2019
North of Home: Obligations to Families of Undocumented Patients
Fins J, Real de Asúa D. North of Home: Obligations to Families of Undocumented Patients. The Hastings Center Report 2019, 49: 12-14. PMID: 30790302, DOI: 10.1002/hast.972.Peer-Reviewed Original ResearchMeSH KeywordsAdultEcuadorFamilyHumansMaleMultiple Organ FailureSocial WorkersUndocumented ImmigrantsUnited StatesWithholding TreatmentConceptsLife-sustaining therapyWithdrawal of life-sustaining therapyIncapacitated patientsEthical concernsSocial workersDoctors' desireFurther careFamily inputState lawsUndocumented patientsIntensive care unitDoctorsCare unitMultisystem organ failureObligationsDecision-United StatesOrgan failureDesireFamily
2018
Assessment of Covert Consciousness in the Intensive Care Unit
Edlow B, Fins J. Assessment of Covert Consciousness in the Intensive Care Unit. Journal Of Head Trauma Rehabilitation 2018, 33: 424-434. PMID: 30395042, PMCID: PMC6317885, DOI: 10.1097/htr.0000000000000448.Peer-Reviewed Original ResearchConceptsFunctional magnetic resonance imagingTraumatic brain injuryAcute severe traumatic brain injurySevere traumatic brain injuryIntensive care unitCovert consciousnessEthical challengesIntensive care unit patientsTask-based functional magnetic resonance imagingTask-based fMRILife-sustaining therapyWithdrawal of life-sustaining therapyCare unitEthical frameworkBehavioral assessmentCritically ill patientsEvaluation normsMagnetic resonance imagingConsciousnessBrain injuryGoals of careClinical scenariosIll patientsRecovered consciousnessTreatment decisions
2015
Withdrawal of Life-Sustaining Treatment
Hinderer K, Friedmann E, Fins J. Withdrawal of Life-Sustaining Treatment. Dimensions Of Critical Care Nursing 2015, 34: 91-99. PMID: 25650494, DOI: 10.1097/dcc.0000000000000097.Peer-Reviewed Original ResearchMeSH KeywordsAdvance Care PlanningDecision MakingFemaleHumansMaleMiddle AgedProxyRespiration, ArtificialSampling StudiesWithholding TreatmentConceptsEOL decisionsEnd-of-lifeCritical care nursesMechanical ventilation withdrawalCare nursesFamilies of critically ill patientsVentilator withdrawalImproving EOL careAdvance care planningPatient-proxy pairsWithdrawal of life-sustaining therapySecondary analysis of dataWithdrawal of mechanical ventilationLife-sustaining therapyEOL careCare planningPatient-directedResponses to questionsDisease trajectoryProxies' decisionsModification of directionSecondary analysisImprove patientAnalysis of dataNurses
2014
DNR and ECMO: a paradox worth exploring.
Meltzer E, Ivascu N, Fins J. DNR and ECMO: a paradox worth exploring. The Journal Of Clinical Ethics 2014, 25: 13-9. PMID: 24779313, DOI: 10.1086/jce201425102.Peer-Reviewed Original ResearchMeSH KeywordsDecision MakingExtracorporeal Membrane OxygenationHumansMedical FutilityResuscitation OrdersTerminal CareThird-Party ConsentWithholding TreatmentConceptsDo-not-resuscitateDifficult end-of-life decisionsDo-not-resuscitate discussionsEnd-of-life decisionsDo-not-resuscitate ordersHeart-lung bypass machineExtracorporeal membrane oxygenationVA-ECMOStepping-stoneCardiac failurePulmonary dysfunctionCardiopulmonary failureMembrane oxygenationSurgical proceduresBypass machineChest compressionsDiscussionOperating roomConfusionPatientsContext
2013
On the lingua franca of clinical ethics.
