A Clinician's Approach to Clinical Ethical Reasoning

We offer a systematic strategy that situates clinical ethical reasoning within the paradigm of clinical reasoning. The trajectory of this strategy parallels clinical reasoning: a plain statement of the initial problem, careful gathering of data, a differential diagnostic assessment, and articulation...

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Bibliographic Details
Published in:Journal of general internal medicine : JGIM 2005-03, Vol.20 (3), p.306-311
Main Authors: Kaldjian, Lauris C., Weir, Robert F., Duffy, Thomas P.
Format: Article
Language:English
Subjects:
Aged
Algorithms
Bioethics
Biological and medical sciences
clinical ethics
Decision Making
ethical analysis
ethical pluralism
Ethics
Ethics, Clinical
Family
Female
Health participants
Humans
Intubation, Gastrointestinal
Medical diagnosis
Medical ethics
Medical sciences
Original
Palliative Care
Patient Care
Physicians
professional education
Prognosis
Public health. Hygiene
Public health. Hygiene-occupational medicine
Stroke Rehabilitation
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Summary:We offer a systematic strategy that situates clinical ethical reasoning within the paradigm of clinical reasoning. The trajectory of this strategy parallels clinical reasoning: a plain statement of the initial problem, careful gathering of data, a differential diagnostic assessment, and articulation and confirmation of a justified plan. This approach pays special attention to the goals of medical care, because so much depends on whether or not physician and patient share the same goals. This approach also addresses the heterogeneity of clinical problems that at first appear ethical and acknowledges the ethical pluralism that pervades clinical ethics.
ISSN:0884-8734
1525-1497
DOI:10.1111/j.1525-1497.2005.40204.x