An advance healthcare directive, also known as living will, personal directive, advance directive, medical directive or advance decision, is a legal document in which a person specifies what actions should be taken for their health if they are no longer able to make decisions for themselves because of illness or incapacity. In the U.S. it has a legal status in itself, whereas in some countries it is legally persuasive without being a legal document.
Bioethics is both a field of study and professional practice, interested in ethical issues related to health, including those emerging from advances in biology, medicine, and technologies. It proposes the discussion about moral discernment in society and it is often related to medical policy and practice, but also to broader questions as environment, well-being and public health. Bioethics is concerned with the ethical questions that arise in the relationships among life sciences, biotechnology, medicine, politics, law, theology and philosophy. It includes the study of values relating to primary care, other branches of medicine, ethical education in science, animal, and environmental ethics, and public health.
Medical ethics is an applied branch of ethics which analyzes the practice of clinical medicine and related scientific research. Medical ethics is based on a set of values that professionals can refer to in the case of any confusion or conflict. These values include the respect for autonomy, non-maleficence, beneficence, and justice. Such tenets may allow doctors, care providers, and families to create a treatment plan and work towards the same common goal. It is important to note that these four values are not ranked in order of importance or relevance and that they all encompass values pertaining to medical ethics. However, a conflict may arise leading to the need for hierarchy in an ethical system, such that some moral elements overrule others with the purpose of applying the best moral judgement to a difficult medical situation. Medical ethics is particularly relevant in decisions regarding involuntary treatment and involuntary commitment.
Medical humanities is an interdisciplinary field of medicine which includes the humanities, social science and the arts and their application to medical education and practice.
The Hastings Center is an independent, nonpartisan bioethics research institute and think tank based in Garrison, New York. It was instrumental in establishing the field of bioethics and is among the most prestigious bioethics and health policy institutes in the world.
Hans-Martin Sass, is a bioethicist. He is a Professor Emeritus of Philosophy at Ruhr University, Bochum, Germany, and a Senior Research Scholar Emeritus at the Kennedy Institute of Ethics at Georgetown University, Washington DC.
Mark Kuczewski is an American philosopher and bioethicist who has been a key contributor to the New Professionalism movement in medicine and medical education. In general, interest in professionalism has been widespread in medicine probably owing to the increasing regulatory and economic pressures on the practice of medicine. Many physicians have sought to identify the focal meaning of what it is to be a doctor in an effort to revitalize the profession. Kuczewski has been among a group that includes Richard and Sylvia Creuss, John Coulehan, and Matthew Wynia who see medical professionalism as including a commitment to social justice. That is, while professionalism entails such things as etiquette, communication skills, and basic medical ethics, professions are also expected to be leaders in educating the public and in advocating for the health of the public. Such leadership requires an understanding of the factors that lead some patient populations to be underserved and a commitment to bringing about social change to ameliorate these problems. The New Professionalism movement in medicine is a revival of communitarian bioethics that focus on the kinds of people and society we wish to be rather than on particular ethical questions of right and wrong. This focus on the relationship between the professional and the community can have important implications for medical education and professional development. While not eschewing case analysis and problem solving, the emphasis on the development of the person has created a renewed interest in narrative methods and reflection. Kuczewski has been an outspoken critic of efforts in medical education to focus on quantitative measures of professionalism education. He has argued that in an effort to make professionalism education “objective,” many medical educators are equating professionalism with trivial but easily measured behaviors. Kuczewski’s interest in professionalism and social justice has led him to pursue ethical issues in the interactions between medicine and recent immigrant populations. He has brought his work in communitarian and casuistic methods to bear on questions such as medical repatriation, insurance for undocumented immigrants, and the eligibility of DREAMers to become practicing physicians. His scholarship and advocacy was the catalyst for the Loyola University Chicago Stritch School of Medicine becoming the first medical school in the United States to explicitly welcome applications from DREAMers with Deferred Action for Childhood Arrivals (DACA) status. Under Kuczewski’s direction, the Neiswanger Institute for Bioethics and Health Policy at Loyola University Chicago has become a leader in educational programming to promote the relationship between medical professionalism and social justice. The Neiswanger Institute has contributed elements to the Stritch curriculum that explore the relationship between the business of medicine and social justice. The Institute also has online master of arts and doctoral programs that incorporating public health and leadership training in order to help health care professionals across the United States to promote service to the underserved. Kuczewski was elected president of the American Society for Bioethics and Humanities and served a two-year term from 2009 to 2011. The ASBH is the major professional association in the United States for individuals engaged in bioethics and medical humanities. During his term, the society aggressively began moving toward a process called Quality Attestation that will attest to the credentials and expected competence of clinical ethics consultants.