Fins J. On the lingua franca of clinical ethics. The Journal Of Clinical Ethics 2013, 24: 323-31. PMID: 24597419, DOI: 10.1086/jce201324402.Peer-Reviewed Original ResearchMeSH KeywordsDecision MakingEthical TheoryEthics, ClinicalHistory, 19th CenturyHistory, 20th CenturyHistory, 21st CenturyHumansInterdisciplinary CommunicationMedical FutilityPalliative CarePeriodicals as TopicPersonal AutonomyPractice Patterns, Physicians'Resuscitation OrdersTerminal CareTerminology as TopicWithholding TreatmentConceptsClinical ethicsJournal of Clinical EthicsLanguage of bioethicsLingua francaClinical ethicistsEthical analysisEthical reasonsEthicsLinguistic amalgamationCritical methodBioethicsAuthor commentsPalliative medicineWeak compositionEthicistsLanguageArgumentsPragmaticsAuthorsFoundingAnniversaryScienceDiscourseDecision makingInterdisciplinarity
2009
Implantable cardioverter-defibrillator deactivation at the end of life: A physician survey
Kelley A, Reid M, Miller D, Fins J, Lachs M. Implantable cardioverter-defibrillator deactivation at the end of life: A physician survey. American Heart Journal 2009, 157: 702-708.e1. PMID: 19332199, DOI: 10.1016/j.ahj.2008.12.011.Peer-Reviewed Original ResearchMeSH KeywordsAdultClinical CompetenceDecision MakingDefibrillators, ImplantableFemaleHumansMalePhysiciansSurveys and QuestionnairesTerminal CareWithholding TreatmentConceptsEnd of lifeDeactivation discussionsICD deactivationImplantable cardioverter-defibrillator deactivationLikert-scaled itemsAdvance directivesLogistic regression analysisGeneral internistsPhysician surveyExpert guidancePredictors of willingnessOlder adultsSubstantial distressICD managementMail surveyPhysiciansICD shocksSurvey's backgroundRegression analysisSpecialtyICD useImplantable cardioverter-defibrillator (ICDVignettesICDCardioverter-defibrillator (ICD
2008
Lights, Camera, Inaction? Neuroimaging and Disorders of Consciousness
Fins J, Illes J. Lights, Camera, Inaction? Neuroimaging and Disorders of Consciousness. The American Journal Of Bioethics 2008, 8: w1-w3. PMID: 18853370, DOI: 10.1080/15265160802479568.Peer-Reviewed Original ResearchAre we equal in death?
Laureys S, Fins J. Are we equal in death? Neurology 2008, 70: e14-e15. PMID: 18209196, DOI: 10.1212/01.wnl.0000303264.66049.c1.Peer-Reviewed Original Research
2006
Differential Medical and Surgical House Staff Involvement in End-of-Life Decisions: A Retrospective Chart Review
Kelley A, Gold H, Roach K, Fins J. Differential Medical and Surgical House Staff Involvement in End-of-Life Decisions: A Retrospective Chart Review. Journal Of Pain And Symptom Management 2006, 32: 110-117. PMID: 16877178, DOI: 10.1016/j.jpainsymman.2006.02.009.Peer-Reviewed Original ResearchConceptsEnd-of-lifeEnd-of-life discussionsEnd-of-life decisionsHouse officersDocumentation of end-of-life discussionsMedical servicesEnd-of-life communicationSurgical servicesLife-sustaining treatmentWithdrawal of life-sustaining therapyProportion of notesLife-sustaining therapyMedical house officersComplex patient populationWithdrawal of carePhysician involvementCare notesLength of stayStaff involvementMedical patientsRetrospective chart reviewTeam structureChart reviewPatient populationSurgical house officers
2005
The Orwellian Threat to Emerging Neurodiagnostic Technologies
Fins J. The Orwellian Threat to Emerging Neurodiagnostic Technologies. The American Journal Of Bioethics 2005, 5: 56-58. PMID: 16036705, DOI: 10.1080/15265160590960951.Peer-Reviewed Original Research
2003
Removing the Mask
Fulton G, Fins J. Removing the Mask. The Hastings Center Report 2003, 33: 12-13. PMID: 12760113, DOI: 10.2307/3528147.Peer-Reviewed Original Research
2000
Assisted suicide compared with refusal of treatment: a valid distinction? University of Pennsylvania Center for Bioethics Assisted Suicide Consensus Panel.
