Loras Bioethics Resource Center  |  Archdiocese of Dubuque - Healthcare Ethics  

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BIOETHICS RESOURCE CENTER
Loras College
Dubuque, Iowa

Comprehensive Report 

1987-2000

Intellectuals can also do much to build a new culture of human life.  A special task falls to Catholic intellectuals, who are called to be present  and active in the leading centers where culture is formed, in schools and universities, in places of scientific and technological Research, of  artistic creativity and of the study of man.  Allowing their talents and activity to be nourished by the living force of the Gospel, they ought to place themselves at the service of a new culture of life by offering serious and well documented contributions, capable of commanding  general respect and interest by reason of their merit. ...A specific contribution will also have to come from Universities, particularly from  Catholic Universities, and from Centres, Institutes and Committees of Bioethics.   

                                                                                                                Evangelium Vitae

 

Topics covered in Report
Establishment of Growth of the Bioethics Resource Center
Services of the Center
Center Staff 
Grants 
Educational Programs Sponsored by Center 
Service to Healthcare Facilities and Agencies
Service to Churches
Presentations at Conferences and Workshops and Guest Lectures
Presentations to Community Groups
Audio-Visual Resources

     

Establishment and Growth

of the Bioethics Resource Center

  The Bioethics Resource Center was established by approval of the Board of Regents of Loras College in October, 1987 to provide educational programs and supporting services in bioethics for the larger community.  Multidisciplinary in nature, the Center brings together the perspectives of medicine, philosophy, theology, and law in approaching the problems of bioethics.  It operates within the framework of the Catholic moral tradition.  The Center is ecumenical in its service to the community.

  Particular thanks are due to Msgr. James Barta, President of Loras College, and Dr. Kenneth Kraus, Vice President for Academic Affairs and Academic Dean, for their administrative support of the establishment of this Center.

  Since its establishment in 1987 the Center grown into a regional center for bioethics serving Northeast and Central Iowa as well as the Dubuque tri-state area.

   

Services of the Center  

The Bioethics Resource Center    

 ∑        Provides lectures, workshops, and conferences for professionals in healthcare and related fields, and for the general public.  

 ∑        Maintains a collection of audio-visual resources for community use. 

 ∑        Provides consulting services to healthcare facilities and professionals.

         Provides assistance to healthcare facilities in the establishment of ethics committees.

           

   

Center Staff

  Director  

Since its establishment in 1987 Janine Marie Idziak, Ph.D., Professor of Philosophy at Loras College, has served as director of the Center.  Dr. Idziak received her Ph.D. in philosophy from the University of Michigan (1975) and subsequently earned a M.A. in theology from the University of Notre Dame (1989).  During the summer of 1997 she participated in a ten week summer institute at Dartmouth College on the ethical, legal, and social implications of the Human Genome Project, funded by the National Institutes of Health.  She is a member of the House of Delegates of the American Association of Homes and Services for the Aging and has served on AAHSAís Commission on Ethics in Long-Term Care.  She is the author of Ethical Dilemmas in Allied Health and Ethical Dilemmas in Long-Term Care.

   

Loras College Faculty Associates  

Mary Lynn Neuhaus, J.D.  Associate Professor of Communication Arts

Rev. Mark Ressler, S.T.D.  Associate Professor of Religious Studies

   

Community Advisory Board  

Eileen McSperrin, R.N. Mercy Medical Center, Dubuque, IA

Ann E. Michalski, M.A.   Gannon Center and City Council Member, Dubuque, IA

Rev. David Pacholke, M.Div., Th.M.. Director of Pastoral Care, Finley Hospital, Dubuque

Sue Reilly, R.N., B.S.P.A., Faculty, Northeast Iowa Community College, Peosta, IA

Jacquelyn Roth, B.A., M.T.(A.S.C.P.), I.C.P.  Epidemiologist, Finley Hospital, Dubuque,

Dolores Ullrich, OSF, M.A. Administrator, Stonehill Care Center, Dubuque, IA

Barbara Zoeller,M.S.N. Director, Hospice of Dubuque, IA

 

   

Grants  

The Center has received grants from  

  ∑        William C. Brown Publishing, Dubuque, IA, for the purchase of videotapes (1988).

