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Much attention in health care ethics has been given to the patient-health care provider relationship and to issues that arise “at the bedside.” Questions in practice, for example, include: who gets to make what decisions; when and on what basis treatments should be initiated, withdrawn, or withheld; what an informed choice requires; and what, when and with whom information should be shared. Clinical ethics consultation is one resource for persons who are struggling with or have questions about these types of issues – whether it is an individual, health care team, and/or patient and family.

NSHEN’s activities in clinical ethics include assessment and/or development of a process for clinical ethics consultation, as needed. Assistance with relevant analysis and discussion of the issue/case through mentoring and training is also supported.

Related Clinical Ethics Resources

Bioethics for Clinicians

Advance Directives

Family Doctor.org (information about Advance Directives and Do Not Resuscitate Orders)

Living Wills Registry Canada (details on living wills, including ordering and downloading a living will)

Manitoba Health Care Directive Information Page

Palliative Info (info on Advance Directive)

Parting Wishes.com (info on Advance Directive)

UB Center for Clinical Ethics and Humanities in Healthcare (U.S)

Consent/Autonomy

Department of Health (Guides for adults, children, persons with disabilities, relatives and caregivers (U.K.)

Informed Consent

End of Life

AARP (Resources for organizing end-of-life issues/concerns)

Dying Well.com

Mental Health

Ethics and Malpractice (Index to articles, books and Internet sites)

Mental Health Infosource

Home Care / Palliative Care

Canada Caregiver Coalition

Family Caregiver Alliance

Home Care Ethics

Ontario Home Care Association

Palliative Care Tips (Alberta)

The Care Guide (US)

Continuting Care Programs (Nova Scotia)

Medical Error

American Academy of Family Physicians (case studies and discussion on medical errors)

Disclosure of Medical Error (This article appeared in Canadian Medical Association Journal, February 2001)

Institute for Safe Medication Practices (Canada)

Transweb.org (Everything you need to know about organ transplantation and donation)

Health Canada (A Coordinated and Comprehensive Donation and Transplantation Strategy for Canada)

Religion & Ethics

Ethical and Religious Directives for Catholic Health Care Services (U.S)

Islamic Views on Medical Ethics

Religions in Canada

Resuscitation / DNRs

DNRs (U.S)

Deciding about CPR: Do Not Resuscitate orders

Tube Feeding & Artificial Nutrition

Continuous Care (Discussions about the effects of discontinuing tube feeding)

Elder Hope (Information about tube feeding and hydration)

Medical, legal and ethical issues around tube feeding

Tube Feeding Options at the End of Life