2021
Congee for the Soul
Gabbay E, Fins J, Banja J, Evans T. Congee for the Soul. The Hastings Center Report 2021, 51: 10-12. PMID: 33630323, DOI: 10.1002/hast.1212.Peer-Reviewed Original Research
2017
The Care of the Ultra-Orthodox Jewish Patient
Gabbay E, McCarthy M, Fins J. The Care of the Ultra-Orthodox Jewish Patient. Journal Of Religion And Health 2017, 56: 545-560. PMID: 28102466, DOI: 10.1007/s10943-017-0356-6.Peer-Reviewed Original ResearchConceptsStigma associated with mental illnessEnd-of-life decisionsEnd-of-lifeUltra-Orthodox Jewish patientsSystem of valuesModern hospital settingUltra-Orthodox worldEthical scenariosReligious traditionsEnhance careUltra-Orthodox Jewish communityMental illnessPrenatal careModern medical practicePatient autonomyJewish communityHospital settingStandard risk assessmentTraditional societiesMedical practiceCareJewish patientsUnique challengesDivineTradition
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 challengeHeadLip-reading and the ventilated patient*
Meltzer E, Gallagher J, Suppes A, Fins J. Lip-reading and the ventilated patient*. Critical Care Medicine 2012, 40: 1529-1531. PMID: 22430239, DOI: 10.1097/ccm.0b013e318241e56c.Peer-Reviewed Original ResearchConceptsVentilated patientsTotal body surface area burnBody surface area burnBurn unitUniversity Teaching HospitalSurface area burnAmerican Sign Language interpretersProspective studyVentilator-dependentLip readingArea burnPatientsCircuit formationTeaching hospitalMedical settingsNew York CityYork CitySign language interpretersMouthed wordsTracheostomy
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 InitiativeProspective 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
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 officersFactors Influencing DNR Decision-Making in a Surgical ICU
Bacchetta M, Eachempati S, Fins J, Hydo L, Barie P. Factors Influencing DNR Decision-Making in a Surgical ICU. Journal Of The American College Of Surgeons 2006, 202: 995-1000. PMID: 16735215, DOI: 10.1016/j.jamcollsurg.2006.02.027.Peer-Reviewed Original ResearchConceptsDNR ordersPresence of DNR ordersCritically ill surgical patientsEnd-of-life decisionsDNR decision-makingNo-DNR groupIll surgical patientsMedical historyMultiple organ dysfunction scoreEnd-of-lifeOrgan dysfunction scoreIII scoreAcuity of illnessSurgical patientsChi-square statistical testMultivariate ANOVADNR patientsHospital length of stayDysfunction scoreIll patient populationLength of stayCritically ill patient populationAPACHE III scoreDNRIllness severity
2005
Contracts, covenants and advance care planning: an empirical study of the moral obligations of patient and proxy
Fins J, Maltby B, Friedmann E, Greene M, Norris K, Adelman R, Byock I. Contracts, covenants and advance care planning: an empirical study of the moral obligations of patient and proxy. Journal Of Pain And Symptom Management 2005, 29: 55-68. PMID: 15652439, DOI: 10.1016/j.jpainsymman.2004.07.004.Peer-Reviewed Original ResearchConceptsPatient self-determinationMoral obligationSelf-determinationAdvance care planningExercise of autonomyPatient-proxy relationshipLife-sustaining therapyObligations of patientsMoral judgmentCare planningNarrow notionsDisease trajectoryPatient instructionsLegal normsPatient-proxy pairsJudgmentPrincipal autonomyAggressive careAutonomyModified Likert scaleQuality of informationPatient educationCovenantersNegative instructionsCovenants
2004
Screening and Cognitive Impairment: Ethics of Forgoing Mammography in Older Women
Raik B, Miller F, Fins J. Screening and Cognitive Impairment: Ethics of Forgoing Mammography in Older Women. Journal Of The American Geriatrics Society 2004, 52: 440-444. PMID: 14962162, DOI: 10.1111/j.1532-5415.2004.52119.x.Peer-Reviewed Original ResearchConceptsCognitively impaired womenCognitive impairmentQuality of lifeDecision-making capacityScreening interventionsMammographic screeningEarly cognitive impairmentLonger life expectancyPatient's capacityVulnerable populationsImpaired womenLife expectancyRisk of undertreatmentMammographyBreast cancerWomenEthical questionsDecision-making processPotential benefitsRiskScreeningRisk/benefit analysisImpairmentOlderDementia
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 ResearchRemoving 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
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
1999
End-of-Life Decision-Making in the Hospital Current Practice and Future Prospects
Fins J, Miller F, Acres C, Bacchetta M, Huzzard L, Rapkin B. End-of-Life Decision-Making in the Hospital Current Practice and Future Prospects. Journal Of Pain And Symptom Management 1999, 17: 6-15. PMID: 9919861, DOI: 10.1016/s0885-3924(98)00109-2.Peer-Reviewed Original ResearchConceptsComfort care plansEnd-of-life decision-makingHospitalized dying patientsCare planningDNR ordersDo-not-resuscitate (DNRAssociated with DNR ordersCare Assessment ToolUrban academic medical centerHealth care proxyImprove practice patternsLife-sustaining treatmentEnd-of-lifeAcademic medical centerPalliative servicesPalliative careComfort careAdult deathsArtificial nutritionOutcome measuresPractice patternsAssessment toolChart review of patientsCareMedical Center
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 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
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