Miller F, Fins J, Snyder L. Assisted suicide compared with refusal of treatment: a valid distinction? University of Pennsylvania Center for Bioethics Assisted Suicide Consensus Panel. Annals Of Internal Medicine 2000, 132: 470-5. PMID: 10733447, DOI: 10.7326/0003-4819-132-6-200003210-00008.Peer-Reviewed Original ResearchConceptsAssisted suicideRefusal of treatmentIssue of physician-assisted suicideRefusal of life-sustaining treatmentPhysician-assisted suicideLife-sustaining treatmentWithdrawal of treatmentArtificial nutritionContinuing debatePolicy hingesRefusalSuicideEthicsArgumentsDebatesIssuesPracticePolicyConfusion
1999
Commentary: From Contract to Covenant in Advance Care Planning
Fins J. Commentary: From Contract to Covenant in Advance Care Planning. The Journal Of Law, Medicine & Ethics 1999, 27: 46-51. PMID: 11657142, DOI: 10.1111/j.1748-720x.1999.tb01435.x.Peer-Reviewed Original ResearchAdvance Care PlanningAdvance Directive AdherenceAdvance DirectivesContractsDecision MakingDementiaEthics CommitteesEthics Committees, ClinicalEuthanasia, PassiveFamilyFamily RelationsFreedomFriendsHumansInterpersonal RelationsLife Support CareLiving WillsLoveMarriageMoral ObligationsNutritional SupportPatientsPersonal AutonomyPhysiciansResuscitationResuscitation OrdersRiskRisk AssessmentSocial ResponsibilityTerminal CareThird-Party ConsentTreatment RefusalTrustWithholding Treatment
1997
The Call of the Sirens: Navigating the Ethics of Medication-Free Research in Schizophrenia
Fins J, Miller F. The Call of the Sirens: Navigating the Ethics of Medication-Free Research in Schizophrenia. JAMA Psychiatry 1997, 54: 415-416. PMID: 9152094, DOI: 10.1001/archpsyc.1997.01830170031005.Peer-Reviewed Original ResearchWhat medicine and the law should do for the physician-assisted suicide debate.
Fins J. What medicine and the law should do for the physician-assisted suicide debate. CCAR Journal 1997, 46-53. PMID: 15977336.Peer-Reviewed Original Research
1996
From indifference to goodness
Fins J. From indifference to goodness. Journal Of Religion And Health 1996, 35: 245-254. PMID: 11654980, DOI: 10.1007/bf02354954.Peer-Reviewed Original ResearchMeSH KeywordsAltruismBeneficenceCasuistryDecision MakingEmpathyEthical AnalysisEthical TheoryEthicsEthics, ClinicalEthics, MedicalFamilyHealth PersonnelHistoryHumanismHumansMedical FutilityMedicineNarrationNational SocialismPastoral CarePatient CarePhilosophyPolitical SystemsPrinciple-Based EthicsProfessional-Patient RelationsReligionSocial ValuesTruth DisclosureVirtuesWithholding Treatment
1995
But Is It Assisted Suicide?
Fins J, Viederman M, Nelson J. But Is It Assisted Suicide? The Hastings Center Report 1995, 25: 24-25. PMID: 7649741, DOI: 10.2307/3562110.Peer-Reviewed Original Research
1994
Futility in Clinical Practice: Report on a Congress of Clinical Societies
Fins J. Futility in Clinical Practice: Report on a Congress of Clinical Societies. Journal Of The American Geriatrics Society 1994, 42: 861-865. PMID: 7913939, DOI: 10.1111/j.1532-5415.1994.tb06558.x.Peer-Reviewed Original ResearchEncountering diversity: Medical ethics and pluralism
Fins J. Encountering diversity: Medical ethics and pluralism. Journal Of Religion And Health 1994, 33: 23-27. PMID: 11659797, DOI: 10.1007/bf02354496.Peer-Reviewed Original ResearchMeSH KeywordsAgedBioethical IssuesBioethicsCultural DiversityDecision MakingEthicsEthics, MedicalEuthanasia, PassiveFamilyFreedomHome Care ServicesHumansIntensive Care UnitsJewsJudaismLife Support CareNarrationPersonal AutonomyPhilosophyPhysician-Patient RelationsReligionSecularismSocial ValuesTerminally IllThird-Party ConsentUnited StatesVentilators, MechanicalWithholding Treatment
1993
WHEN THE LIMITS ARE NOT THEIR OWN: WHY THE ELDERLY MUST PARTICIPATE IN HEALTH CARE REFORM
Fins J. WHEN THE LIMITS ARE NOT THEIR OWN: WHY THE ELDERLY MUST PARTICIPATE IN HEALTH CARE REFORM. Journal Of The American Geriatrics Society 1993, 41: 462-463. PMID: 8463538, DOI: 10.1111/j.1532-5415.1993.tb06959.x.Peer-Reviewed Original Research