PubMed Health⌕ Search

Biomedical subjects

S Wear

Publications and source records attributed to S Wear.

11 recordsLinked to original sources
PubMed2000

The commercialization of human body parts: a reappraisal from a Protestant perspective.

The idea of a market in human organs has traditionally met with widespread and emphatic rejection from both secular and religious fronts alike. However, as numerous human beings continue to suffer an uncertain fate on transplant waiting lists, voices are beginning to emerge that are willing at least to explore the option of human organ sales. Anyone who argues for such a option must contend, however, with what seem to be largely emotional rejections of the idea. Often it seems that rebuffs offered on a secular ground are rooted in nothing more than vague discomforts. We suspect that these discomforts are often based in religious sentiments that have wound their way into the fabric of secular America. Therefore, in order to contribute further to those voices heard in favor of human organ sales, it is worthwhile to show that from a religious perspective, it is just as possible to affirm the appropriateness of human organ sales as it is from a secular basis. Since Protestantism has historically had a powerful influence in American society it is a proper starting point for such an investigation.

Altruism↗
PubMed1999

Enhancing clinician provision of informed consent and counseling: some pedagogical strategies.

Although long touted as an ethical and legal requirement, some clinicians still seem to offer less than fully adequate informed consent processes; similarly the counseling of patients and families, particularly about post-intervention scenarios, is often perfunctory at best. Keyed to a narrative of a patient's experience with surgery for a deviated septum, this article reflects on why such less than adequate clinician behaviors tend to occur and what might be done about them. Certain legal misconceptions about informed consent are highlighted in this reflection, as well as why certain clinicians seem to take such a narrow view of their responsibilities to patients. Further reference in this regard is also made to a recently constructed module on informed consent for medical residents. In it, though legal requirements for informed consent are reviewed, the basic perspective taken regards informed consent as a clinical intervention that pursues certain basic goods and values, only one of which lies in determining when legal closure for such processes has occurred.

Counseling↗
PubMed1995

A desperate solution: individual autonomy and the double-blind controlled experiment.

The randomization ingredient in double-blind controlled experiments may be objectionable to patients who, in their desperation, come to such trials seeking a last chance of cure. Minogue et al., who view such a situation as inherently exploitive and undermining of patient autonomy, propose that such "desperate volunteers" instead be enrolled in the active arm, while other patients, less desperate and more committed to medical progress, continue to be randomized. Their view is critiqued as destructive of medical progress, inappropriate in its lack of clinical response to such patients, and fatally flawed by unrealistic notions of autonomy and voluntariness.

Control Groups↗
PubMed1994

Toleration of moral diversity and the conscientious refusal by physicians to withdraw life-sustaining treatment.

The removal of life-sustaining treatment often brings physicians into conflict with patients. Because of their moral beliefs physicians often respond slowly to the request of patients or their families. People in bioethics have been quick to recommend that in cases of conflict the physician should simply sign off the case and "step aside". This is not easily done psychologically or morally. Such a resolution also masks a number of more subtle, quite trouble some problems that conflict with the commitment to toleration and moral diversity that it is intended to support. These conflicts are detailed and evaluated.

Attitude of Health Personnel↗
PubMed1991

The irreducibly clinical character of bioethics.

Current bioethics scholarship and pedagogy suffers from an insufficient correlation with the realities and variables of clinical medicine, particularly in its dominant paradigm of patient autonomy. Reference to various basic clinical factors will be made here toward proposing certain conceptual, tactical and pedagogical modifications to this paradigm.

Beneficence↗
PubMedDate not supplied

Anticipatory ethical decision-making. The role of the primary physician.

The complexity of today's medical environment has made decisions regarding life support more difficult. Apparently "simple" personal declarations about life and death often reveal themselves to be inadequate or inappropriate. The tertiary care setting, in which such decisions tend to be made, is the least optimal place to make them. In the ambulatory setting, the trained primary care physician has the opportunity to educate patients and to help prepare them for difficult decisions that can be made in their own best interest before, rather than in the midst of, calamatous events.

Decision Making↗