Harborview Ethics Forum | Bioethics Grand Rounds
Tuesday, April 18, 2023 - 15:30
Endocarditis and Substance Use Disorder: Ethical dilemmas in dual disease
Panel
Featuring (left to right below):
Laura Katers, PA-C, MCHS, MS, Jim Kirkpatrick, MD, Jamie Shirley, PhD, RN, Keri Nasenbeny, MHA)
Description
Endocarditis in the context of substance use disorder raises multiple ethical issues and is well-recognized as presenting challenging conundrums. A not-infrequent complication of intravenous drug use, endocarditis is a life-threatening disease with a high morbidity and mortality. Care planning must directly and realistically address addiction, while also implementing complex clinical interventions. This interactive, case-based session will equip participants with skills to discuss resource utilization, futility, and moral distress, in the context of providing compassionate care.
Objectives
- Recognize ethical dilemmas related to managing care of patients with endocarditis and substance use disorder
- Describe strategies for discussing resource utilization and futility in this context
- Identify causes and approaches to addressing moral distress in these cases