Bioethics
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REL/PHL 142 -- Semester 082
Rev. T. McFarland, C.PP.S., Ph.D.            M. 6:30-9:00 PM 

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Objectives: This course provides the student with an overview of the major theological/philosophical principles employed by bioethicists and application of these principles to important cases. We will discuss cases and current issues in bioethics in light of the Christian (Catholic) tradition. Central to our reflection will be how current practices affecting human life and health are consistent with humans being created in the image of God. At the end of the course, students will be able to understand, use and apply appropriate ethical principles to various issues in bioethics

This course is just the beginning, and it is my intention to acquaint you with the major principles, issues and resources in bioethics. We will also be examining attitudes, which shape the context for bioethical decisions in light of the Christian tradition. 


Texts:     First Do No Harm --Lisa Belkin. New York: Fawcett Crest, 1994. 
          Contemporary Catholic Health Care Ethics - David F. Kelly.  Washington DC: Georgetown University Press, 2004.
                        There are also a number of required articles on the course web site.

Recommended
Ethics of Health Care
. 3rd Ed. Benedict Ashley and Kevin O'Rourke. Washington, DC: Georgetown University Press, 2002. 
Contemporary Issues in Bioethics: A Catholic Perspective. James J, Walter and Thomas A. Shannon. Lantham, MD: Rowman and Litttlefield, 2005.
Health Care Ethics: Theological Foundations, Contemporary Issues and Controversial Cases. Panicola, Belde, et al. Winona, MN: Saint Mary Press, 2008.

You here to see the current web site for Hermann Hospital in Houston, Texas. This is the Hospital that we are reading about in Lisa Belkin's book First Do No Harm.

There are many good resources on the links page. Also, our library has a pretty good collection of books in bioethics/healthcare ethics under the call letters R724-6. 

Requirements: There will be a reflection paper, a bibliography, a short research paper on a bioethical issue and an ethics committee simulation.. You should follow a style guide (MLA, Chicago) and be consistent when writing papers. You can consult The Everyday Writer, the writing handbook that is used for Core as well as links on my web site for formatting questions.. I do look at issues of formatting in papers. Additionally, EBSCO will give the proper formatting for bibliographic entries.  Late papers will be docked points. 

There will also be three exams. Exams are usually short answer and essays. We also will be doing an ethics committee simulation, wherein you will be taking on the role of some one on an ethics committee. 


Special Needs: If you are a student with special needs, please see me privately sometime before the third week of the semester, so that arrangements can be made to facilitate your learning needs. 

Honesty: The papers, exams, and assignment are to be your work. Plagiarism in any form will not be tolerated. The penalty for this, or any infraction of the "Academic Honesty Policy" of the College (see Catalog, pp.53-4) will be at the minimum an "F" for the assignment, and a report filed with the Dean. 

I also expect students to attend class and to participate in discussions. You may have one unexcused absences, with no penalty. More than two unexcused absences will result in a full letter grade reduction. More than three unexcused absences will result in a failing grade! 

Class Calendar 
The online articles are available only to SJC students on campus network.

(The online readings are under construction 1-2-09, but dates are now correct 1-5-09)

January

  5 - Intro 
12 - Stories from the Front Lines
       Belkin, pp.3-159 & Kelly "Ethics Committees" pp. 229-244
19 -  More stories
        Belkin, pp. 160-349
"Institutional Ethics Committees: A New Vision" E-Ethics July 2002. Park Ridge Center for Health, Faith and Ethics.
Dugan, Dan. "Ethics Committees in Religious Hospitals: A Different Landscape." Park Ridge Center Bulletin: (22) August 2001.
Nelson, William A. "Addressing Organizational ethics. How to expand the scope of a clinical ethics committee to include organizational issues." Healthcare Executive 23, no. 2 (March 2008): 43.

