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
2008
Prospective 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
2003
The surgical intensivist as mediator of end-of-life issues in the care of critically ill patients
Eachempati S, Miller F, Fins J. The surgical intensivist as mediator of end-of-life issues in the care of critically ill patients. Journal Of The American College Of Surgeons 2003, 197: 847-853. PMID: 14585423, DOI: 10.1016/j.jamcollsurg.2003.07.011.Peer-Reviewed Original Research
2001
Communication in intensive care settings: The challenge of futility disputes
Fins J, Solomon M. Communication in intensive care settings: The challenge of futility disputes. Critical Care Medicine 2001, 29: n10-n15. PMID: 11228567, DOI: 10.1097/00003246-200102001-00003.Peer-Reviewed Original ResearchMeSH KeywordsAgedAged, 80 and overAttitude of Health PersonnelAttitude to DeathCommunicationConflict, PsychologicalCritical CareDecision MakingFamilyFemaleHealth PersonnelHumansInformed ConsentMedical FutilityOrganizational CulturePatient Care TeamProfessional-Family RelationsPrognosisQuality of LifeSocial SupportTeachingTotal Quality ManagementTruth Disclosure
2000
Gaining Insight into the Care of Hospitalized Dying Patients An Interpretative Narrative Analysis
Fins J, Guest R, Acres C. Gaining Insight into the Care of Hospitalized Dying Patients An Interpretative Narrative Analysis. Journal Of Pain And Symptom Management 2000, 20: 399-407. PMID: 11131258, DOI: 10.1016/s0885-3924(00)00220-7.Peer-Reviewed Original Research
1999
Incorporating palliative care into critical care education: Principles, challenges, and opportunities
Danis M, Federman D, Fins J, Fox E, Kastenbaum B, Lanken P, Long K, Lowenstein E, Lynn J, Rouse F, Tulsky J. Incorporating palliative care into critical care education: Principles, challenges, and opportunities. Critical Care Medicine 1999, 27: 2005-2013. PMID: 10507632, DOI: 10.1097/00003246-199909000-00047.Peer-Reviewed Original ResearchConceptsEnd-of-life carePalliative careEnd-of-lifeIntensive care unitCare educationModified nominal group processCritical careExcellent palliative carePalliative care educationCompassionate palliative careDiscontinuity of careGoals of careCritical care educationNominal group processTrust relationshipsCapacity of patientsDying patientsGood careTeaching careConsumer advocacyMedical educationCareEffective communicationLife support technologyCare unit
1997
The Economics of Clinical Ethics Programs: A Quantitative Justification
Bacchetta M, Fins J. The Economics of Clinical Ethics Programs: A Quantitative Justification. Cambridge Quarterly Of Healthcare Ethics 1997, 6: 451-460. PMID: 9292221, DOI: 10.1017/s0963180100008197.Peer-Reviewed Original Research