Real World Ethics: When It's Hard to Be Good

7 Feb 2025 4:15 p.m. 5:15 p.m.
Gulmohar Hall 302
DominiqueMartin Chair Deakin UniversityAustralia
MadhukarMisra Chair University of Missouri Columbia, USAUnited States

Session description:
The session will engage audience members in active discussion of common contemporary ethical challenges in clinical practice, namely those relating to dealing with difficult behaviours from patients (+/- their families) and colleagues. The session will involve facilitated panel (and audience) discussion of three hypothetical cases. The cases will illustrate commonly encountered situations in kidney care that may present ethical dilemmas for clinicians. Clinician and ethicist panelists will discuss the cases, and share their experiences and advice on management strategies, providing different perspectives influenced by local contexts and policies. Some principles and recommendations to guide practice will be presented and their potential value and limitations will be discussed. Audience members will also be asked to provide feedback on the recommendations in real time using an online app.
Learning objectives:
Identify ethical, clinical, social, legal, and practical considerations that may be relevant when dealing with difficult behaviours from patients, patients' families or professional colleagues. Formulate ethically acceptable strategies for dealing with difficult behaviours in kidney care in the local setting. Critically evaluate potential recommendations for policy and practice when dealing with difficult behaviours in the context of kidney care.

Time Session
4:15 p.m.
4:20 p.m.
Introduction: the Difficulty of Translating Ethical Ideals in the Real World
DominiqueMartin Speaker dominique.martin@deakin.edu.auDeakin UniversityAustralia
4:20 p.m.
4:35 p.m.
Case Study 1: The Disruptive Dialysis Patient
IanDittmer Speaker idittmer@adhb.govt.nzTe Whatu Ora - Health New ZealandNew Zealand
4:35 p.m.
4:50 p.m.
Case Study 2: The Dodgy Doctor
PriyaPais Speaker priyapais@gmail.comIndia
4:50 p.m.
5:05 p.m.
Case Study 3: The Insistent Family
GhadaAnkawi Speaker ghadaankawi@gmail.comKing Abdulaziz University Saudi Arabia
5:05 p.m.
5:15 p.m.
Q and A, and Conclusion: Ethical Recommendations for Real World Practice