Clinical ethics support services initially developed in the United States of America, following court cases such as the Karen Ann Quinlan case, which stressed the need for mechanisms to resolve ethical disputes within health care. The Joint Commission on Accreditation of Healthcare Organizations requirement for hospitals, nursing homes, and home care agencies to have a standing mechanism to address ethical issues has also fostered this development.
Stephen Garrard Post has served on the Board of the John Templeton Foundation (2008-2014), which focuses on virtue and public life. He is a researcher, opinion leader, medical school professor, and best-selling author who has taught at the University of Chicago Medical School, Fordham University-Marymount, Case Western Reserve University School of Medicine (1988-2008) and Stony Brook University School of Medicine (2008-). He is widely known for his research on the ways in which giving can enhance the health and happiness of the giver, how empathy and compassionate care contribute to patient outcomes, ethical issues in caring for people with dementia, medical professionalism and the virtues, and positive psychology in relation to health and well-being. Post is an elected member of the College of Physicians of Philadelphia, the New York Academy of Medicine, and the Royal Society of Medicine, London. He was selected nationally as the Public Member of the United States Medical Licensing Examination (USMLE) Composite Committee (2000-2005), and was reappointed for outstanding contributions.
Islamic bioethics, or Islamic medical ethics, refers to Islamic guidance on ethical or moral issues relating to medical and scientific fields, in particular, those dealing with human life.
Jamie Lindemann Nelson is a philosophy professor and bioethicist currently teaching at Michigan State University. Nelson earned her doctorate in philosophy at the State University of New York at Buffalo in 1980 and taught at the University of Tennessee at Knoxville and St. John's University before moving to Michigan State University. In addition, Nelson was an Associate for Ethical Studies at The Hastings Center from 1990–95 and is both a Woodrow Wilson Visiting Fellow and a Fellow of the Hastings Center. Nelson usually teaches courses on biomedical ethics, ethical theory, moral psychology, feminist theory, and philosophy of language.
The MacLean Center for Clinical Medical Ethics, founded in 1981, is a non-profit clinical medical ethics research institute based in the United States. Founded by its director, Mark Siegler, the MacLean Center for Clinical Medical Ethics aims to improve patient care and outcomes by promoting research in clinical medical ethics by educating physicians, nurses, and other health care professionals and by helping University of Chicago Medicine patients, families, and health care providers identify and resolve ethical dilemmas. The center has trained over 410 fellows, including many physicians, attorneys, PhDs and bioethicists.
Jeffrey Paul Bishop is a philosopher, bioethicist, author and the Tenet Endowed Chair of Health Care Ethics at Saint Louis University. The director of the Albert Gnaegi Center for Health Care Ethics, he is most widely recognized and cited for work in medical ethics as relating to death and dying in addition to contributions in the field of medical humanities. Bishop is a physician, holds a Doctorate of Philosophy from the University of Dallas and serves on the editorial boards of both the Journal of Medicine and Philosophy and the Journal of Christian Bioethics for Oxford University Press.
Daniel Sulmasy is an American medical ethicist and former Franciscan friar. He has been Acting Director of the Kennedy Institute of Ethics and on the faculty of the Pellegrino Center for Clinical Bioetics was also named He is the inaugural Andre Hellegers Professor of Biomedical Ethics, with co-appointments in the Departments of Philosophy and Medicine at Georgetown.
John F. Kilner is a bioethicist who held the Franklin and Dorothy Forman endowed chair in ethics and theology at Trinity International University, where he was also Professor of Bioethics and Contemporary Culture and Director of Bioethics Degree Programs. He is a Senior Fellow at The Center for Bioethics & Human Dignity (CBHD) in Deerfield, Illinois, where he served as Founding Director until Fall 2005.
Jessica Wilen Berg is an American attorney and specialist in Public Health (MPH), currently serving as co-Dean at Case Western Reserve University School of Law, the first female co-Dean or Dean in the law school's 129-year history. She is also Tom J.E. and Bette Lou Walker Professor of Law,Professor in the Departments of Bioethics, and of Population and Quantitative Health Sciences at the CWRU School of Medicine. She is a reference book author in the area of informed consent. Her scholarly opinion is often reported by institutions and media on ethical aspects iof innovative biomedical procedures.
Nancy Ann Silbergeld Jecker is a bioethicist, philosopher, and author. She is Professor of Bioethics and Humanities at the University of Washington School of Medicine, Department of Bioethics and Humanities, with Adjunct Professorships at the university's Department of Philosophy, School of Law, and Department of Global Health. She also holds visiting professorships at the University of Johannesburg, Gauteng South Africa and the Chinese University of Hong Kong Centre for Bioethics
William Francis May was an American ethicist, academic, theologian, and ordained Presbyterian minister. His work focused primarily on questions of medical and bioethics, professional ethics in general, and public responsibility and policy.
