2022
Subject and Family Perspectives from the Central Thalamic Deep Brain Stimulation for Traumatic Brain Injury Study: Part I
Fins J, Wright M, Henderson J, Schiff N. Subject and Family Perspectives from the Central Thalamic Deep Brain Stimulation for Traumatic Brain Injury Study: Part I. Cambridge Quarterly Of Healthcare Ethics 2022, 31: 419-443. PMID: 36398511, DOI: 10.1017/s0963180122000226.Peer-Reviewed Original ResearchConceptsCentral thalamic deep brain stimulationVoluntary informed consentTraumatic brain injuryDecision-making authorityBrain injuryDeep brain stimulationTherapeutic misconceptionCognitive restorationBrain stimulationAgency of subjectsInformed consentSevere traumatic brain injuryTraumatic brain injury studiesThalamic deep brain stimulationConsentTreatment of traumatic brain injuryEnrollment decisionsBrain injury studiesFamily perspectiveInterpersonal interactionsDecisionCognitive disabilitiesStudy enrollmentReturn to workSocial structure
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 ResearchConceptsLife-sustaining therapyWithdrawal of life-sustaining therapyIncapacitated patientsEthical concernsSocial workersDoctors' desireFurther careFamily inputState lawsUndocumented patientsIntensive care unitDoctorsCare unitMultisystem organ failureObligationsDecision-United StatesOrgan failureDesireFamily
2018
Family Portrait
Fins J. Family Portrait. Narrative Inquiry In Bioethics 2018, 8: 4-6. PMID: 29657165, DOI: 10.1353/nib.2018.0002.Peer-Reviewed Original Research
2013
Surrogate expectations in severe brain injury
Suppes A, Fins J. Surrogate expectations in severe brain injury. Brain Injury 2013, 27: 1141-1147. PMID: 23895513, PMCID: PMC5454804, DOI: 10.3109/02699052.2013.804201.Peer-Reviewed Original ResearchMeSH KeywordsAdolescentAdultAdvance Care PlanningAdvance DirectivesBrain InjuriesCaregiversChildComaDecision MakingFamilyFemaleGriefHumansIntensive Care UnitsMaleMiddle AgedNew YorkPersistent Vegetative StatePhysician's RoleProfessional-Family RelationsPrognosisProxySeverity of Illness IndexStress, PsychologicalConceptsSource of injuryExpectations of recoveryPsychosocial featuresDecision-making expectationsQuantitative questionnaireImprove treatment of patientsFamily membersPatient recoveryTreatment of patientsPatient diagnosisRelated factorsDOC patientsBrain injuryPatientsImproved treatmentInjuryCurrent diagnosisExpectationsQuestionnaireDiagnosisCliniciansBrainSurveyFactorsDisorders 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
2012
Medullary Thyroid Carcinoma: Ethical Issues for the Surgeon
Shuman A, Shaha A, Tuttle R, Fins J, Morris L. Medullary Thyroid Carcinoma: Ethical Issues for the Surgeon. Annals Of Surgical Oncology 2012, 19: 2102-2107. PMID: 22322952, DOI: 10.1245/s10434-012-2235-4.Peer-Reviewed Original ResearchConceptsGenetic testingEvidence-based guidelinesPerceived stigmaEthical issuesProphylactic surgeryGenetic inheritance patternFamily membersFamilial medullary thyroid carcinomaManagement of affected patientsMedullary thyroid cancerMedullary thyroid carcinomaThyroid carcinomaThyroid cancerInheritance patternIndividual autonomyChildrenInterventionPatientsSurgeonsGuidelinesTestConfidentialityFamilyPotential conflictsCancer
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
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
1998
Resuscitation in hospice.
Henderson S, Fins J, Moskowitz E. Resuscitation in hospice. The Hastings Center Report 1998, 28: 20; discussion 20-2. PMID: 9868605, DOI: 10.2307/3528263.Peer-Reviewed Original ResearchApproximation and Negotiation: Clinical Pragmatism and Difference
FINS J. Approximation and Negotiation: Clinical Pragmatism and Difference. Cambridge Quarterly Of Healthcare Ethics 1998, 7: 68-76. PMID: 9523042, DOI: 10.1017/s0963180198701070.Peer-Reviewed Original ResearchMeSH KeywordsAttitude to DeathBrain DeathBrain NeoplasmsChildChild, PreschoolConsensusCultural DiversityCultureDissent and DisputesEthics, ClinicalEthics, MedicalFamilyFemaleGlioblastomaGroup ProcessesHealth Knowledge, Attitudes, PracticeHumansMaleMedulloblastomaMoralsNegotiatingPatient Acceptance of Health CarePhilosophyReligionSecularismSocial ValuesTrustUnited States
1997
Clinical pragmatism: a method of moral problem solving.
Fins J, Bacchetta M, Miller F. Clinical pragmatism: a method of moral problem solving. Kennedy Institute Of Ethics Journal 1997, 7: 129-45. PMID: 11654986, DOI: 10.1353/ken.1997.0013.Peer-Reviewed Original ResearchMeSH KeywordsCatholicismChronic DiseaseClergyCommunicationConsensusDecision MakingDementiaDiagnosisEmotionsEthical AnalysisEthical TheoryEthicsEthics, ClinicalEthics, MedicalEuthanasia, PassiveFamilyHumansLife Support CareMarriageMental CompetencyMethodsPatient CarePatient Care PlanningPhilosophyPhysiciansPrinciple-Based EthicsProfessional-Family RelationsResuscitation OrdersSocial ValuesSpouses
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
Across the divide: Religious objections to brain death
Fins J. Across the divide: Religious objections to brain death. Journal Of Religion And Health 1995, 34: 33-40. PMID: 11652895, DOI: 10.1007/bf02248636.Peer-Reviewed Original Research
1994
Encountering 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