2023
Subject and Family Perspectives from the Central Thalamic Deep Brain Stimulation Trial for Traumatic Brain Injury: Part II.
Fins J, Wright M, Shulman K, Henderson J, Schiff N. Subject and Family Perspectives from the Central Thalamic Deep Brain Stimulation Trial for Traumatic Brain Injury: Part II. Cambridge Quarterly Of Healthcare Ethics 2023, 1-24. PMID: 37850455, DOI: 10.1017/s0963180123000518.Peer-Reviewed Original ResearchFamily perspectiveTraumatic brain injuryOn-going careTrail-Making-TestDecision-making capacitySevere traumatic brain injuryBrain injurySupportive counselingStimulation trialsNarrative responsesPost-trial accessVoluntary informed consentPost-operative interviewsFamily membersSocial reintegrationMarkers of executive functionCognitive functionFamily dynamicsInformed consentPart BDeep brain stimulation trialsInterviewsExecutive functionDevice trialsTrials
2019
Disorders of Consciousness in Clinical Practice
Fins J. Disorders of Consciousness in Clinical Practice. 2019, 449-478. DOI: 10.1093/med/9780190208875.003.0011.Peer-Reviewed Original ResearchEnd-of-life careEnd-of-lifeLong-term careImpaired decision-making capacityDisorders of consciousnessClinical practiceDecision-making capacityAncillary care obligationsVulnerable populationsProfessional obligationsCareMinimally conscious stateNeuroimaging assessmentsIntensive careCare obligationsDiagnostic classificationBrain injuryCommunication strategiesCovert consciousnessClinicInitial presentationConscious stateEthical implicationsPatientsRehabilitationFrequency of Ethical Issues on a Hospitalist Teaching Service at an Urban, Tertiary Care Center
McCarthy M, de Asua D, Gabbay E, Christos P, Fins J. Frequency of Ethical Issues on a Hospitalist Teaching Service at an Urban, Tertiary Care Center. Journal Of Hospital Medicine 2019, 14: 290-293. PMID: 30897052, PMCID: PMC7343177, DOI: 10.12788/jhm.3179.Peer-Reviewed Original ResearchConceptsHospitalist teaching serviceFrequency of ethical issuesEthical issuesClinical ethics consultationHospital ethics committeeDecision-making capacityEthics consultationEthics curriculumEthical conflictsCardiopulmonary resuscitation statusAttending hospitalistsResuscitation statusGoals of careEthics CommitteeTeaching serviceDischarge planningDaily roundsHospitalistsPain managementIssuesTertiary care centerTeaching hospitalCare centerTertiary-careServices
2016
Chapter 15 Neuroethics and Disorders of Consciousness A Pragmatic Approach to Neuropalliative Care
Fins J. Chapter 15 Neuroethics and Disorders of Consciousness A Pragmatic Approach to Neuropalliative Care. 2016, 241-252. DOI: 10.1016/b978-0-12-800948-2.00015-7.Peer-Reviewed Original ResearchBrain damageMystery of consciousnessDisorders of consciousnessImpaired decision-making capacityClinical pragmatismDecision-making capacityHuman rights issuesAmerican pragmatic traditionBrain injuryMoral problemsBrainRights issuesDisordersClinical contextHuman consciousnessEthical challengesConsciousnessComplexity of researchArgument IImpaired consciousness
2013
Disorders of Consciousness and Disordered Care: Families, Caregivers, and Narratives of Necessity
Fins J. Disorders of Consciousness and Disordered Care: Families, Caregivers, and Narratives of Necessity. Archives Of Physical Medicine And Rehabilitation 2013, 94: 1934-1939. PMID: 23770277, DOI: 10.1016/j.apmr.2012.12.028.Peer-Reviewed Original ResearchConceptsAmerican health care systemAcute care needsSurrogate decision makersHealth care systemDisorders of consciousnessAffordable Care ActDecision-making capacityCare needsSevere disorders of consciousnessCare decisionsOngoing careCare systemReimbursement frameworkCare ActReimbursement strategiesCareMedical necessityCivil rightsMedical infrastructureRehabilitationEthical challengesReimbursementSevere disordersCaregiversPatients
