National Center for Ethics in Health Care

Quick Links

Veterans Crisis Line Badge
My healthevet badge

Index of Publications Listed by Health Care Ethics Domain

The National Center for Ethics in Health Care produces a variety of material addressing different aspects of health care ethics. The material is released in the form of national policy, National Ethics Committee Reports, National Ethics Teleconferences, periodic center publications, and papers addressing specific issues such as pandemic influenza preparedness. The publications on this page are listed by health care ethics domain.

You also can search NCEHC-produced materials listed by subject or keyword.

Note: The information contained in NCEHC publications is current as of the date of publication. However, health care ethics is a dynamic field in which best practices and thinking are constantly evolving. Therefore, some information in our publications may become outdated or may be superseded. We note these instances when they occur, and we encourage users to consult additional authorities on these topics, including current VA policy and regulation.

Use the links below to find resources that explore ethical issues in the following domains:


Ethical Practices in Business and Management

Business integrity - practices that support oversight of business practices, compliance with legal and ethical standards, and promotion of business quality and integrity 

NCEHC content

Copying, Pasting, and Duplicating in the Electronic Medical Record: An Ethical Analysis (NET Summary February 2004)

The Relationship Between Ethics and Compliance and Business Integrity (NET Summary July 2001)

Legal Briefs: Integrating Documentation, Compliance, and Ethics (news@vhaethics Spring 2002)

Integrating Ethics with Compliance (Council of Ethical Organizations. Compliance Case Study Library, 1999:60-76. Oak J.)

 

Return to Top of Domain

Return to List of Health Care Ethics Domains

 

Ethical Practices in End-of-Life Care

Cardiopulmonary resuscitation (CPR)
Life-sustaining treatments
Medical futility
Hastening death
Death and postmortem issues
Other

 

Overview

NCEHC content

IntegratedEthics Online Learning Module: Ethical Practices in End-of-Life Care

Goals of Care in the ICU: Palliative Care at the End of Life (IN fOCUS January 2005)

Weighed in the Balance: Ethical Decisions at the End of Life ( news@vhaethics Spring 2001)

Non-VA content

End of Life Issues (University of Washington School of Medicine)

 

Return to Top of Domain

Return to List of Health Care Ethics Domains 

 

Cardiopulmonary resuscitation (CPR) - withholding/stopping resuscitation in the event of cardiopulmonary arrest, including DNAR orders

NCEHC content

May Do-Not-Resuscitate (DNR) Orders Be Suspended for Surgery? (Ethics Rx January 2005)

Clarification of VA Do Not Resuscitate (DNR) Policy—Orders Written by Residents (Ethics Rx May 2003)

Do Not Resuscitate Policy Revision: Controversial Topics (NET Summary March 2002)

Policy Perspectives: Should Residents be Allowed to Enter DNR Orders? ( news@vhaethics Summer/Fall 2002)

Family Presence During Resuscitation (NET Summary August 2001)

Ethics Rounds: Wristbands for DNR? ( news@vhaethics Fall 2000)

DNR Orders and Medical Futility (NEC Report December 2000)

DNR Orders and the Electronic Medical Record (NET Summary December 2000)

VHA Handbook 1004.3 Do Not Resuscitate (DNR) Protocols within the Department of Veterans Affairs

Non-VA content

#023 - DNR Orders in the Hospital Setting - Part I (Fast Facts and Concepts. End of Life/Palliative Education Research Center (EPERC), Medical College of Wisconsin)

#024 - DNR Orders in the Hospital Setting - Part II (Fast Facts and Concepts. End of Life/Palliative Education Research Center (EPERC), Medical College of Wisconsin)

Do Not Resuscitate Orders (University of Washington School of Medicine)

Do Not Resuscitate Orders During Anesthesia and Urgent Procedures (University of Washington School of Medicine)

 

Return to Top of Domain

Return to List of Health Care Ethics Domains

 

Life-sustaining treatments - withholding or stopping artificially administered fluid or nutrition, mechanical ventilation, dialysis, surgery, antibiotics, etc.

