PA Quandaries Articles

Is banning direct-to-consumer advertising (DTCA) consistent with bioethical principles?

Kevin Michael O'Hara, MMSc, PA-C August 11, 2010

The impact of DTCA on patients' expectations and PAs' responsibility to provide bioethical treatment are reviewed.
 

Is it ethically permissible to mandate influenza vaccination for health care workers?

Ralph Rice, MPAS, PA-C June 09, 2010

Patient autonomy does not always transcend to health care workers. The author makes a case for patient safety to be an overruling factor.
 

Eyes wide shut: Can casual use of medical evidence cause harm and erode bioethical values?

Jim Anderson, PA-C, ATC, Diane Bruessow, RPA-C; F.J. Gianola, PA, DFAAPA April 23, 2010

A complex patient case illustrates a range of societal and clinical biases and the impact these biases can have on patient care.
 

Why physician assistants should consider joining the hospital ethics committee

Jim Anderson, PA-C, ATC February 18, 2010

Service on an ethics committee allows PAs to learn how to apply bioethical principles, and it allows their colleagues to learn more about PAs.
 

The ethics of using placebos for diagnosis and treatment in clinical practice

F. J. Gianola, PA, DFAAPA December 21, 2009

The case of a man with lifelong allergies suggests that a placebo, used honestly and openly, may be a useful therapeutic tool.
 

Terminating your professional relationship with a patient

F. J. Gianola, PA, DFAAPA April 02, 2009

In a previous installment of this column, we discussed the duty to treat in times of health and safety disasters. Does the same duty to treat exist when personal threat, abuse, and possible injury are being committed by a member of your patient's family?
 

Ethical issues surrounding deep brain stimulation in Parkinson's disease

Sierra M. Farris, MPAS, PA-C; F.J. Gianola, PA, DFAAPA February 19, 2009

The team at the clinic faced a dilemma. Should they remove the DBS because it was contributing to the difficulties with nursing home placement? Or should they refuse to remove the DBS because it eased Mrs. D.'s symptoms, even though this would increase the burden of care on her family?
 

The physician assistant's professional obligations and the values of faith

F.J. Gianola, PA, DFAAPA October 01, 2008

Guadalupe Benitez had been with her same-sex partner for many years. They wanted to start a family, but Ms. Benitez had fertility problems due to polycystic ovarian syndrome. Her primary care physician referred her to an infertility clinic, which had the exclusive contract to provide infertility services for members of her insurance plan.
 

Beneficence versus maleficence: Can this PA participate in an execution?

F. J. Gianola, PA, DFAAPA April 01, 2008

The PA asks, "May I place the IV and be present at Mr. Y's execution? Is it unethical to do this?
 

When a competent elderly man refuses nursing home placement

F. J. Gianola, PA, DFAAPA February 01, 2008

Mr. James is a 98-year-old single gentleman living with his 92-year-old brother in a one-bedroom apartment. Should Mr. James be placed in a nursing home against his will, and if so, how?
 

This material may not be published, broadcast, rewritten or redistributed in any form without prior authorization.

Your use of this website constitutes acceptance of Haymarket Media's Privacy Policy and Terms & Conditions