Literature Review
All posts tagged with “Ethics.”
New Mexico nurse assistant charged with hospice fraud, misconduct
09/04/25 at 03:00 AMNew Mexico nurse assistant charged with hospice fraud, misconduct Hospice News; by Holly Vossel; 8/29/25 A federal grand jury in Bernalillo County, New Mexico, has indicted a certified nurse assistant for their alleged involvement in a hospice fraud scheme. Potential sentencing includes more than two decades of imprisonment. April Guadalupe Hernandez, 27, was an employee of Luna Del Valle Hospice, LilyCare of New Mexico and Hospice De La Luz. She allegedly assumed the identities of hospice nurses and illegally provided care to patients, according to a statement the New Mexico Department of Justice (NMDOJ) released on Wednesday. Hernandez is charged with 19 counts of misconduct including allegations of identity theft, elder abuse, nursing without a license and Medicaid fraud, among other charges.
NMDOJ charges ‘imposter nurse’ who treated hospice patients in Albuquerque
09/02/25 at 03:00 AMNMDOJ charges ‘imposter nurse’ who treated hospice patients in Albuquerque KRQE News, Albuquerque, NM; by Fallon Fischer; 8/28/25 A certified nurse assistant in Albuquerque is facing charges for allegedly stealing the identities of three nurses and illegally providing care to hospice patients, and in one case, almost causing one patient to die via a morphine overdose, according to the New Mexico Department of Justice. This week, a Bernalillo County grand jury issued an indictment against April Guadalupe Hernandez, 26, for 19 counts of misconduct including identity theft, nursing without a license, fraud totaling approximately $40,000, abuse of a resident, violations of the Nursing Practice Act and more. “To exploit trusting patients in their most vulnerable moments is unconscionable,” Attorney General Raúl Torrez stated in part, in a news release.
Fed action toward medical journals is “dangerous,” ethicist says
09/02/25 at 03:00 AMFed action toward medical journals is “dangerous,” ethicist saysMedscape; by Arthur L. Caplan; 8/26/25Not so long ago, a letter was sent by a federal prosecutor to a journal editor that I think raises issues that ought to be not partisan and not political, but that physicians and physician researchers have to make clear they oppose... [The editor] got this letter that basically said the US attorney was asking, how does your journal handle “misinformation and competing viewpoints,” among other things... This is a fundamental misunderstanding of what journals are about. As I hope all of you watching understand, journals are aimed at medical people, at researchers, and at people who work in healthcare. They’re not the modality for educating the public... Medical journals - whether you read them or whether you use them to disseminate your research, findings, or clinical experience - ought to be removed from government intrusion.
'I helped him out': Grandson loaded his 90-year-old grandfather 'full of f—ing pain meds' and Ambien to 'ease him' to his 'next life' while stealing his house, police say
08/13/25 at 03:00 AM'I helped him out': Grandson loaded his 90-year-old grandfather 'full of f—ing pain meds' and Ambien to 'ease him' to his 'next life' while stealing his house, police say Law & Order, The Palm Bay, FL; by Chris Perez; 8/12/25 A former county official in Florida claims he "helped" his 90-year-old grandfather out by killing him with a deadly cocktail of Ambien, morphine and other prescription drugs, according to cops. Christopher Balter, 35, is currently charged with delivery of a controlled substance and forgery after he allegedly attempted to forge signatures onto a "quitclaim deed" — a legal document used to transfer ownership of real estate — just weeks before Gilbert Balter's death on Feb. 1, police say. Christopher Balter's arrest affidavit outlines how he allegedly discussed and admitted to friends that he killed his grandpa while the nonagenarian was in home hospice care at a residence in Brevard County earlier this year. He allegedly claimed in phone calls that Gilbert Balter "never wanted to live like that" and had asked his grandson to take his life.