NCEHC content

State-Authorized Portable Orders: Out of Hospital DNR Orders and Orders for Life-Sustaining Treatment (NET Summary July 2007)

Ethical Considerations of Cardiac Pacemakers and Implantable Defibrillators for End-of-Life Care (NET Summary April 2006)

Caring for Patients in Persistent Vegetative State (IN fOCUS March 2005)

Terminal Extubation: Ethics Perspectives (NET Summary March 2005)

Legal Briefs: Must Food and Fluids Always be Provided? ( news@vhaethics Fall 2000)

VHA Handbook 1004.04 State-Authorized Portable Orders 

VHA Handbook 1004.01 Informed Consent for Clinical Treatments & Procedures 

Non-VA content

#111 - Cardiac Pacemakers at End of Life (Fast Facts and Concepts. End of Life/Palliative Education Research Center (EPERC), Medical College of Wisconsin)

#112 - Implantable cardioverter Defibrillator (ICD) at End of Life (Fast Facts and Concepts. End of Life/Palliative Education Research Center (EPERC), Medical College of Wisconsin)

#133 - Non-Oral Hydration in Palliative Care (Fast Facts and Concepts. End of Life/Palliative Education Research Center (EPERC), Medical College of Wisconsin)

Termination of Treatment (University of Washington School of Medicine)

 

Return to Top of Domain

Return to List of Health Care Ethics Domains

 

Medical futility - a physician's judgment that a therapy will be of no benefit to a patient and that it should not be offered or should be withdrawn

NCEHC content

DNR Orders and Medical Futility (NEC Report December 2000)

Non-VA content

Futility (University of Washington School of Medicine)

 

Return to Top of Domain

Return to List of Health Care Ethics Domains

 

Hastening death - intentionally or unintentionally, e.g., questions related to euthanasia, assisted suicide, or the doctrine of double effect

Non-VA content

#008 - Morphine & Hastened Death (Fast Facts and Concepts. End of Life/Palliative Education Research Center (EPERC), Medical College of Wisconsin)

#156 - Evaluating Requests for Hastened Death (Fast Facts and Concepts. End of Life/Palliative Education Research Center (EPERC), Medical College of Wisconsin)

Euthanasia and Assisted Suicide (CMAJ Bioethics for Clinicians)

 

Return to Top of Domain

Return to List of Health Care Ethics Domains

 

Death and postmortem issues - determination of death, organ donation, autopsy, disposition of body or tissue, etc.

NCEHC content

Practicing Medical Procedures on the Newly Dead (NET Summary November 2003)

Ethical Priority of Decedent's vs. Family's Wishes in Organ Donation (NET Summary July 2002)

Privacy Requirements During the Organ Donation Process (NET Summary January 2001)

Non-VA content

#004 - Death Pronouncement (Fast Facts and Concepts. End of Life/Palliative Education Research Center (EPERC), Medical College of Wisconsin)

#079 - Discussing organ donation with families (Fast Facts and Concepts. End of Life/Palliative Education Research Center (EPERC), Medical College of Wisconsin)

#115 - Declaring Brain Death (Fast Facts and Concepts. End of Life/Palliative Education Research Center (EPERC), Medical College of Wisconsin)

Family Disagreement over Organ Donation (AMA Virtual Mentor)

Brain Death (CMAJ Bioethics for Clinicians)

 

Return to Top of Domain

Return to List of Health Care Ethics Domains

 

Other

NCEHC content

Ethics Rounds: Appropriate Palliative Care? ( news@vhaethics Spring 2001)

  • Palliative sedation

The Ethics of Palliative Sedation (NEC Report March 2006)

National Ethics Committee Report: The Ethics of Palliative Sedation as a Therapy of Last Resort (NET Summary July 2006)

Terminal Sedation: An Open Discussion (NET Summary August 2002)

Non-VA content

#106 - Controlled Sedation for Refractory Suffering - Part I (Fast Facts and Concepts. End of Life/Palliative Education Research Center (EPERC), Medical College of Wisconsin)

#152 - The Military History as a Vehicle for Exploring End of Life Care with Veterans (Fast Facts and Concepts. End of Life/Palliative Education Research Center (EPERC), Medical College of Wisconsin)

