization
 Module 16 Clash and Compromise
Clash and Compromise: Public Hospital Put in Catholic Hands
Keywords: Case
 Module 16 Ethical and Religious Directives (26K)
ERDs 67-72
 Module 16 Formal Material Cooperation
The Principle of Formal and Material Cooperation
 Module 16 Gospel of Life, Principle of Cooperation (25K)
The Principle of Cooperation: The Gospel of Life
 Module 16 Questions about cooperation (25K)
Handout containing questions on cooperation
 Module 16 Responsibility and Cooperation (45K)
 Module 16 Taped Webinar Presentation (1K)
National Ethics Champions 2006 Acute Care Year II - Cooperation
Keywords: Cooperation

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Module 17

 Module 17 Case of Samantha, a Young Child (20K)
The Case of Samantha, A Young Child
Keywords: Case
 Module 17 Case of Sammy Linares
Father uses gun to remove infant son from respirator.
 Module 17 Case of Sidney, a Neontate
No Liability for Providing Life-Sustaining Care
Keywords: Case
 Module 17 Consent for Emergency Services
Consent for Emergency Medical Services for Children and Adolescents. Policy Statement of the American Academy of Pediatrics
 Module 17 Informed Consent Parental Permission, & Assent in Pediatrics
Statement of the American Academy of Pediatrics, entitled: Informed Consent, Parental Permission, and Assent in Pediatric Practice
 Module 17 Life and Death Struggle Over Toddler
Can parents refuse life-saving surgery for their toddler?
Keywords: Case
 Module 17 Minors' Access to Healthcare in the US
State-by-State Chart.
 Module 17 Taped Webinar Presentation (1K)
National Ethics Champions 2006 Acute Care II - Pediatric Issues
 Module 17 Texas Court Overturns Ruling (33K)
Texas Court Overturns Ruling on Resuscitation of Premature baby
Keywords: Case
 Module 17 Three Teenagers (23K)
Keywords: Cases

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Module 18

 Module 18 Case of Angela Carter (37K)
Dying mother refuses C-Section. Washington, D.C. case
Keywords: Cases
 Module 18 Early Delivery- Anencephaly (61K)
Early Delivery of a Fetus With Anencephaly
 Module 18 Emergency Contraception and Sexual Assault (69K)
 Module 18 End of Life Clinical Ethics Module
This module provides an introduction to ethical considerations in the treatment and care of the dying patient. It is designed for use in Trinity Health and is consistent with Catholic tradition, the Ethical and Religious Directives for Catholic Health Care Services, and ethical principles.
 Module 18 Ethical and Religious Directives (27K)
ERDs 36, 43-8, 53, 70
 Module 18 Management of a Pregnancy With an Anencephalic Baby
Management of Pregnancy with an Anencephalic Baby
 Module 18 Moral Principles Concerning Infants with Anencephaly (21K)
Moral Principles Concerning Infants with Anencephaly
 Module 18 Reasonable Protocol for Emergency Contraception (29K)
A Reasonable, Realistic, and Ethical Protocol (for emergency contraception after sexual assault)
 Module 18 Taped Webinar Presentation (1K)
National Ethics Champions 2006 Acute Care II - Abortion, Induction, and Early Rape Treatment
 Module 18 Three cases (22K)
Keywords: Cases

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Module 19

 Module 19 Beginning of Life Clinical Ethics Module (Website)
Clinical Ethics Module on the Beginning of Life
 Module 19 Donum Vitae on ARTIFICIAL INSEMINATION (32K)
Donum Vitae on Artifical Insemination
 Module 19 Ethical and Religious Directives (26K)
ERDs 38-43
 Module 19 Made-to-Order Donors
Made-to-order Donors: Toeing the Ethical Line
 Module 19 Molly and Adam Nash (21K)
Keywords: Case
 Module 19 New Assault (32K)
New Assault on the Smallest Humans USCCB
 Module 19 Taped Webinar Presentation (1K)
National Ethics Champions 2006 Acute Care II - Assisted Reproduction
 Module 19 Three Cases (23K)
Keywords: Cases

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Module 20

 Module 20 Ethical and Religious Directives (25K)
 Module 20 Genetic Clairvoyance
 Module 20 Genetic Testing and Disabilities
Genetic Testing and People With Disabilities
 Module 20 Melissa and Annisa  (24K)
The Case of Melissa and Anissa Ayala
Keywords: Case
 Module 20 Prenatal Genetic Testing (38K)
 Module 20 Taped Webinar Presentation (1K)
National Ethics Champions 2006 Acute Care II - Genetic Testing

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Module 21

 Module 21 Breaking Bones to Change Your Height
Breaking Bones to Change Your Height
Keywords: Cases
 Module 21 Cases of Emma and Kirsty (20K)
Keywords: Cases
 Module 21 Cases of Lili and Jimmy (21K)
Keywords: Cases
 Module 21 Cosmetic Surgery for Children with Down Syndrome (41K)
Cosmetic Surgery for Children with Down Syndrome: The Cruelest Cut of All?
Keywords: Cases, Down, Syndrome
 Module 21 Dwarfs Divided Over Limb Lengthening
Dwarfs Divided Over Limb Lengthening Health
 Module 21 Enhahancement Presentation (157K)
 Module 21 Is It Worth the Risk (32K)
Plastic Surgery: Is it Worth the Risk?
 Module 21 Taped Webinar Presentation (24K)
National Ethics Champions 2006 Acute Care II - Genetic Enhancements

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Module 22

 Module 22 Disclosing the Truth
Disclosing the Truth About Medical Error
Keywords: Cases
 Module 22 Four Cases  (33K)
Keywords: Case
 Module 22 Patient Safety Events (14K)
Disclosure of Patient Saftey Events
 Module 22 Scope of the Problem
 Module 22 Taped Webinar Presentation (25K)
National Ethics Champions 2006 Acute Care II - Medical Error, Communication, and Disclosure
 Module 22 The Ethical Obligation to Disclose Medical Error  (146K)
Keywords: Case
 Module 22 Tip of the Iceberg
 Module 22 To Err Is Human (81K)
Executive Summary of the IOM Report on Medical Error

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Module 23

 Module 23 Barry Adams
Keywords: Case
 Module 23 Case of Conscientious Objection (24K)
Keywords: Case
 Module 23 Case of the Whistleblower (32K)
Keywords: Case
 Module 23 I See and I Am Silent
 Module 23 Staff Rights Policy (37K)
 Module 23 Taped Webinar Presentation (25K)
National Ethics Champions 2006 Acute Care II - Conscientious Objection
 Module 23 Two Cases Reporting Harms
Keywords: Case
 Module 23 When to Excuse Employees (39K)
Keywords: Case
 Module 23 Whistleblower Websites (43K)
 Module 23 Whistleblowing As Failure
Whistleblowing as a Failure of Organizational Ethics

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Module 24

 Module 24 Belief Can Compliment Medical Care
Item from Park Ridge Center Bulletin that examines the case of a woman who refuses dialysis on religious basis
 Module 24 Children and Religious Objections to Treatment
From the Parkridge Center
 Module 24 Cultural Competence in Medicine
 Module 24 Sources in Competency (32K)
Additional Sources in Cultural Competency
 Module 24 Taped Webinar Presentation (25K)
National Ethics Champions 2006 Acute Care II - Honoring Religious Diversity
 Module 24 The Right to Refuse Treatment
 Module 24 The Spirit Catches You
 Module 24 Three Case Studies
Keywords: Cases, China, Arabia

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