Dignitarian medical ethics

2017 ◽  
Vol 44 (1) ◽  
pp. 62-67 ◽  
Author(s):  
Linda Barclay
Keyword(s):  
Political Philosophy ◽  
Palliative Care ◽  
Medical Ethics ◽  
Patient Experience ◽  
Patient Experiences ◽  
The Other ◽  
Philosophical Discussion ◽  
Good Argument ◽  
Equal Status ◽  
Healthcare Settings

Philosophers and bioethicists are typically sceptical about invocations of dignity in ethical debates. Many believe that dignity is essentially devoid of meaning: either a mere rhetorical gesture used in the absence of good argument or a faddish term for existing values like autonomy and respect. On the other hand, the patient experience of dignity is a substantial area of research in healthcare fields like nursing and palliative care. In this paper, it is argued that philosophers have much to learn from the concrete patient experiences described in healthcare literature. Dignity is conferred on people when they are treated as having equal status, something the sick and frail are often denied in healthcare settings. The importance of equal status as a unique value has been forcefully argued and widely recognised in political philosophy in the last 15 years. This paper brings medical ethics up to date with philosophical discussion about the value of equal status by developing an equal status conception of dignity.

scholarly journals Thom Brooks and the ‘Systematic’ Reading of Hegel

2012 ◽  
Vol 33 (02) ◽  
pp. 16-22 ◽  
Author(s):  
Allen Wood
Keyword(s):  
Political Philosophy ◽  
Philosophy Of History ◽  
The Other ◽  
Logical System ◽  
Philosophical Discussion ◽  
Human Culture ◽  
Philosophical System ◽  
True Structure

Hegel was a systematic philosopher, who grounded his system on a speculative logic. But his greatest philosophical contributions lie in his reflections on human culture: ethics, social and political philosophy, aesthetics, religion and the philosophy of history. This fact poses a problem for anyone who accepts it and then attempts to provide a philosophical discussion of Hegel's thought with the aim of making it available to a later age.There can be no doubt that any authentic treatment of Hegel's social and political philosophy must take account of Hegel's explicit intention to ground it in his logical system of thought-determinations. But if we simply take that intention at face value, we make our appropriation of Hegel hostage to his philosophical system and speculative logic, which now are at best outdated and, though they may themselves contain some insights of lasting philosophical value, are not of nearly as much philosophical interest as Hegel's thoughts about human culture, society and history. A Hegel whose ethical, social, historical and cultural insights could be appropriated only by those who accept his speculative logical system would be a Hegel few would ever read or learn from.The other horn of the same dilemma is that those interpreters who are honest enough that they don't accept uncritically Hegel's own account of the structure of his philosophical accomplishments will inevitably be charged with doing violence to Hegel's thought, ignoring its true structure and unity. To quote a passage from Fred Beiser, which Thom Brooks uses to pillory all such Hegel scholarship: ‘We make Hegel alive and relevant, a useful contributor to our concerns; but that is only because we put our own views into his mouth.

scholarly journals Categorizing and Rating Patient Complaints: An Innovative Approach to Improve Patient Experience

2021 ◽  
Vol 8 ◽  
pp. 237437352199862
Author(s):  
Stephanie Bayer ◽  
Paul Kuzmickas ◽  
Adrienne Boissy ◽  
Susannah L. Rose ◽  
Mary Beth Mercer
Keyword(s):  
Patient Experience ◽  
Medical Center ◽  
Academic Medical Center ◽  
Patient Experiences ◽  
Innovative Approach ◽  
Satisfaction Survey ◽  
Patient Complaints ◽  
Academic Medical ◽  
Survey Results ◽  
Improve Patient

The Ombudsman Office at a large academic medical center created a standardized approach to manage and measure unsolicited patient complaints, including methods to identify longitudinal improvements, accounting for volume variances, as well as incident severity to prioritize response needs. Data on patient complaints and grievances are collected and categorized by type of issue, unit location, severity, and individual employee involved. In addition to granular data, results are collated into meaningful monthly leadership reports to identify opportunities for improvement. An overall benchmark for improvement is also applied based on the number of complaints and grievances received for every 1000 patient encounters. Results are utilized in conjunction with satisfaction survey results to drive patient experience strategies. By applying benchmarks to patient grievances, targets can be created based on historical performance. The utilization of grievance and complaint benchmarking helps prioritize resources to improve patient experiences.