Quality End of Life Care CMAJ Bioethics for Clinicians

 

Return to Top of Domain

Return to List of Health Care Ethics Domains

 

Government Service

Government ethics rules and laws -  ethics rules, policies or standards of conduct that apply to federal government employees (e.g., bribery, nepotism, gift and travel rules)

Legal Briefs: Health Care Ethics vs. Government Ethics ( news@vhaethics Winter 2001)

 

Return to Top of Domain

Return to List of Health Care Ethics Domains

 

Ethical Practices in Research

Informed consent
Other

Informed consent - providing information to the research subject or surrogate, ensuring that the decision is voluntary, and documenting the decision

NCEHC content

Sharing Aggregate Research Results with Participants (IN fOCUS March 2009)

Best Practices: Informed Consent for Research ( news@vhaethics Winter 2002)

 

Return to Top of Domain

Return to List of Health Care Ethics Domains

 

Other

NCEHC content

  • Genetics/genomics

The Ethics of Tissue Banking for Future Genetic Research (NET Summary July 2003)

  • Quality Improvement

Recommendations for the Ethical Conduct of Quality Improvement (NEC Report May 2002)

Recommendations for the Ethical Conduct of Quality Improvement (NET Summary September 2002)

Ethics Rounds: A Case of Quality Improvement ( news@vhaethics Winter 2002)

  • Miscellaneous

Ethical Considerations in the Report of a Work Group on Post Traumatic Stress Disorder (PTSD) and Vulnerable Populations in Research (NET Summary February 2009)

Access to VA Databases for Research Purposes (NET Summary February 2001)

Legal Briefs: The HIPAA Privacy Rule and its Impact on Research ( news@vhaethics Winter 2002)

 

Return to Top of Domain

Return to List of Health Care Ethics Domains

 

Ethical Practices in Resource Allocation

Systems level (macroallocation)

Overview

IntegratedEthics Online Learning Module, Ethical Practices in Resource Allocation

Systems level (macroallocation) - how well the facility demonstrates fairness in allocating resources across programs and services

NCEHC content

Meeting the Challenge of Pandemic Influenza: Ethical Guidance for Leaders and Health Care Professionals in the Veterans Health Administration (VHA) (July 2010)

VA Fact Sheet for Health Care Staff: Meeting the Ethical Challenges of a Severe Pandemic Influenza 

Ethical Considerations for Resource Allocation in Health Care (NET Summary May 27, 2009 and June 30, 2009)

Influenza Pandemic Preparedness Planning: Ethics Concerns (NET Summary June 2006)

Staff Discussion Forum Materials: Ethical Issues in Pandemic Influenza Preparedness and Response – Material to Guide Staff Discussions 

Tough Decisions: Preparing VA for the Ethical Challenges of Pandemic Influenza  

Policy Perspectives: The Administrator's Dilemma ( news@vhaethics Fall 2003)

Foglia MB, Pearlman RA, Bottrell MM, Altemose JA, Fox E. Priority Setting and the Ethics of Resource Allocation within VA Healthcare Facilities: Results of a Survey. Organizational Ethics. 2008 Fall-Winter;4(2):83-96. (based on research conducted as part of the IESS).

Non-VA content

The Five People You Meet in a Pandemic - and What They Need from You Today (The Hastings Center)

 

Return to Top of Domain

Return to List of Health Care Ethics Domains

 

Ethical Practices in the Everyday Workplace

Respect and dignity -  e.g., employee privacy, personal safety, respect for diversity

Non-VA content

Problem Peers (AMA Virtual Mentor)

 

Return to Top of Domain

Return to List of Health Care Ethics Domains

 

Patient Privacy and Confidentiality

Privacy
Confidentiality 

 

Overview

IntegratedEthics Online Learning Module: Patient Privacy and Confidentiality

 

Privacy - protecting individuals' interests in maintaining personal space free of unwanted intrusions and in controlling data about themselves

NCEHC content

Patients' Requests to Have Their Medical Records Amended (NET Summary May 2006)