New York indicts two under the state's new deed theft law; how to protect your home
08/12/25 at 03:00 AMNew York indicts two under the state's new deed theft law; how to protect your home Consumer Affairs; by James R. Hood; 8/11/25 New York Attorney General Letitia James has announced the indictments of two people accused of orchestrating a brazen deed theft targeting an elderly widow in Kew Gardens Hills while she was receiving end-of-life hospice care in her home. Deepa Roy, 68, of Manhattan, and Victor Quimis, 39, of Queens, allegedly forged the signature of Mrs. Renuka Bherwani to unlawfully transfer ownership of her home — which she had owned for nearly four decades — first to themselves, then to Quimis’s company, Hunter Studios & Developer Corp.
Inmate serving life for murdering Lancaster County woman in 2015 seeks compassionate release
08/11/25 at 03:00 AMInmate serving life for murdering Lancaster County woman in 2015 seeks compassionate release Fox 43, Lancaster County, PA; by Keith Schweigert; 8/8/25 A state prison inmate serving a life sentence for killing a Lancaster County woman after she ended their relationship in 2015 has filed a petition asking for a compassionate release so that he can die at home, according to court records. Randall Shriner, 68, has less than six months left to live due to stage-five kidney disease, according to an emergency petition filed by his attorney on July 30. ... According to the Pennsylvania Institutional Law Project, the statute allows courts to grant a compassionate release under two circumstances:
Terri Schiavo’s legacy: When to ethically stop life support
08/06/25 at 03:00 AMTerri Schiavo’s legacy: When to ethically stop life support Medscape; by Arthur L. Caplan; 8/30/25 Hi. I’m Art Caplan. I'm at the Division of Medical Ethics at NYU Grossman School of Medicine in New York City. Twenty years ago this month, from the time I'm talking with you, in March 2005, a young woman named Terri Schiavo was allowed to die. It was one of the most controversial, and probably the most important, end-of-life-care cases ever to unfold in the United States. ... Do we have to make a more precise diagnosis of permanent vegetative state before we get into arguments about what to do next? I do believe also that it's important, if you are dealing with someone who's terminally ill or has a serious illness, to get the discussion going early about who's in charge. We still have fights between husbands, families, sisters, and cousins coming in about who has veto power or decision-making power. The earlier we can establish who it is that the patient wants to speak for them if they can't, the better.
Tennessee plans to execute inmate amid concerns his heart implant will shock him repeatedly
08/05/25 at 03:00 AMTennessee plans to execute inmate amid concerns his heart implant will shock him repeatedly CNN; by Dakin Andone; 8/4/25 Tennessee plans to execute Byron Black on Tuesday for the 1988 murders of a woman and her two young daughters, despite concerns from his attorneys that a device implanted to restore his heartbeat could repeatedly shock him as he’s put to death. The device – an implantable cardioverter-defibrillator, or ICD – is at the center of a court battle that has been unfolding for several weeks. Black’s attorneys want the device deactivated at or immediately before his lethal injection Tuesday morning. If it isn’t, they say the effects of the lethal injection drugs will cause the ICD to shock Black’s heart, perhaps repeatedly, in an attempt to restore it to a normal rhythm. This will cause Black a prolonged and torturous execution, the attorneys argue, violating Eighth Amendment protections against cruel and unusual punishment.Editor's Note: Though this is not a hospice case, this traumatic scenario for persons with implantable cardioverter-defibrillator being repeatedly shocked--even after death--is crucial for the hospice interdisciplinary to know. Clinical, ethical, and legal issues abound. Click here for Shocked at End-of-Life: An Educational Video for Hospice Workers about Implantable Cardioverter-Defibrillators, research published by the Journal of Pain and Symptom Management, May 2024.
Hospices navigating ethically complex end-of-life situations
07/28/25 at 03:00 AMHospices navigating ethically complex end-of-life situations Hospice News; by Holly Vossel; 7/25/25 The final stages of life can be filled with challenging, nuanced situations for some patients and their families. Ensuring goal-concordant care and autonomous end-of-life decision-making requires careful ethical, legal and operational considerations. Staff education and proactive policy development are important for hospices to harness in complex situations, according to Jeanne Chirico, president and CEO of the Hospice & Palliative Care Association of New York State (HPCANYS). A number of difficult life circumstances can limit hospices’ ability to provide patients with care that is in line with their wishes, Chirico indicated. Hospices need to have a firm understanding of the possible ethical and legal limitations that staff may encounter, as well as establish procedures that help address them.