Acute Medicine Trainee Update

2011 ◽  
Vol 10 (3) ◽  
pp. 149-149
Author(s):  
Amy Daniel ◽  
◽  
Alice Miller ◽  
Keyword(s):  
Palliative Care ◽  
Medical Ethics ◽  
Advisory Committee ◽  
Skill Training ◽  
Skills Training ◽  
Training Programme ◽  
Acute Medicine ◽  
The Past ◽  
Training Programme Director ◽  
The Cost

We have been aware for a while that there are disparities in specialist skill provision both between and within deaneries – and the SAC is working hard to identify problems in this area. More recently, the issue of funding for specialist skills has been raised. It seems that some deaneries are happy and able to contribute towards the cost of training in a particular skill, while others are not; in at least one deanery, part-funding has now been withdrawn, leaving trainees to cover the entire cost of their chosen skills training. As specialist skill training is now a mandatory part of the Acute Medicine curriculum, we need to find a way to eliminate disparity both between different deaneries and between different skills. However, there is no easy solution, and for the time being, trainees will have to factor in the potential financial implications of a particular skill when they are considering their options. On a brighter note, the list of recognised specialist skills has increased over the past year. Palliative Care has been authorised as a suitable skill, and Medical Ethics and Law will soon also be added to the list. If you would like to propose a skill that is not currently listed in the Acute Medicine curriculum, you should discuss it with your training programme director, who can bring the proposal to the Acute Medicine Specialty Advisory Committee (SAC).

scholarly journals Recent advances in non-surgical management of cancer in the elderly

F1000Research ◽  
2018 ◽  
Vol 7 ◽  
pp. 1793
Author(s):  
Emily J. Guerard ◽  
Gil E. Harmon ◽  
Kieran D. Sahasrabudhe ◽  
Noelle K. LoConte
Keyword(s):  
Older Adults ◽  
Palliative Care ◽  
Supportive Care ◽  
Medical Care ◽  
Surgical Management ◽  
The Elderly ◽  
The Body ◽  
The Other ◽  
Patients With Cancer ◽  
Chemotherapy Agents

This article summarizes the seminal publications from mid-2016 through 2017 in the area of medical care for older adults with cancer. Areas addressed include chemotherapy tolerance and efficacy in the aged, geriatric fitness assessments, and advancements in palliative and supportive care. The practice-changing finding from this past year’s publications is that antipsychotics should not be used in the management of terminal delirium in older adults receiving palliative care. The other trials demonstrated an improved understanding of the utility of geriatric assessments in patients with cancer, developed the body of information about which chemotherapy agents are safe and effective in older adults (and which are not), and expanded our understanding of good palliative and supportive care.

scholarly journals Jak możliwa (do pomyślenia) jest dobrowolna niewola? O nowożytnych formach rządzenia, ideologii i spektaklu władzy

2020 ◽  
Vol 26 ◽  
pp. 101-110
Author(s):  
Mateusz Falkowski
Keyword(s):  
Political Philosophy ◽  
Early Modern ◽  
The Other ◽  
The Political ◽  
Historical Evolution ◽  
Other Hand ◽  
Starting Point ◽  
Etienne De La Boetie ◽  
The One ◽  
Voluntary Servitude

The article is devoted to the famous The Discourse of Voluntary Servitude by Étienne de La Boétie. The author considers the theoretical premises underlying the concept of “voluntary servitude”, juxtaposing them with two modern concepts of will developed by Descartes and Pascal. An important feature of La Boétie’s project is the political and therefore intersubjective – as opposed to the individualistic perspective of Descartes and Pascal – starting point. It is therefore situated against the background of, on the one hand, the historical evolution of early modern states (from feudal monarchies, through so-called Renaissance monarchies up to European absolutisms) and, on the other hand – of the political philosophy of Machiavelli and Hobbes.