The Ethical Challenges of Coordinating Mental Health Care Between VHA and DoD (NET Summary March 2006)

Privacy, Safety and Patient Social Security Numbers: Ethics Concerns (NET Summary July 2005)

Privacy, Safety, and Social Security Numbers (IN fOCUS February 2005) (*Note: Since this IN fOCUS was published, VHA Directive 2005-029, Transfusion Verification and Identification Requirements for All Sites (July 1, 2005) has been issued. It requires that "all patients reporting for hospital admission or ambulatory procedure must be issued a patient identification wristband that contains the patient's full name, full social security number (SSN) and a bar code that displays the patient's full SSN.")

Online Patient-Clinician Messaging: Fundamentals of Ethical Practice (NEC Report July 2004)

National Ethics Committee Report, Online Patient-Clinician Messaging: Fundamentals of Ethical Practice (NET Summary September 2004)

Ethics Rounds: Wristbands for DNR? ( news@vhaethics Fall 2000)

Privacy Requirements During the Organ Donation Process (NET Summary January 2001)

 

Return to Top of Domain

Return to List of Health Care Ethics Domains

 

Confidentiality - nondisclosure of information obtained as part of professional-patient relationship

NCEHC content

The Ethical Challenges of Coordinating Mental Health Care Between VHA and DoD (NET Summary March 2006)

Shared Medical Appointments: Ethical Concerns (NET Summary October 2005)

The Ethical Duty to Protect Third Parties from Dangerous Patients (NET Summary April 2005)

Disclosing Patients' Protected Health Information to Surrogates (NEC Report February 2005)

Provider Reporting of Impaired or Potentially Impaired Drivers (NET Summary February 2002)

Non-VA content

Confidentiality (University of Washington School of Medicine)

Confidentiality (CMAJ Bioethics for Clinicians)

 

Return to Top of Domain

Return to List of Health Care Ethics Domains

 

Professionalism in Patient Care

Conflicts of interest
Truth telling
Challenging clinical relationships 
Cultural/religious sensitivity
Other

 

Overview

IntegratedEthics Online Learning Module, Professionalism in Patient Care

Non-VA content

Professionalism (University of Washington School of Medicine)

Physician-Patient Relationship (University of Washington School of Medicine)

 

Conflicts of interest - situations that may compromise the clinician's fiduciary duty to patients, including inappropriate business or personal relationships

NCEHC content

VHA Handbook 1004.07 Financial Relationships Between VHA Health Care Professionals and Industry 

VHA Handbook 1004.07: Financial Relationships Between VHA Health Care Professionals and the Pharmaceutical Industry (NET Summary November 24, 2009)

Compensation to Health Care Professionals from the Pharmaceutical Industry (NEC Report February 2006)

National Ethics Committee Report: Compensation to Health Care Professionals from the Pharmaceutical Industry (NET Summary February 2006)

Ethical Boundaries in the Patient-Clinician Relationship (NEC Report July 2003)

National Ethics Committee Report: Ethical Boundaries in the Patient Clinician Relationship (NET Summary September 2003)

Gifts to Health Care Professionals from the Pharmaceutical Industry (NEC Report October 2003)

National Ethics Committee Report: Gifts to Health Care Professionals from the Pharmaceutical Industry (NET Summary January 2004)

Ethics Rounds: Sale of House to a Patient? ( news@vhaethics Winter 2001)

 

Return to Top of Domain

Return to List of Health Care Ethics Domains

 

Truth telling - open and honest communication, including disclosing bad news, adverse events

NCEHC content

Critical Thinking About Institutional Disclosure of Adverse Events to Patients (National Call August 2012)

Clinical and Institutional Disclosure of Adverse Events to Patients (National Call May 2012)

Disclosure of Adverse Events to Patients: Ethical and Policy Requirements (NET Summary February 2008)

Clinical Use of Placebo: An Ethics Analysis (NET Summary July 2004)

Disclosing Adverse Events to Patients (NEC Report March 2003)

National Ethics Committee Report: Disclosing Adverse Events to Patients (NET Summary April 2003)

