جستجوی مقالات مرتبط با کلیدواژه « مشاوره اخلاقی » در نشریات گروه « پزشکی »

We can study medical ethics based on three main subjects of ethics in education, ethics in research and clinical ethics at the beginning, during and at the end of life, and after death. Medical Ethics deals with all aspects of medical sciences, however, in contrast with the medical ethics in previous centuries which were exclusively concerned with the physician-patient relationship, since 1970s with the rapidly developing biomedical technology, there appeared new challenges in medical practice that are the subjects of medical ethics today. As a main sub discipline of medical ethics, clinical ethics deals with the ethical rules of the physician-patient relationship and the new problems such as clinical trials, genetics, organ transplantation, euthanasia, physical examination, fair allocation of scarce health resources, expensive surgeries, medically-assisted fertilizations and access of the patient to the necessary information regarding the diagnosis and treatment. In this article, the author tries to study parameters of clinical ethics, the development of clinical ethics, strategic planning for teaching clinical ethics, care- based ethics and the role of ethical counseling in health care system as the main subjects in medical ethics.

Clinical medicine is along with more ethical challenges or conflicts. Despite availability medical ethics consultations 95% of physicians are challenged with ethical conflict. The majority of physicians not only, no experience of a hospital ethics committee (H.E.C) and have not tendency the utilization of ethics consultation, lack of criteria for the determine the best individual for this action and uncertainty clinicians to their qualification. The purpose of this article, reviews core principle relevant to the practice of clinical medical ethic and describes models for conducting hospital based ethics consultations and the contribution of bioethics committees to high quality practice patient care in ICU. Family problems can cause lack of effective communication with the physicians in ICU. One of the attempts medical ethics committees, help resolving ethical conflicts in ICU. Improved communication can reduce conflict and increase patient and family and team care satisfaction. Suggestion for improved communication between patient and family and members of team care and resolution of conflict are seven step-approach include of prepare for the discussion, establish what the patient and family knows, determine how information is to be handled, deliver the information, respond to emotions, establish goals for care and treatment priorities, establish a plan care. Barriers the utilization of ethics consultations are lack of autonomy for the patient and team care. due to, duty of ethics consultations should develop open dialogue between physician and patient until deliver correct information to patient and misunderstand prevented. One of the benefits model ethics consultations is satisfaction in resolving ethical conflicts that as opposed, authoritarian model, individual thoughtful and medical decision-making not imposed. Hospital ethics committees possess with specific skills can resolve conflicts and cause improve clinical outcomes and increase patient satisfaction.