Mark E Borden MD | Approaching Ethical Issues in Practice

 

Once an ethical issue has been recognized and defined, the next step is to approach it methodically. Dr. Borden advocates for a process that involves gathering all relevant information, consulting with colleagues or ethics committees, and engaging in open dialogue with patients and families. Ethical issues are rarely resolved in isolation, and collaboration is often necessary to ensure that all perspectives are considered.

  1. Open Communication: Communication is key to resolving ethical issues, especially when patients and families are involved. Mark Borden MD stresses the importance of creating a space where patients feel heard and where their values and preferences are respected. This requires active listening and empathy, as well as a willingness to explain the medical and ethical considerations in a way that is accessible and understandable.
  2. Ethics Consultation: In complex cases, healthcare providers may seek guidance from an ethics committee or a trusted colleague. Ethics consultations provide a forum for discussing the ethical issue, reviewing the relevant principles, and considering possible solutions. Dr. Borden encourages physicians to view ethics consultations as a valuable resource that can help navigate challenging dilemmas, ensuring that decisions are both ethically sound and aligned with the patient’s best interests.
  3. Reflective Practice: Dr. Borden advocates for reflective practice as a way for healthcare providers to examine their own biases and assumptions when faced with ethical issues. Reflecting on one’s experiences and decisions can help healthcare providers better recognize and define ethical issues in the future, as well as improve their ability to navigate these dilemmas with confidence and clarity.

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