Abstract
The emergence of the ethics consultation as a means to resolve moral crises in clinical medicine has revealed the need for a worksheet that would facilitate intake and analysis. The author developed the “Bioethics Consultation Form” as an attempt to remedy this need. The form is arranged in an outline format and is a useful asset to ethics committee discussions and record keeping. The first section covers basic intake data concerning the patient's medical and personal information, advance directives, and values, as well as the values of the physician and family. After the intake section is completed with the above data, the ethics consultant then turns to the analysis section. This second section allows for (1) the discussion of conflicting values, (2) the identification of priorities, and (3) the elucidation of ethical norms relevant to the case.
The Bioethics Consultation Form was adopted by the Patient Care Advisory committee of the Franklin Square Hospital Center in Baltimore, Maryland in 1986. The methodology in the use of the form will be discussed. Further, the potential spectrum of consultative cases that can be analyzed using the form will be highlighted.
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References
Thomasma DC. Training in medical ethics: an ethical workup. Forum on Medicine 1978; 1(9):30–3.
Doukas D, McCullough L. Truthtelling and confidentiality and the elderly patient. In: Reichel W, ed. Clinical Aspects of Aging. 3rd ed. Baltimore: Williams and Wilkins, 1988:608–15.
Doukas D, McCullough L. Assessing the values history of the aged patient regarding critical and chronic care. In: Gallo J, Reichel W, eds. The Handbook of Geriatric Assessment. Rockville, MD: Aspen Press, 1988:111–24.
Doukas D, McCullough L. The values history: the evaluation of the patient's values and advance directives. J Fam Pract 1991; 32:145–53.
LaPuma J. Consultation in clinical cases — issues and questions in 27 cases. West J Med 1987; 146:633–7.
Perkins HS, Saathoff BS. Impact of medical ethics consultation on physicians: an exploratory study. Am J Med 1988; 85:761–5.
Skeel JD, Self DJ. An analysis of ethics consultation in the clinical setting. Theor Med 1989; 10:289–99.
LaPuma J, Schiedermayer DL. Ethics consultation: skills, roles, and training. Ann Intern Med 1991; 114:155–9.
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Doukas, D.J. The design and use of the Bioethics Consultation Form. Theor Med Bioeth 13, 5–14 (1992). https://doi.org/10.1007/BF00489215
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DOI: https://doi.org/10.1007/BF00489215