Bry Moore

@bryannamoore.bsky.social

assistant professor at @urochester.bsky.social. philosophy, death, pediatric ethics and medical decision-making. all views my own.

Sometimes on campus you accidentally walk by a philosophy class and the professor is writing "utility = pleasures - pains" on the board and everyone is taking notes like it's actual school

🚨 our new article is out now in HEC Forum! in it, we explore how to navigate requests by surrogate decision-makers to withhold information from other family members or prevent them from visiting with a patient 🚨 #clinicalethics #medicaldecisionmaking

“Don’t Tell Them Anything”: Should Surrogate Decision-Makers Be Allowed to Withhold Information from Other Family Members or Prevent Them from Visiting with a Patient? - HEC Forum

While patients have the right to control who has access to their health information and designate visitors, it is not always clear whether—when a patient lacks capacity—their surrogate also exercises such rights. States and federal laws are often vague about the limits of surrogate authority. Even where legal or institutional guidance on this issue is clear, requests by surrogates to withhold information or restrict visitation with a patient can be a source of ethical uncertainty and distress on the part of the clinical team. This paper explores the ethical issues raised by such requests. To date, there has been little exploration of this issue in the clinical ethics literature. First, we summarize the scant existing ethical and legal guidance on this issue. Second, we present two potential approaches to navigating requests from surrogates to withhold information or restrict visitation. Third, we discuss the merits and limitations of both approaches, and introduce some additional considerations that further complicate the picture. We argue for a flexible restrictive approach to information-sharing, and a constrained permissive approach to visitation. Finally, we propose several considerations that clinicians and clinical ethicists might think through in these situations to help guide their practice.

link.springer.com

📢🚨 new pub with @thebusyowl.bsky.social 📢🚨 We explore the use of therapy bots in pediatrics. There are a host of open ethical questions associated with these bots that highlight the need for robust, interdisciplinary inquiry into their development and use in pediatric mental health. #ai #pediatrics

The Integration of Artificial Intelligence-Powered Psychotherapy Chatbots in Pediatric Care: Scaffold or Substitute?

In April 2024, the United States Food and Drug Administration (FDA) approved the first digital application to treat major depression in adults 22 and older.1 The app—Rejoyn—joins a growing list of art...

jpeds.com

Deciding With Children in Pediatrics is out! Grateful for the opportunity to contribute to this volume (eds John Massie, Georgina Hall, and Lynn Gillam). Dr. Frayman and I discuss "Deciding with children who know more than you. Cystic fibrosis as a chronic disease" shop.elsevier.com/books/decidi...

Deciding with Children in Pediatrics

Deciding with Children in Pediatrics: Children’s Participation in Healthcare Decision-making provides the ethical underpinning and off

shop.elsevier.com