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Ray Moseley

Publications and source records attributed to Ray Moseley.

6 recordsLinked to original sources
PubMed2003

Advancing End-of-Life Care: lessons learned from a statewide panel.

The Florida Panel for the Study of End-of-Life Care was an innovative and effective approach to the formulation of end-of-life (EOL) policy recommendations that significantly influenced the legislative process and resulted in new EOL legislation. The lessons from this panel's experience are useful to other states considering legislative changes in their EOL policies. Key to the success of the EOL panel was its heterogeneous membership that allowed the collaboration of policy makers, clinicians, ethicists, citizens, and other stakeholders. Also, crucial to the success of the panel were the dimensions of the deliberative process embraced by the panel. This process supported an impressive level of mutual respect, trust, and openness among the panel members that, with only minor exceptions, allowed the members of the panel to rise above the parochial political battles that have often preempted serious debate on controversial EOL issues. The recommendations of the EOL panel led to new state laws on EOL care and improvements in public awareness, professional education, and clinical protocols for implementing patients' wishes. Another major but largely unforeseen consequence of the EOL panel was the development of significant new working alliances among members and organizations. These alliances led to new projects on EOL care and have significantly improved communication and working relationships between organizations and individuals committed to improving EOL care.

Florida↗
PubMed1993

Doctor to doctor:

Explore the source record for details and available documents.

Advance Directives↗
PubMedDate not supplied

The problem with advance directives: maybe it is the medium, not the message.

Some of today's most significant bioethical challenges center around decisions to initiate or withhold medical treatment for incapacitated patients. In order to ascertain what treatment the patient would have desired, physicians often rely on written advance directives and designated surrogate decision-makers. Unfortunately, both approaches suffer from numerous shortcomings that ultimately limit their usefulness. Although several strategies have been proposed to improve their value, problems nevertheless remain when relying upon written advance directives. We submit that the problem is the medium, not the message-that written advance directives and/or reliance on surrogate decision-makers are fundamentally inadequate. We hypothesize that videotaped advance directives (VADs) can better communicate the specifics, depth, strength and passion of a patient's wishes, more closely approximating the communication that occurs when a physician discusses these issues directly with a patient. VADs may thus enhance the physician's understanding of the patient's wishes. VADs may also ease family conflict and save physician's considerable time by helping family members reach a stronger consensus on the patient's wishes, and do so in a timelier manner. This article reviews the limitations of written advance directives and surrogate decision-makers and describes why VADs may be helpful in overcoming these limitations.

Advance Care Planning↗