Hospice nurse who amputated patient’s foot without permission for use in sickening taxidermy display escapes jail sentence
07/16/25 at 03:00 AMHospice nurse who amputated patient’s foot without permission for use in sickening taxidermy display escapes jail sentence New York Post; by Chris Nesi; 7/13/25 A Wisconsin nurse who amputated a patient’s frostbitten foot without authorization and planned to use it as a ghoulish display in her family’s taxidermy shop was given a sweetheart plea deal in which she’ll serve no time in prison and pay just $443 in court costs. ... The patient died days later, though no definitive link was made between his death and the amputation, according to a criminal complaint. ... The victim, Doug McFarland, was being treated for severe frostbite in both feet after suffering a fall in his home. His feet had become necrotic — remaining attached to his leg by only a tendon and two inches of skin — and he was moved to hospice care, according to KSTP. After cutting off his right foot — which she referred to as “mummy feet” — she told nursing home colleagues she planned to preserve the foot and display it in a taxidermy shop owned by her family as a graphic warning about the dangers of frostbite. ... Although Brown escaped a jail sentence, she may face disciplinary proceedings from the Wisconsin Board of Nursing and is no longer allowed to work as a caregiver in any capacity.
Family of brain-dead mom, Adriana Smith, inspires Georgia bill to protect pregnant patients
07/15/25 at 02:00 AMFamily of brain-dead mom, Adriana Smith, inspires Georgia bill to protect pregnant patients BET*; by Jasmine Browley; 7/7/25 During a memorial to Adriana Smith, state Rep. Park Cannon unveiled new legislation aimed at giving patients and their families more control over Georgia's severe abortion law. ... Smith's case received global attention due to its unique and contentious circumstances. On February 9, Smith began complaining about headaches. The young nurse and her mother sought assistance at two separate hospitals before being discharged with medicine but no CT scan. A week later, Smith was discovered unresponsive at home, and on February 19, she was formally pronounced brain-dead and placed on life support. Her mother, April Newkirk, told WXIA that doctors at Emory Hospital claimed they couldn't legally examine any additional choices. ... In June, a few days after doctors performed an emergency cesarean surgery to prematurely deliver her baby, the young mother of two was taken off life support. ... Smith's son Chance, born at six months, weighed only one pound and thirteen ounces. ... Cannon's proposed new law would have returned control of Smith's end-of-life care to her family, who were not consulted before physicians put her on life support to save her six-week-old fetus. ... Adriana's Law would take precedence over Georgia's LIFE ACT, ...
What might the past suggest about rural emergency services amidst critical access hospitals’ decline?
07/08/25 at 03:00 AMWhat might the past suggest about rural emergency services amidst critical access hospitals’ decline? AMA Journal of Ethics, American Medical Association; by Siân Lewis-Bevan, MD, MPH, EMT-B and Stephen Powell, MD; July 2025Critical access and other rural hospitals have struggled to remain open, which exacerbates inequity in rural residents’ access to routine and emergency health services and strains already-taxed rural emergency medical services (EMS). This article discusses the recent history of rural hospital closures and their effects on rural emergency care. This article also suggests modifications to EMS policy and practice that could improve rural community members’ access to health services and bolster EMS services in rural areas.
Bioethicists must push back against assaults on diversity, equity, and inclusion
06/30/25 at 03:00 AMBioethicists must push back against assaults on diversity, equity, and inclusionThe American Journal of Bioethics; by Nancy S. Jecker, Arthur Caplan, Vardit Ravitsky, Patrick Smith, Kayhan Parsi, Sandra Soo-Jin Lee, Faith Fletcher, Mildred Cho, Keisha Ray; 6/25Nine leading bioethicists, including Hastings Center President Vardit Ravitsky, call for bioethics to affirm its core commitment to justice and act against the dismantling of diversity, equity, and inclusion. In an editorial published in the American Journal of Bioethics, they highlight the current administration’s broadside attack against diversity, equity, and inclusion in higher education, the federal government, and the private sector. “Years of research and data gathering have shown that removing barriers facing marginalized groups improves population health and promotes health justice,” they write.
