Harborview Ethics Forum | Bioethics Grand Rounds

Tuesday, April 18, 2023 - 15:30
Endocarditis and Substance Use Disorder: Ethical dilemmas in dual disease

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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