Markkula Center of Applied Ethics

Ethics Articles



Resources on End-of-Life Ethics and Decision Making

The Cost of Dying and Moral Choices at the End of Life
Podcast of a talk on the ethics of end-of-life decision making
Lisa Krieger
Keeping Track of Mom: Motion Sensor-Based Monitoring
Ethical challenges in using motion sensor-based technology to monitor the elderly
Courtenay Bruce
When a Physician Refuses to Transfer a Patient to Hospice
A Q&A about recourse for a patient whose doctor does not wish to facilitate hospice care.
Margaret R. McLean
Value of Life: Is It Ethical to Consider the Cost of Treatment in Medical Decision Making?
The role of financial burden in ethical decision making
Margaret R. McLean
Organ Transplantation: Protecting Donor Dignity
An exploration of organ transplantation after cardiac death
Margaret R. McLean
Be Not Afraid: Catholic Views of Advanced Care Planning
Clergy and religious comment on end-of-life directives
Miriam Schulman
Dignity of Being Human
An exploration of Catholic approaches to artificial nutrition and hydration (in "Health Progress).
Gerald D. Coleman, SS; Margaret R. McLean; Joan Ma
Importance of Relationships in the Case of Gabriela Rivera
A physician and president of Cross Cultural Health Care Concepts reflects on the case of a Latino family facing end-of-life decisions.
John Silva
Cultural Humility and Compassionate Presence at the End of Life
The attitude and cultural competence required for a two-way therapeutic relationship, where both patient and provider contribute.
Sylvia Austerlic
Communications, Compliance, and Capacity: The Case of Gabriela Rivera
A physician explores the themes of communication, compliance, and capacity in culturally competent care.
Marc Tunzi
Autonomy, Justice, and Gabriela Rivera's Need for Care
Culturally based assumptions may blind well-meaning caregivers to issues of justice in health care.
Karen Peterson-Iyer
Palliative Care: An Ethical Obligation
SCU senior honors thesis argues that the principles of beneficence and nonmaleficence require that hospitals, in addition to clinicians, offer palliative care
Stephanie C. Paulus
Church Autonomy in Medical Ethical Decision Making
An SCU student reflects on artificial nutrition and hydration for patients in a persistent vegetative state
Nicole Van Groningen
Conflicts in Physician-Patient Relationships
Chair of the President's Council on Bioethics Edmund Pellegrino discusses the conflicts that can arise between patient autonomy and the personal beliefs of doctors, nurses, and pharmacists
Miriam Schulman
Cancer: A Failure to Communicate - Reflections by Abdelmalek Yamani
Response to a case study where cultural misunderstandings interfere with medical care for a cancer patient.
Abdelmalek Yamani
Cancer: A Failure to Communicate - Reflections by Karen Peterson-Iyer
Response to a case study where cultural misunderstandings interfere with medical care for a cancer patient.
Karen Peterson-Iyer
Cancer: A Failure to Communicate
A case study of how cultural misunderstandings interfere with medical care for a cancer patient.
Karen Peterson-Iyer
Cancer: A Failure to Communicate - Reflection by Doha Raik Hamza
Response to a case study where cultural misunderstandings interfere with medical care for a cancer patient.
Doha Raik Hamza
Cancer: A Failure to Communicate - Reflections by Dr. Sheik Hassan and Dr. Hossam E. Fadel
Response to a case study where cultural misunderstandings interfere with medical care for a cancer patient.
Dr. Sheik Hassan and Dr. Hossam E. Fadel
Confronting a Fetal Abnormality: Sensitivity to a Muslim Patient
A case study raising issues of culturally competent health care for a Muslim woman.
Karen Peterson-Iyer
Introduction to Culturally Competent Care
Background on how cultural differences affect the provision of care in a clinical setting
Karen Peterson-Iyer
Culturally Competent Care for Muslim Patients: Introduction to Cases and Reflections