A pregnant brain-dead woman in Georgia was kept on life support. Experts say it raises ethical, legal questions
06/25/25 at 03:00 AMA pregnant brain-dead woman in Georgia was kept on life support. Experts say it raises ethical, legal questionsABC News; by Mary Kekatos; 6/19/25Adriana Smith, a brain-dead woman in Georgia, was kept on life support until her fetus was viable. Experts say it raises ethical and legal questions. Adriana Smith, a 31-year-old Georgia nurse and mother, was just eight weeks pregnant when she was declared brain dead in February after suffering a medical condition. However, the family claims the hospital told them legally she had to be kept on life support to allow the fetus to grow. The family claims doctors told them they were not legally allowed to consider other options, according to local Atlanta station 11Alive. Last week, Smith's baby was born by emergency Caesarean section, weighing under 2 pounds and needing care in the neonatal intensive care unit (NICU), reported 11Alive.Publisher's note: This situation raises numerous ethical end-of-life questions - highlighting the importance of hospices having or connecting with local ethics experts.
How long was Adriana Smith on life support? Brain‑dead nurse's baby delivered by C‑section
06/20/25 at 03:00 AMHow long was Adriana Smith on life support? Brain‑dead nurse's baby delivered by C‑section Enstarz; by David Unyime Nkanta; 6/18/25 The 31-year-old nurse was declared brain dead early in her pregnancy—her baby was born via C-section nearly four months later, sparking legal and ethical debate. Adriana Smith, a 31‑year‑old nurse in Atlanta, was declared brain dead in mid‑February after suffering serious blood clots in her brain. Despite devastating diagnosis, she remained on life support for nearly four months—a decision doctors said was legally necessary under Georgia's strict abortion laws. This rare case of maternal somatic support—keeping a brain-dead woman alive to deliver a baby—is highly unusual. On 13 June, doctors at Emory University Hospital performed an emergency c‑section, delivering a boy they named Chance, weighing just 1 lb 13 oz (around 830 g). ... Smith's mother, April Newkirk, described the ordeal as 'torture,' saying: 'I see my daughter breathing, but she's not there.' The family maintain that they were never allowed to make treatment decisions, a situation that has deeply distressed them and prompted calls for change.
Physician end-of-life preferences expose stark differences
06/19/25 at 03:00 AMPhysician end-of-life preferences expose stark differences Psychiatrist.com; by Denis Storey; 6/10/25 Clinical relevance: Research reveals that while most physicians prefer end-of-life comfort over life-extending measures for themselves, their views vary widely.
'Just support her': Brittany Maynard's husband says medical aid in dying helped him grieve
06/18/25 at 03:00 AM'Just support her': Brittany Maynard's husband says medical aid in dying helped him grieve USA Today; by Madeline Mitchell; 6/15/25 Some patients find comfort in medical aid in dying, which allows individuals with six months or less to live the option to obtain a medicine that can help them die peacefully at a time of their choosing. It's not considered euthanasia – which is when someone administers a lethal drug – because the patient takes the medicine themselves. Medical aid in dying is legal in 11 states and in Washington, DC. “A lot of patients really express this desire to shield family members from the agony of watching them die, and potentially having them witness a really traumatic or a really burdensome death," said Anita Hannig, an anthropologist and author of the book "The Day I Die: The Untold Story of Assisted Dying in America." Some caregivers say medical aid in dying helped in their grieving process, too. One thing (Compassion & Choices’ Jessica) Empeño, (Americans United for Life’s Catie) Kelley and Hannig agree on: When a patient asks to die, it's crucial to ask questions about their pain levels, comfort and mental health. Not every patient can or wants to move to one of the 12 jurisdictions that allow medical aid in dying. Moving can be expensive, and some patients don't have the physical ability or time to move. The best thing caregivers can do, Empeño said, is to advocate for their loved one and plan for their death. Ask questions about what the patient wants when they are dying, like if they want visitors in those final moments and who should make final decisions if the patient can't themselves. Guest Editor’s Note, Mark Cohen: Medical Aid in Dying is not going away. This article makes the point that the things that hospices do best—empathetic listening, asking thoughtful questions to guide patients in their healthcare decision-making—can benefit patients and families on both sides of this policy question. For a related article, see this column by Dan Diaz supporting removal of the sunset provision in California’s End of Life Options Act: “Husband of Brittany Maynard: Let’s make medical aid in dying permanent”; Sacramento Bee, 6/3/2025.