Notification of Patients Potentially Exposed to Mad Cow Disease Through Prior Blood Transfusion: Testing the Limits of Full Disclosure (NET Summary April 2001)

VHA Handbook 1004.08 Disclosure of Adverse Events to Patients 

Non-VA content

#006 - Delivering Bad News, Part I (Fast Facts and Concepts. End of Life/Palliative Education Research Center (EPERC), Medical College of Wisconsin)

#011 - Delivering Bad News, Part II (Fast Facts and Concepts. End of Life/Palliative Education Research Center (EPERC), Medical College of Wisconsin)

#021 - Hope and Truth Telling (Fast Facts and Concepts. End of Life/Palliative Education Research Center (EPERC), Medical College of Wisconsin)

Medical Error Disclosure (AMA Virtual Mentor)
 
Breaking Bad News (University of Washington School of Medicine)

Truth Telling and Withholding Information (University of Washington School of Medicine)

Mistakes (University of Washington School of Medicine)


Return to Top of Domain

Return to List of Health Care Ethics Domains

 

Challenging clinical relationship - clinician interactions with patients who are disruptive or who do not adhere to treatment plans/health care recommendations

NCEHC content

Ethical Considerations That Arise When a Home Care Patient on Long Term Oxygen Therapy Continues to Smoke (March 2010)

Ethical Considerations in the use of Home Oxygen for Patients and/or Third Parties Who Smoke (NET Summary July 30, 2008)

Ethics and the Discharge Process: What to Consider When a Patient Prefers a Plan that the Team Believes is Unsafe (NET Summary May 28, 2008)

When Patients Refuse Treatment (IN fOCUS December 2005)

Ethical Considerations in Opioid Therapy for Chronic Pain (IN fOCUS April 2005)

Ethical Considerations in Opioid Therapy for Chronic Pain Management (NET Summary November 2005)

The Ethical Duty to Protect Third Parties from Dangerous Patients (NET Summary April 2005)

Ethics Rounds: Patient Refusal of Care by a Trainee ( news@vhaethics Summer/Fall 2002)

Home Oxygen for Patients Who Smoke: Prescription vs. Proscription (NET Summary October 2001)

Managing 'Difficult' or 'Non-Compliant' Patients: Ethical Challenges (NET Summary September 2001)

Non-VA content

Who is Being Difficult? Addressing the Determinants of Difficult Patient-Physician Relationships (AMA Virtual Mentor)

When a Nonadherent Patient Needs Your Care (AMA Virtual Mentor)

Stigmatized Patients' Right to Equal Treatment (AMA Virtual Mentor)

 

Return to Top of Domain

Return to List of Health Care Ethics Domains

 

Cultural/religious sensitivity - clinician interactions with people of different ethnicity, religion, sexual orientation, gender, age, etc.

NCEHC content

Cultures and Persons, Patients and Caregivers: Ethical Obligations and Culturally Competent Care (NET Summary August 2003)

An Ethical Analysis of Ethnic Disparities in Health Care (NEC Report August 2001)

An Ethical Analysis of Ethnic Disparities in Health Care (NET Summary December 2002)

  • Conscience

The Conscience Clause (NET Summary June 2002)

  • Duty to Treat

Influenza Pandemic Preparedness Planning: Ethics Concerns (NET Summary June 2006)

Best Practices: A Duty to Treat ( news@vhaethics Fall 2003)

Health Care Ethics Issues Raised by SARS (NET Summary June 2003)

Ethics Rounds: Taking Risks to Protect Patients ( news@vhaethics Fall 2003)

Disaster Medicine: Unique Ethical Challenges (NET Summary April 2002)

Non-VA content

Accomodating Bigotry (JAMA 2014; 311(2):139-140)

#120 - Physicians and Prayer Requests (Fast Facts and Concepts. End of Life/Palliative Education Research Center (EPERC), Medical College of Wisconsin)

Spirituality and Medicine (University of Washington School of Medicine)

Ethics and Multiculturalism (AMA Virtual Mentor)

Physician Values (AMA Virtual Mentor)

