2019
Frequency 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
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
2014
Extracorporeal membrane oxygenation in adults: A brief review and ethical considerations for nonspecialist health providers and hospitalists
Meltzer E, Ivascu N, Acres C, Stark M, Kirkpatrick J, Paul S, Sedrakyan A, Fins J. Extracorporeal membrane oxygenation in adults: A brief review and ethical considerations for nonspecialist health providers and hospitalists. Journal Of Hospital Medicine 2014, 9: 808-813. PMID: 25332093, DOI: 10.1002/jhm.2262.Peer-Reviewed Original ResearchConceptsExtracorporeal membrane oxygenationMembrane oxygenationVA-ECMOTreated with extracorporeal membrane oxygenationManaging extracorporeal membrane oxygenationVenoarterial extracorporeal membrane oxygenationVenovenous extracorporeal membrane oxygenationProvision of ECMODiscontinuation of treatmentConsistent with patient preferencesClinical responseRespiratory failureGoals of careHeart failureCardiac arrestCo-manage patientsCounseling familiesPatient preferencesPatientsPatient referralHealth providersHealthcare providersEthical considerationsHospitalistsProviders
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 oncology.
Shuman A, Montas S, Barnosky A, Smith L, Kissane D, Fins J, McCabe M. Clinical ethics consultation in oncology. Journal Of Clinical Oncology 2012, 30: 9121-9121. DOI: 10.1200/jco.2012.30.15_suppl.9121.Peer-Reviewed Original ResearchClinical ethics consultationEthics consultationGoals of careCode statusEnd-of-life careOverall goals of careInvolvement of palliative careNCI-designated comprehensive cancer centerPalliative care consultationPalliative care involvementPatient's code statusSurrogate decision-makersEnd of lifeEnd-of-lifeComprehensive cancer centerSystem improvementSources of interpersonal conflictAdult oncology patientsMedical futilityCare consultationPalliative careAdvance directivesCare involvementEthicsChart abstraction
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