A woman died in hospice at a Gilbert memory care facility. Her husband was arrested after staff say they found 'suspicious bruising and markings.'
06/17/25 at 03:00 AMA woman died in hospice at a Gilbert memory care facility. Her husband was arrested after staff say they found 'suspicious bruising and markings.' NBC News 12, Gilbert, AZ; Kyra O'Connor; 6/14/25 A man was arrested after staff at a memory care facility in Gilbert reported his wife had "suspicious bruising and markings" on her body, the city's police department said. The woman, who was not identified, passed away in hospice care. Gilbert police officers responded to a memory care facility around 9 a.m. on June 11. Staff at the memory care facility contacted police after noticing "suspicious bruising and markings" on a 58-year-old woman in hospice care who had passed away earlier in the day, at approximately 3 a.m. The woman's husband, 46-year-old Justin Davidson, was in the room at the time of her death, staff told police. ... Davidson was arrested and faces a first-degree murder charge, police said. The investigation is ongoing. Police did not give any further details. Police did not name the memory care facility where the deceased lived.
My dad had an Advance Directive. He still had to fight to die
06/13/25 at 03:00 AMMy dad had an Advance Directive. He still had to fight to die Newsweek - My Turn; by Maggie Schneider Huston; 8/26/24, published in our newsletter 8/27/24My mom died peacefully. My dad died 72 days later, angry at the doctors for ignoring his wishes. ... Dad had heart surgery on December 20, 2023. An hour after the surgery ended, his vital systems started shutting down. A cascade of interventions, one after another, kept him alive. Four days later, he said: "Put me on hospice." The doctor dismissed this request, rolling his eyes and saying: "Everyone on a ventilator says that." On Christmas Day, my father asked for hospice again. He was in pain. He knew his recovery would be long and ultimately futile. He would never have an acceptable quality of life again. ... Dad's care team insisted palliative care was the same as hospice care, but he knew the difference. He wanted hospice care. Finally, they reluctantly agreed and called for a social worker to make arrangements. It wasn't necessary. Once they removed his treatment and relieved his pain, he died five hours later. ... Editor's Note: This article is not about Medical Aid in Dying (MAiD). It is about honoring Advance Directives, person-centered care with communications and actions related to "palliative" vs. "hospice" care. Pair this with other posts in our newsletter today, namely "Improving post-hospital care of older cancer patients."
Ethics talk: Are private equity investments really different from other ownership structures in health care?
06/03/25 at 03:00 AMEthics talk: Are private equity investments really different from other ownership structures in health care?AMA Journal of Ethics, Podcast May 2025; by Robert I. Field, PhD, JD, MPH; 5/30/25Dr. Robert I. Field joins Ethics Talk to discuss whether and to what extent private equity firms’ increasing presence in health care deserves our scrutiny and what policy makers, clinicians, and patients should know about responding to private equity ownership stakes in the organizations where they work and where they go for health services.
[Australia] What voluntary assisted dying options are available for those with dementia?