Professional Demands and Religious Observance (AMA Virtual Mentor)

 

Return to Top of Domain

Return to List of Health Care Ethics Domains

 

Other

NCEHC content

The Place of Codes of Ethics in Ethics Consultation (NET Summary May 26, 2010)

IL 10-2010-02 January 13, 2010 Intimidating and Disruptive Behaviors That Undermine a Culture of Patient Safety 

Best Practices: Teaching Ethics and Professionalism ( news@vhaethics Summer/Fall 2002)

  • Miscellaneous  

Core Competencies for Health Care Ethics Consultation (NET Summary March 24, 2010)

The Interplay Between Patient Advocacy and Health Care Ethics (NET Summary March 25, 2009)

Moral Distress: How Can Ethics Consultants Respond? (NET Summary November 25, 2008)

Patients' Requests to Have Their Medical Records Amended (NET Summary May 2006)

Online Patient-Clinician Messaging: Fundamentals of Ethical Practice (NEC Report July 2004)

National Ethics Committee Report, Online Patient-Clinician Messaging: Fundamentals of Ethical Practice (NET Summary September 2004)

  • Pain/suffering  

Non-VA content

Self-Regulation (AMA Virtual Mentor)

Impaired Physicians (AMA Virtual Mentor)

Peer Reporting (AMA Virtual Mentor)

"Competent and Irrascible" (AMA Virtual Mentor)

Protection for Conscientious Objection (AMA Virtual Mentor)

Obligation to Provide Services (AMA Virtual Mentor)

Student Issues (University of Washington School of Medicine)

Interdisciplinary Team Issues (University of Washington School of Medicine)

 

Return to Top of Domain

Return to List of Health Care Ethics Domains

 

Shared Decision Making with Patients

Decision-making capacity
Informed consent process
Surrogate decision making
Advance care planning
Limits to patient choice
Other

Overview

IntegratedEthics Online Learning Module: Shared Decision Making with Patients 

Goals of Care in the ICU: Palliative Care at the End of Life (IN fOCUS January 2005)


Decision-making capacity - ability of the patient to make his/her own health care decisions

NCEHC content

When Patients Refuse Treatment (IN fOCUS December 2005)

Ten Myths about Decision-Making Capacity (NEC Report September 2002)

Ten Myths About Decision-Making Capacity (NET Summary November 2002)

Common Pitfalls in Determining Decision-Making Capacity-Live from the National Ethics Committee Meeting (NET Summary March 2001)

VHA Handbook 1004.01 Informed Consent for Clinical Treatments & Procedures

Non-VA content

#055 - Decision Making Capacity (Fast Facts and Concepts. End of Life/Palliative Education Research Center (EPERC), Medical College of Wisconsin)

 

Return to Top of Domain

Return to List of Health Care Ethics Domains

 

Informed consent process - providing information to the patient/surrogate, ensuring that the decision is voluntary, documenting the decision

NCEHC content

The Basics of Informed Consent: History, Ethics and Law (NET Summary September 2010)

VHA Handbook 1004.01: Informed Consent for Clinical Treatments and Procedures (NET Summary August 2009)

Informed Consent for Methicillin-Resistant Staphylococcus Aureus (MRSA) Testing (Ethics Rx February 2009)

Informed Consent Do's and Don'ts for Best Practice (IN fOCUS August 2006)

"Teach Back": A Tool for Improving Provider-Patient Communication (IN fOCUS April 2006)

When Must Clinicians Obtain a Separate Consent for Use of Blood Products in the Post-Operative Period? (Ethics Rx August 2006)

Who May Serve as Witness for Signature Consent for Clinical Treatments and Procedures? (Ethics Rx December 2005)

Ethics Rounds: Substituted Judgment or Best Interests? ( news@vhaethics  Summer 2003)

Informed Consent Policy Revision: Medical Decision Making in Patients Without Surrogates (NET Summary January 2002)

Informed Consent for IV Contrast Administration (NET Summary January 2001)