2008
Clinical Ethics and the Quality Initiative: A Pilot Study for the Empirical Evaluation of Ethics Case Consultation
Nilson E, Acres C, Tamerin N, Fins J. Clinical Ethics and the Quality Initiative: A Pilot Study for the Empirical Evaluation of Ethics Case Consultation. American Journal Of Medical Quality 2008, 23: 356-364. PMID: 18820140, DOI: 10.1177/1062860608316729.Peer-Reviewed Original ResearchConceptsEthics consultationEnd-of-life decision makingNew York-Presbyterian Healthcare SystemDo-not-resuscitate ordersQuality of careEthics case consultationClinical ethics consultationEthics consultation processSurrogate decision makingEnd-of-lifeDecision-making capacityEquitable carePatient-centeredNonmedical servicesClinical ethicsEthical dilemmasPsychosocial outcomesClinical careHealthcare systemCase consultationIntensive care unit patientsEthicsCareQuality imperativesQuality InitiativeProspective Analysis of Life-Sustaining Therapy Discussions in the Surgical Intensive Care Unit: A Housestaff Perspective
Pieracci F, Ullery B, Eachempati S, Nilson E, Hydo L, Barie P, Fins J. Prospective Analysis of Life-Sustaining Therapy Discussions in the Surgical Intensive Care Unit: A Housestaff Perspective. Journal Of The American College Of Surgeons 2008, 207: 468-476. PMID: 18926447, DOI: 10.1016/j.jamcollsurg.2008.05.001.Peer-Reviewed Original ResearchConceptsEnd-of-life care planningEnd-of-lifeLack of decision-making capacityCare planningDecision-making capacityEnd-of-life careLikelihood of enactmentSurgical ICUPatient surrogatesHousestaffStandardized questionnaireSurgical intensive care unitClinical deteriorationIntensive care unitProspective dataCare unitProspective analysisPatientsICUAgeCareAcuityDisparitiesQuestionnairePlanning
2005
Clinical pragmatism and the care of brain damaged patients: toward a palliative neuroethics for disorders of consciousness
Fins J. Clinical pragmatism and the care of brain damaged patients: toward a palliative neuroethics for disorders of consciousness. Progress In Brain Research 2005, 150: 565-582. PMID: 16186050, DOI: 10.1016/s0079-6123(05)50040-2.Peer-Reviewed Original ResearchConceptsDisorders of consciousnessClinical pragmatismBrain-damaged patientsBrain damageMystery of consciousnessDamaged patientsImpaired decision-making capacityDecision-making capacityAmerican pragmatic traditionBrain injuryProblem-solvingBrainMoral problem-solvingDisordersClinical contextHuman consciousnessConsciousnessImpaired consciousnessPragmaticsClinical careAversionSocietal contextSelfPalliative careResearch
2004
Screening and Cognitive Impairment: Ethics of Forgoing Mammography in Older Women
Raik B, Miller F, Fins J. Screening and Cognitive Impairment: Ethics of Forgoing Mammography in Older Women. Journal Of The American Geriatrics Society 2004, 52: 440-444. PMID: 14962162, DOI: 10.1111/j.1532-5415.2004.52119.x.Peer-Reviewed Original ResearchConceptsCognitively impaired womenCognitive impairmentQuality of lifeDecision-making capacityScreening interventionsMammographic screeningEarly cognitive impairmentLonger life expectancyPatient's capacityVulnerable populationsImpaired womenLife expectancyRisk of undertreatmentMammographyBreast cancerWomenEthical questionsDecision-making processPotential benefitsRiskScreeningRisk/benefit analysisImpairmentOlderDementia