TY  - CHAP
M1  - Book, Section
TI  - Ethics and Conflicts of Interest in Anesthesia Practice
A1  - Waisel, David B.
A2  - Longnecker, David E.
A2  - Mackey, Sean C.
A2  - Newman, Mark F.
A2  - Sandberg, Warren S.
A2  - Zapol, Warren M.
PY  - 2017
T2  - Anesthesiology, 3e
AB  - KEY  POINTSTreat  patients  and  families  with  the  grace  and  consideration  you  would  want  for  your  family.Anesthesiologists  are  obligated  to  “own”  the  advancement  and  advocacy  of  all  things  anesthesiology.The  goal  of  informed  consent  is  to  meet  the  patient’s  needs  as  the  patient  defines  them.  This  may  include  providing  reassurance,  titrating  disclosure,  and  following  the  patient’s  lead  regarding  participation  in  decision-making.Competent  patients  have  a  virtually  unlimited  right  to  refuse  potentially  life-sustaining  medical  treatment.  “Potentially”  is  used  to  emphasize  the  uncertainty  that  a  treatment  will  be  life  sustaining.Patients  with  limited  decision-making  capacity  should  participate  in  decision-making  to  the  extent  their  capacity  permits.The  risk  of  liability  for  honoring  properly  documented  limitation  on  potentially  life-sustaining  medical  therapy  is  no  more  than  the  risk  of  not  honoring  it.Patients  opting  for  goal-directed  perioperative  do  not  resuscitate  (DNR)  orders  usually  choose  to  authorize  temporary  therapeutic  interventions  to  manage  easily  reversible  events.Physician  Orders  for  Life-Sustaining  Treatment  (POLST)  are  medical  orders  valid  across  health  care  sites  that  comprehensively  document  the  patient’s  preferred  end-of-life  care.Clinicians  face  conflicts  of  interest  in  daily  practice  from  production  pressure,  interactions  with  industry,  and  safety  and  quality  care  initiatives.  Clinicians  need  to  recognize  potential  conflicts,  characterize  the  potential  severity  of  the  conflict,  and  determine  the  likelihood  and  resultant  harm  of  the  influence  or  the  appearance  of  influence.The  discipline  of  medical  ethics  provides  expertise  in  recognizing,  analyzing,  and  managing  ethical  dilemmas.  
SN  - 
PB  - McGraw-Hill Education
CY  - New York, NY
Y2  - 2024/04/19
UR  - accessanesthesiology.mhmedical.com/content.aspx?aid=1144111081
ER  -