05/28/25 at 03:00 AM[Australia] What voluntary assisted dying options are available for those with dementia? ABC News Melbourne, Australia; by Emily JB Smith; 5/24/25 John Griffiths suspects his mind is starting to fail. It is a horrifying prospect for the father-of-three, former Monash University engineering lecturer and CSIRO research scientist. The Melbourne man spends much of his time with his wife Rachel, who lives in residential aged care, reading her poems and short stories. While doctors say he is all clear at the moment, he will be assessed for dementia in the next year. If he does develop the condition, he would rather die than let it take hold. But his options are limited. Although voluntary assisted dying (VAD) will be legal in every Australian jurisdiction except the Northern Territory by the end of this year, it remains entirely off-limits for people with dementia. ...
Spouses accused of prescription fraud: Nurse took meds from hospice patients, deputies say
05/27/25 at 03:00 AMSpouses accused of prescription fraud: Nurse took meds from hospice patients, deputies say The Daily Record; by Staff; 5/22/25 A hospice nurse and her husband are accused of diverting and trafficking controlled prescription medications from several pharmacies during her employment at Liberty Home Health and Hospice. Juana Nicole Hull, 42, is charged with six counts of conspiring to traffic opium or heroin and four counts each of obtaining a controlled substance through fraud; embezzling or diverting a controlled substance; and trafficking opioids. Her husband, 38-year-old Robert Wayne Hull, is charged with six counts each of obtaining a controlled substance through fraud and trafficking opioids.
Case of brain-dead pregnant woman kept on life support in Georgia raises tricky questions
05/23/25 at 03:00 AMCase of brain-dead pregnant woman kept on life support in Georgia raises tricky questions AP - The Associate Press, Atlanta, GA; by Kate Brumback, Sudhin Thanawala and Geoff Mulvihill; 5/16/25 The case of a pregnant woman in Georgia who was declared brain dead and has been kept on life support for three months has given rise to complicated questions about abortion law and whether a fetus is a person. Adriana Smith, a 30-year-old nurse and mother, was about two months pregnant on Feb. 19 when she was declared brain dead, according to an online fundraising page started by her mother. Doctors said Georgia's strict anti-abortion law requires that she remain on life support until the fetus has developed enough to be delivered, her mother wrote.
Santa Maria woman sentenced to 10+ years for stealing from elderly clients
05/21/25 at 03:00 AMSanta Maria woman sentenced to 10+ years for stealing from elderly clients NBC KSBY-6, California's Central Coast; by KSBY Staff; 5/20/25 A former Santa Barbara County investment advisor was sentenced Monday to just over 10 years in federal prison for stealing millions of dollars from elderly clients of her investment advisory business in the Santa Maria area. Julie Darrah, 52, of Santa Maria, ran an investment advisory business called Vivid Financial Management Inc. (VFM). ... Prosecutors say she stole approximately $2.25 million from her clients between November 2016 and July 2023. ... In December 2024, a U.S. District judge found her liable to pay back her clients $2,416,511. Department of Justice (DOJ) officials say Darrah abused the trust her victims placed in her, accusing the defendant of manipulating her elderly clients into believing she would take care of them in their older years, like a daughter. Darrah would then use this trust to persuade her victims to sign documents giving her the ability to transfer funds from their bank accounts into other accounts, including her own. Some of her victims were reportedly left in desperate circumstances, without the money to pay for needed end-of-life care. ... Anyone who thinks they may be a victim of financial fraud can contact the National Elder Fraud Hotline at 1-833-FRAUD-11.
Building an ethical culture: Leadership’s role in corporate integrity
05/13/25 at 03:00 AMBuilding an ethical culture: Leadership’s role in corporate integrity The Wall Street Journal; by Lori Pressler, Michael Rossen and Miira Velia; 5/7/25 Built from the top down, a strong ethical culture can help mitigate risk by weaving ethics into decision-making at every level. Much of the time, a single moment or lapse in judgment does not precipitate a crisis. Instead, corporate scandals tend to spring from systemic failures in corporate culture, specifically around ethics. However, within many organizations, ethics are often discussed in theoretical terms—lofty yet nebulous aspirations or nice-to-haves. ... Given its potential for harm, organizations may not be giving ethical risk the attention it deserves, particularly from the top down.