Omaha, Nebraska, has a lead-contaminated superfund site and substandard housing that pose risks for childhood lead exposure. Healthy Housing Omaha (formerly, Omaha Healthy Kids Alliance), an environmental health nonprofit, partnered with the fourth author, an artist, and a newspaper to…
Current literature on the therapeutic outcomes of youth engagement in active music-based interventions is limited in terms of both the number of studies and methodology. This pilot study combined phenomenology and quantitative measures of self-esteem and self-efficacy to explore the…
The arts can touch places that are difficult to recognize and understand, capture in words, or measure by numbers whether you’re an artist, a patient, or an educator. This ineffability presents a dilemma for practitioners and researchers in arts in…
Palliative surgery is often defined as surgical intervention with intent to improve a patient’s quality of life by relieving suffering secondary to symptoms of advanced disease. In the context of shared decision making about palliative surgery intervention, tensions can arise…
How surgeons describe procedures should be accurate, precise, and concordant with patients’ values. By focusing on intention rather than realistic goals, terms like curative and palliative, when applied to high-stakes operations, such as a Whipple pancreaticoduodenectomy, can be confusing to…
When a patient is diagnosed with an advanced head and neck cancer, a decision about whether to have surgery can dominate what remains of that patient’s life: prospective benefits can be limited, and complication risks can be high. Realizing dual…
Values, preferences, and goals all affect patient autonomy. Their meanings are often conflated, so this article clarifies them and also distinguishes between hope and wish. Ethical investigation of preoperative and postoperative clinician family communication in surgical intensive care units is…
Noncurative surgeries intended to relieve suffering during serious illness or near end of life have been analyzed across palliative settings. Yet sparse guidance is available to inform clinical management decisions about whether, when, and which interventions should be offered when…
Use of force in the care of patients with severe anorexia nervosa is controversial but can be justified when the disorder becomes life-threatening. However, even when forced treatment is ethically justified, care teams must navigate clinical and moral complexities, including…
This article focuses on uses of force in clinical settings after a triggering event a behavioral or medical crisis and considers how force should be implemented. The clinical stakes are high, as force can undermine therapeutic capacity in patient-clinician relationships,…
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