scholarly journals An Analytic Theologian Stance on the Existence of God

2013 ◽  
Vol 5 (2) ◽  
pp. 129-146 ◽  
Author(s):  
Benedikt Paul Göcke
Keyword(s):  
Point Of View ◽  
The Other ◽  
Philosophical Discussion ◽  
Existence Of God ◽  
Worst Case ◽  
The One

The existence of God is once again the focus of vivid philosophical discussion. From the point of view of analytic theology, however, people often talk past each other when they debate about the putative existence or non- existence of God. In the worst case, for instance, atheists deny the existence of a God, which no theists ever claimed to exist. In order to avoid confusions like this we need to be clear about the function of the term ‘God’ in its different contexts of use. In what follows, I distinguish between the functions of ‘God’ in philosophical contexts on the one hand and in theological contexts on the other in order to provide a schema, which helps to avoid confusion in the debate on the existence or non-existence of God.

scholarly journals The Impact of a Palliative Care Consult Service on the Functions of a Medical Ethics Committee (701)

2010 ◽  
Vol 39 (2) ◽  
pp. 421-422
Author(s):  
Teresa Albanese ◽  
Jessica Moeller ◽  
Steven Radwany ◽  
Summa Health SystemAkron ◽  
Jill Bradshaw ◽  
...  
Keyword(s):  
Palliative Care ◽  
Medical Ethics ◽  
Ethics Committee ◽  
Consult Service ◽  
The Impact

Reply to Dworkin

1983 ◽  
Vol 1 (1) ◽  
pp. 41-44
Author(s):  
Jan Narveson
Keyword(s):  
The Other ◽  
Paradigm Case ◽  
Good Argument ◽  
The Public ◽  
General Thesis ◽  
Main Complaint ◽  
Constitutional Level ◽  
Egalitarian Principle ◽  
The Way

My main complaint about Dworkin's papers on equality was that he had not said much by way of arguing for it. His intriguing response to this request provides a good start, and I shall confine this brief, further comment to what he says on that basic subject. Space considerations, alas, require me to ignore the other parts of his discussion (most of them well-taken, I should say in passing).Dworkin distinguishes what he calls the “abstract egalitarian thesis” from his particular version of equalitarianism, equality of resources. His strategy is to argue, first, that the latter is the best realization or version of the former, and then to argue for the general thesis itself. In my comments, I shall reverse this order, however, for reasons that will be clear as we proceed.1. The Abstract Egalitarian ThesisDworkin states this as follows: “From the standpoint of politics, the interests of the members of the community matter, and matter equally.” (24) The statement is intended to be abstract in the sense that it would “embrace various competing conceptions of equality,” so that in principle we can divide the discussion the way Dworkin has done into the two questions, “Should we accept equality as a principle at all?” and “What is the best version of equality, at what we might call the constitutional level?” But can we really do this? I am not entirely clear that we can. In order to appreciate the difficulty here, at any rate, consider Dworkin's suggestion that ”in order to sharpen the question” – the question whether to accept equality as a principle at all, that is –“I ask you to suppose that the abstract egalitarian principle does provide a good argument for subsidized medicine…” Now, some might think that such a program is paradigm case of what ought to be rejected at the public level, and yet his reasons for such rejection might very well be based on a principle that its proponent would regard as abstractly egalitarian.

Democracy

2013 ◽  
Author(s):  
Anne Norton
Keyword(s):  
United States ◽  
Political Philosophy ◽  
John Rawls ◽  
Jacques Derrida ◽  
The United States ◽  
The Other ◽  
Left And Right ◽  
Anglo American

This chapter examines how the Muslim question is tied to the question of democracy. In his book Voyous (translated as Rogues), Jacques Derrida referred to the United States and Islam as the enemies of democracy. In particular, he called Islam “the other of democracy.” Only Islam, Derrida insisted, refuses democracy. Derrida was not the only scholar to have made that claim. His account echoes Samuel Huntington. John Rawls thought Islam so alien that he was obliged to treat it separately. There are countless scholars, left and right, Anglo-American and Continental, who have insisted that Islam is the other of democracy. The chapter suggests that political philosophy in the Muslim (but not simply Muslim) tradition offers visions of democracy, cosmopolitanism, immigration, and integration that are remarkably familiar.

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