Recommended
Michael A. Gillette, Ph.D., "Functions of an Ethics Program An Introduction to Doing Medical Ethics" Bioethical Services of Virginia, Inc..
26 - Kelly,  "Theological Basis" pp. 1-47 (Reaction Paper)

February

  2  - Kelly, "Method" pp. 51-87  EXAM
  9 -  Kelly "Method" (cont'd) Birth Control pp. 88-123 
Smugar, Steven, Spina, Bernadette, Metz, Jon. "Informed Consent for Emergency Contraception: Variability in Hospital Care of Rape Victims." American Journal of Public Health; Sep 2000, Vol. 90 Issue 9, p1372-7.
Hamel, PhD, Ronald P., & Michael R. Panicola, PhD. "Emergency Contraception and Sexual Assault." Health Progress, September-October, 2002 Volume 83, Number 5.

Recommended
Paul VI Humanae Vitae. (1968)
16-  Kelly, "Applications" Ordinary & Extraordinary Means pp. 127-33
"Catholic Teaching on Prolonging Life: Setting the Record Straight." Hastings Center Report; Nov/Dec2001, Vol. 31 Issue 6, p14-25.
Wildes, Kevin W. "Ordinary and extraordinary means and the quality of life". Theological Studies; Sep 96, Vol. 57 Issue 3, p500-13.
23-  Kelly, "Applications" Killing & Allowing to Die pp. 134-42      (Bibliography due)
Congregation for the Doctrine of the Faith "Declaration on Euthanasia" May 5, 1980.
"Excerpts From the Supreme Court Oral Argument on Physician-Assisted Suicide". The Washington Post  Thursday, January 9, 1997; Page A16.
Sulmasy, Daniel P. 1998. "Killing and allowing to die: Another look." Journal of Law, Medicine & Ethics, Spring 98. 55-64.

Spring Break

March

 9 - Kelly, "Applications" Surrogate Decision-Making  pp. 143-169
Shepard, Randall T. "Family decision-making and forgoing treatment: A judicial perspective." Issues in Law & Medicine; Winter94, Vol. 10 Issue 3, p251, 10p.
Porter, Theresa, Johnson, Punporn, Warren, Nancy. "Bioethical Issues Concerning Death." Critical Care Nursing Quarterly; Jan-Mar2005, Vol. 28 Issue 1, p85-92. 
16-  Kelly "Applications" Advanced Directives & Nutrition & Hydration pp. 170-195
     
EXAM
Address of John Paul II to the Participants in the International Congress on "Life Sustaining Treatments and Vegetative State: Scientific Advances and Ethical Dilemmas". Saturday, 20 March 2004
Barry, Robert. "The Papal Allocution on Caring for Persons in a "Vegetative State"." Issues in Law & Medicine 20, no. 2 (Fall2004 2004): 155-164.
Fins, Joseph J. "Rethinking Disorders of Consciousness: New Research and Its Implications.Hastings Center Report; Mar/Apr2005, Vol. 35 Issue 2, p22-24.
Gigli, G.L. "Persistent vegetative state: let's not blow out the candle." Neurological Sciences; Dec2002, Vol. 23 Issue 5, p251-5.
Shannon, Thomas A., Walter, James J. "Assisted Nutrition and Hydration and the Catholic Tradition" Theological Studies, Sep. 2005, Vol. 66, Issue 3.
Hamel, Ronald, Panicola, Michael. "Must We Preserve Life?" America; 4/19/2004, Vol. 190 Issue 14, p6-13.
Repenshek, Mark, Slosar, John Paul  "Medically Assisted Nutrition and Hydration: A Contribution to the Dialogue."  Hastings Center Report; Nov/Dec2004, Vol. 34 Issue 6, p13-16.
Sieger, Carol, Arnold, Jason, Ahronheim, Judith. "Refusing Artificial Nutrition and Hydration: Does Statutory Law Send the Wrong Message?" Journal of the American Geriatrics Society; Mar2002, Vol. 50 Issue 3, p544-550.
Sulmasy, Daniel. "Terri Schaivo and the Roman Catholic Tradition of Forgoing Extraordinary Means of Care."  Journal of Law, Medicine & Ethics; Summer 2005, Vol. 33 Issue 2, p359-362. 
23- Kelly, "Applications" Physician Assisted Suicide/Medical Futility pp. 196-219
Engelhardt, H. Tristram, Smith Iltis, Ana. "End-of-life: the traditional Christian view." Lancet; 9/17/2005, Vol. 366 Issue 9490, p1045-1049, 5p.
Amundson, Ron, Taira, Gayle. "The Effect of Life Experience on the Perceived Morality of the Policy of Physician-Assisted Suicide."  Journal of Disability Policy Studies; Summer 2005, Vol. 16 Issue 1, p53-57, 5p.
Pearlman, Robert A., et. al. "Motivations for Physician-assisted Suicide." Journal of General Internal Medicine;  Mar2005, Vol. 20 Issue 3, p234-239, 6p.
Gentzler, Jyl. "What is a Death With Dignity?" Journal of Medicine & Philosophy; Aug 2003, Vol. 28 Issue 4, p461-487, 27p.
Winenerg, Howard, Werth, James L. "Physician-Assisted Suicide in Oregon: What are the Key Factors?". Death Studies; Jul2003, Vol. 27 Issue 6, p501, 18p. 
Stevens Jr., Kenneth R. "Emotional and Psychological Effects of Physician-Assisted Suicide and Euthanasia on Participating Physicians." Issues in Law & Medicine 21, no. 3 (Spring2006 2006): 187-200.
30- Kelly, "Applications" Pain Management pp. 220-228
   Ethics Committee Simulation
Chrystal-Frances, Eileen. "Palliative Care: A Discussion of Management and Ethical Issues." Nursing Forum; Apr-Jun2003, Vol. 38 Issue 2, p25, 4.
Hoffmann, Diane E. "Pain Management and Palliative Care in the Era of Managed Care: Issues for Health Insurers." Journal of Law, Medicine & Ethics; Winter98, Vol. 26 Issue 4, p267, 23p. 