Background on the specific ethical issues involved in providing culturally competent care to Muslim patients.
Karen Peterson-Iyer
Confronting a Fetal Abnormality: Reflections by Doha Raik Hamza
Response to a case raising issues in culturally competent health care for a Muslim woman.
Doha Raik Hamza
Confronting a Fetal Abnormality: Reflections by Sheik N. Hassan and Hossam E. Fadel
Response to a case raising issues in culturally competent health care for a Muslim woman.
Sheik N. Hassan and Hossam E. Fadel
Confronting a Fetal Abnormality: Reflections by Karen Peterson-Iyer
Response to a case raising issues in culturally competent health care for a Muslim woman.
Karen Peterson-Iyer
Confronting a Fetal Abnormality: Reflections by Abdelmalek Yamani
Response to a case raising issues in culturally competent health care for a Muslim woman.
Abdelmalek Yamani
'D' Is for Discussions, Decisions, and Directives
End-of-life decisions are aided by advance discussions and directives.
Margaret R. McLean
Medical Decision Making for Publicly Conserved Individuals: Policy Recommendations
Analysis of problems confronting public guardians making end-of-life care decisions.
Theresa Drought
End-of-Life Decision Making: Case 1
A physician has questions for a public guardian in charge of the medical care for a conserved patient.
Elizabeth Menkin
End-of-Life Decision Making: Medical Care for a Conserved Patient
A physician has questions for a public guardian in charge of the medical care for a conserved patient.
Elizabeth Menkin
End-of-Life Decision Making for Patients With Dementia
A public guardian must make decisions for a 78 year-old woman with severe dementia, and multiple illnesses.
Elizabeth Menkin
End-of-Life Decision Making: Case 2
A public guardian must make decisions for a 78 year-old woman with severe dementia, and multiple illnesses.
Elizabeth Menkin
Reading List on End-of-Life Decision Making
A bibliography on legal, ethical, and medical aspects of end-of-life decisions.
Assisted Suicide: A Right or a Wrong?
An examination of the ethical issues in physician-assisted death.
Claire Andre and Manuel Velasquez
The Case of the Depressed Patient
A doctor must decide if a patient's decision to stop dialysis is motivated by depression.
Melinda Lee
Schiavo Case and the Future of Ethics at the End of Life
Notes from a presentation on the ethical issues raised by the Terri Schiavo case
Gerald Coleman, S.S. and Lawrence Nelson
Dying with Dignity
The president of St. Patrick's Seminary looks at the political and moral debate about physician-assisted suicide.
Gerald D. Coleman, S.S.
Persistent Indeterminate State: Reflections on the Wendland Case
One of the lawyers in this precedent-setting end-of-life case discusses who should make decisions for incompetent patients.
Lawrence J. Nelson
Tough Talk: Finding the Words for Living With Loss
Guidelines for discussion of end-of-life issues.
Dale G. Larson
Last Things
Introduction to a collection of articles on end-of-life ethics.
Reluctant Realism
Research on attitudes toward end-of-life issues in the San Jose Hispanic community.
Margaret R. McLean and Margaret A. Graham
Bargain
Bargaining with God about death.
Miriam Schulman
Blanket of Peace
A student reflects on her first experience dealing with death in her co-curricular work at O'Connor Hospital.
Maliheh Movassat
Caring to the End
Ethics for caregivers.
William C. Spohn
Does Old Age Make Suicide Ethical?
Ethical considerations regarding suicide for the terminally ill.
Rob Elder
Law of Advanced Directives
Legal Documents Can Ease End-of-Life Decisions
Karen Markus
Aid in Dying
A discussion of physician-assisted death.
Michael J. Meyer
Confronting the Ultimate Questions
Advance Directives give patients a voice when they can't speak for themselves.
Margaret McLean
Life and Death With Dignity: Editor's Note
Introduction to end-of-life questions
Miriam Schulman
Life and Death and the Applied Ethics Center at O'Connor
Durable power of attorney for health care.
Margaret R. McLean, Ph.D.