VHA Handbook 1004.01 Informed Consent for Clinical Treatments & Procedures  

VHA Handbook 1004.05 iMedConsent 

Non-VA content

#056 - What to do when a patient refuses treatment (Fast Facts and Concepts. End of Life/Palliative Education Research Center (EPERC), Medical College of Wisconsin)

Informed Consent (University of Washington School of Medicine)

Informed Consent in the Operating Room (University of Washington School of Medicine)

 

Return to Top of Domain

Return to List of Health Care Ethics Domains

 

Surrogate decision making - selection, role, and responsibilities of the person authorized to make health care decisions for the patient

NCEHC content

Ethical Aspects of the Relationship Between Clinicians & Surrogate Decision Makers (NEC Report April 2007)

National Ethics Committee Report: Ethical Aspects of the Relationship between Clinicians & Surrogate Decision Makers (NET Summary April 2007)

Choosing Among Surrogates of the Same Priority (Ethics Rx April 2005)

Disclosing Patients' Protected Health Information to Surrogates (NEC Report February 2005)

Non-VA content

E-8.081 - Surrogate Decision Making (AMA Code)

 

Return to Top of Domain

Return to List of Health Care Ethics Domains

 

Advance care planning - statements made by a patient with decision-making capacity regarding future health care decisions

NCEHC content

Documenting Veterans' Mental Health Treatment Preferences in Advance Directives (Ethics Rx June 2009)

Advance Directives for Mental Health: An Ethical Analysis of State Laws & Implications for VHA Policy (NEC Report February 2008)

How Can Patients Communicate Their Wishes About Life-Sustaining Treatment? (Ethics Rx March 2005)

Must All Patients Be Asked About Mental Health Advance Directives? (Ethics Rx February 2005)

Best Practices: Advance Care Planning ( news@vhaethics Spring 2001)
 

VHA Handbook 1004.02 Advance Care Planning and Management of Advance Directives 

VA Form 10-0137 VA Advance Directive - Durable Power of Attorney for Health Care and Living Will 

VA 10-0137A Your Rights Regarding Advance Directives 

VA 10-0137B What You Should Know About Advance Directives

Advance care planning worksheets updated August 2011: Mental Health Treatment Preferences  and Who to Contact   

Non-VA content

#012 - Myths about Advance Directives (Fast Facts and Concepts. End of Life/Palliative Education Research Center (EPERC), Medical College of Wisconsin)

Advance Care Planning (University of Washington School of Medicine)

 

Return to Top of Domain

Return to List of Health Care Ethics Domains

 

Limits to patient choice - e.g., choice of care setting, choice of provider, a demand for unconventional treatment

NCEHC content

Ethical Considerations When Treating Erectile Dysfunction in Patients with Sexually Transmissible Diseases (NET Summary May 2004)

Should Patients be Able to Refuse Care by House Officers or Trainees? (NET Summary March 2004)

Ethics Rounds: Patient Refusal of Care by a Trainee ( news@vhaethics Summer/Fall 2002)

Non-VA content

Dealing with Demands for Inappropriate Treatment (CMAJ Bioethics for Clinicians)

 

Return to Top of Domain

Return to List of Health Care Ethics Domains

 

Other

NCEHC content

Ethics and the Discharge Process: What to Consider When a Patient Prefers a Plan that the Team Believes is Unsafe (NET Summary May 28, 2008)

Strategies for Increasing Influenza Vaccination Rates in Health Care Workers: Ethical Considerations (NET Summary January 30, 2008)

National MRSA (Methicillin-Resistant Staphylococcus Aureus) Initiative: Ethical Considerations in Implementation (NET Summary October 2007)

Impaired Driving in Older Adults: Ethical Challenges for Health Care Professionals (NEC Report September 2007)

National Ethics Committee Report - Impaired Driving in Older Adults: Ethical Challenges for Health Care Professionals (NET Summary September 2007)

Informed Consent Practices: Lessons Learned from Implementing iMedConsent (NET Summary November 2006)

Non-VA content

#052 - Quality of Life (Fast Facts and Concepts. End of Life/Palliative Education Research Center (EPERC), Medical College of Wisconsin)

 

Return to Top of Domain

Return to List of Health Care Ethics Domains