2013
Clinical Ethics Consultation in Oncology
Shuman A, Montas S, Barnosky A, Smith L, Fins J, McCabe M. Clinical Ethics Consultation in Oncology. JCO Oncology Practice 2013, 9: 240-245. PMID: 23943899, DOI: 10.1200/jop.2013.000901.Peer-Reviewed Original ResearchConceptsClinical ethics consultationEthics consultationNational Cancer Institute-designated comprehensive cancer centerCancer Institute-designated comprehensive cancer centerEnd-of-life careDo-not-resuscitate ordersOverall goals of carePalliative care expertsPalliative care consultationGoals of carePatient casesEnd-of-lifeComprehensive cancer centerCare consultationCode statusSources of interpersonal conflictAdvance directivesCare expertsStaff educationSurrogate decisionPatient's wishesMedical futilityOncology populationCommunication lapsesClinical care
2012
Clinical ethics consultation in patients with head and neck cancer
Shuman A, McCabe M, Fins J, Kraus D, Shah J, Patel S. Clinical ethics consultation in patients with head and neck cancer. Head & Neck 2012, 35: 1647-1651. PMID: 23161591, DOI: 10.1002/hed.23204.Peer-Reviewed Original ResearchConceptsClinical ethics consultationEthics consultationHead and neck cancerCommunication barriersNeck cancerLife-sustaining treatmentComprehensive cancer centerCode statusAirway management concernsEthical themesSymptom controlCancer CenterEthicsConsultationData abstractionDNRAirway managementCancerPatientsInterpersonal conflictBarriersDatabaseThemesClinical challengeHead
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 Initiative
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
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
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 hingesRefusalSuicideEthicsArgumentsDebatesIssuesPracticePolicyConfusionCLINICAL PRAGMATISM, ETHICS CONSULTATION, AND THE ELDERLY PATIENT
Fins J, Miller F. CLINICAL PRAGMATISM, ETHICS CONSULTATION, AND THE ELDERLY PATIENT. Clinics In Geriatric Medicine 2000, 16: 71-81. PMID: 10723619, DOI: 10.1016/s0749-0690(05)70009-4.Peer-Reviewed Original Research
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