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Page 1 of 13

Complex Ethics Consultations
  • Cases That Haunt Us in a New Era
  • Volume 2
  • Edited by Denise M. Dudzinski, Kaarkuzhali Babu Krishnamurthy, Paul J. Ford
  • Coming soon
  • Expected online publication date:
    December 2025
    Print publication:
    31 December 2025
  • Clinical ethics consultants navigate some of the most challenging cases in patient care, public health, and healthcare policy. The second volume richly details haunting cases pertaining to perinatal, paediatric, and end-of life issues; neurodiversity; disability; and employment of high-tech devices. Authors explain distinctive features of consultations in rural and pandemic contexts and complicated transitions into and out of inpatient care. Cases are grouped together by theme and organized uniformly. Each chapter includes a case presentation, the authors' professional reflections, description of haunting aspects, case outcome, and questions for discussion. Organizational ethics factors into many of the cases. The authors honestly describe the affective aspects of their work, including lingering regrets, doubts, and moral distress. They pay special attention to justice, equity and inclusivity. It is a fascinating and important read for clinicians and bioethicists engaged in clinical ethics consultations as well as ethics committee members and students.

  • Introduction to the First Edition

  • Edited by Paul J. Ford, The Cleveland Clinic Foundation, Cleveland, Denise M. Dudzinski, University of Washington School of Medicine, Seattle
  • Book:
    Complex Ethics Consultations
    Published online:
    17 May 2025
    Print publication:
    05 June 2025, pp 4-14

  • Summary

    The cases in this volume exemplify a rich cross-section of consultation experiences from which we can learn. The authors tell stories and share personal responses connected to deeply affective clinical ethics cases in which they consulted. None of these authors has selected an easy case. Ambiguity, second-guessing, and regret permeate their stories and reflections. They show great courage in laying bare such things as potential missteps, institutional impotence, and interpersonal struggles. Through their openness, we have amassed a rare collection of stories from which to learn about real-life challenges encountered by clinical ethics consultants in the incredibly complex world of contemporary health care.

  • Introduction

  • Edited by Paul J. Ford, The Cleveland Clinic Foundation, Cleveland, Denise M. Dudzinski, University of Washington School of Medicine, Seattle
  • Book:
    Complex Ethics Consultations
    Published online:
    17 May 2025
    Print publication:
    05 June 2025, pp 1-3

  • Summary

    Clinical ethics consultations can be haunting. Ethics consultants have few opportunities to reflect on the affective impact of their work. This book offers detailed cases, confessions, reflections, regrets, and triumphs experienced by ethics consultants. The authors bravely share what haunts them about the complex and demanding work of ethics consultation. Consultants experience moral distress but it’s rarely discussed. Our values are woven into the consultation. We’re not always sure if this is for better or worse. One poignant case may haunt us for our entire career. The second edition of the book includes the cases written by original authors regarding neonatology, pediatrics, palliative care, psychiatry, religious and cultural values, clinical innovation, professionalism, and organizational ethics. The book includes educational activities for ethics committees, consultants, and students at all levels of study. In the second edition, new authors reflect on clinical ethics practice, highlight how our practices have changed, and reflect on equity and diversity dimensions of patient care and ethics consultations.

Page 1 of 13