April

 6 - Kelly, "Applications" Stem Cells/Genetic Engineering pp. 245-269
Childress, James F. "Human Cloning and Human Dignity: The Report of the President's Council on Bioethics." Hastings Center Report; May/Jun2003, Vol. 33 Issue 3, p15-18.
Dresser, Rebecca. "Designing Babies: Human Research Issues." IRB: Ethics & Human Research; Sep/Oct2004, Vol. 26 Issue 5, p1-8.
Elster, Nanette. "Assisted Reproductive Technologies: Contracts, Consents, and Controversies." American Journal of Family Law; Winter2005, Vol. 18 Issue 4, p193-199.
Mahoney, Jack. "Christian doctrines, ethical issues, and human genetics." Theological Studies 64 no 4 D 2003, p 719-749.
McKibben, Bill., Kraft, Stephanie. "Design-a-kid." Christian Century; 5/17/2003, Vol. 120 Issue 10, p22-9.

13 - No Class (Easter)
20 - Kelly, "Applications" Allocations Arguments  pp. 270-296     Paper Due
Organ Allocation Policies
"Inequities in Allocating Medical Care for Critically Ill Patients Prompt Nationwide Study of ICU Rationing Practices." Critical Care Nursing Quarterly; Oct-Dec2003, Vol. 26 Issue 4, p332-334, 3p.
Floyd, Elizabeth J. "Healthcare Reform Through Rationing." Journal of Healthcare Management, Jul/Aug2003, Vol. 48 Issue 4, p233, 9p.

Prospects for the future

Charles Bouchard. "Bound by Fear: Health Care Reform Means Letting Go." Health Progress, Jan/Feb 2009 Volume 90.
Daniel Callahan. "The European Experience: Basis for U.S. Reform?" Health Progress Jan/Feb 2009, Volume 90.
Tan, MD, JD, S.Y ; Bradley Chun, MD; & Edward Kim, MD. "Creating a Medical Futility Policy." Health Progress. July/Aug. 2003, Volume 84. 

     

27                                                                  Final Exam 6:30 PM

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Page updated 01/08/2009 by
T. McFarland, C.PP.S. Assoc. Prof. of Religion
Saint Joseph's College.
Questions of comments about this page -- email timm@saintjoe.edu