Title |
Neuroethics and Disorders of Consciousness: Discerning Brain States in Clinical Practice and Research
|
---|---|
Published in |
The AMA Journal of Ethic, December 2016
|
DOI | 10.1001/journalofethics.2016.18.12.ecas2-1612 |
Pubmed ID | |
Authors |
Joseph J Fins |
Abstract |
Decisions about end-of-life care and participation in clinical research for patients with disorders of consciousness begin with diagnostic discernment. Accurately distinguishing between brain states clarifies clinicians' ethical obligations and responsibilities. Central to this effort is the obligation to provide neuropalliative care for patients in the minimally conscious state who can perceive pain and to restore functional communication through neuroprosthetics, drugs, and rehabilitation to patients with intact but underactivated neural networks. Efforts to bring scientific advances to patients with disorders of consciousness are reviewed, including the investigational use of deep brain stimulation in patients in the minimally conscious state. These efforts help to affirm the civil rights of a population long on the margins. |
X Demographics
Geographical breakdown
Country | Count | As % |
---|---|---|
Ireland | 2 | 20% |
United Kingdom | 1 | 10% |
Mexico | 1 | 10% |
United States | 1 | 10% |
Unknown | 5 | 50% |
Demographic breakdown
Type | Count | As % |
---|---|---|
Members of the public | 5 | 50% |
Scientists | 3 | 30% |
Practitioners (doctors, other healthcare professionals) | 2 | 20% |
Mendeley readers
Geographical breakdown
Country | Count | As % |
---|---|---|
Unknown | 56 | 100% |
Demographic breakdown
Readers by professional status | Count | As % |
---|---|---|
Student > Master | 7 | 13% |
Researcher | 6 | 11% |
Other | 5 | 9% |
Student > Bachelor | 5 | 9% |
Student > Ph. D. Student | 5 | 9% |
Other | 12 | 21% |
Unknown | 16 | 29% |
Readers by discipline | Count | As % |
---|---|---|
Medicine and Dentistry | 16 | 29% |
Neuroscience | 10 | 18% |
Psychology | 5 | 9% |
Biochemistry, Genetics and Molecular Biology | 2 | 4% |
Nursing and Health Professions | 2 | 4% |
Other | 4 | 7% |
Unknown | 17 | 30% |