          American Legion of Iowa Foundation, for the purchase of videotapes (1989).  

  ∑        Medical Associates, Dubuque, IA, for Rev. Michael Place, speaker for the conference  Health Care Ethics: The Work of the Catholic Community (1990).

          Medical Associates, Dubuque, IA, for Rev. James Bresnahan, keynote speaker for the conference Issues in Death and Dying: Ethical, Legal, and Religious Perspectives  (1991).

          Medical Associates, Dubuque, IA, for the program Choices in Death and Dying (1992).

          Wahlert Foundation, Dubuque, IA, for the production of a video on advance directives for high school students (2000).

 

  Educational Programs Sponsored by the Center

  Conferences

        Health Care Ethics: The Work of the Catholic Community, for the sesquicentennial celebration of Loras College, April 5-7, 1990.  Plenary session speakers included:

            *   Rev. Russell E. Smith, S.T.D. (Director of Education and Associate Director of             Research, Pope John XXIII Medical-Moral Center in Braintree, MA), Pastoral              Medicine: An Offspring of the Church.

            *     Rev. Michael D. Place, S.T.D. (Theologian for the Curia of the Archdiocese of             Chicago and chair of the archdiocesan Medical Ethics Commission), Euthanasia:              Ethical and Public Policy Considerations.

          Issues in Death and Dying: Ethical, Legal, and Religious Perspectives, March 26-28, 1992.  Plenary session speakers included:

            *   Rev. James F. Bresnahan, S.J., J.D., LL.M., Ph.D. (Professor of Clinical             Medicine and             Co-director of the Ethics and Human Values in Medicine Program              at Northwestern University Medical School), Appropriate Care of the Dying.

            *     Rev. John Boyle, Ph.D. (School of Religion, University of Iowa), Whether We              Live or Die, We Are the Lordís.  

            *     Msgr. Charles Fahey (Director of the Third Age Center, Fordham University),              Death and Dying in Long-Term Care: Is the Agenda the Same as in Acute Care?

          Healthcare Ethics for the Third Millennium, March 25-27, 1998.  Plenary session speakers included:

            *   Most. Rev. John McGann, D.D. (Bishop of Rockville Center, New York),              Building Bridges in a Community of Hope.   

            *     Brian OíToole, Ph.D. (Director of Ethics, Mercy Health Services, Farmington             Hills, Michigan), Ethics Committees in the Third Millennium.

            *     Rev. James F. Bresnahan, S.J., J.D., LL.M., Ph.D. (Professor Emeritus,              Northwestern University Medical School),  An Affirmative Response to Proposals for              Legalizing ďInflicted DeathĒ as Medical Treatment of the Dying: Making Effective             Palliative Medicine a Feature of Medical Care Not Only for the Dying.         

          The Center hosted a national conference Life-Sustaining Treatments: Issues in Ethics and Religion sponsored by the Society of Christian Philosophers, June 8-11, 1988.  The Centerís director served as program chair.

          The Center co-sponsored Toward Healthy Communities: Rural Health Care and Aging, organized by the Rural Ministry Program of Wartburg Seminary and the University of Dubuque Theological Seminary, March 5-7, 1989.

           

Guest Lectures

  ∑        James Pattee, M.D. (University of Minnesota Medical School), Ethical Issues in Long-Term Care: Selected Case Studies.  February 26, 1991.

          Kevin OíRourke, O.P., J.C.D. (Director, Center for Health Care Ethics, St. Louis University), Assisted Suicide: Private Dispositions and Public Policy.   April 27, 1995.  Co-sponsored by the Ethics Committee of Mercy Health Center, Dubuque, Iowa.

   

Special Courses

        Health Care for the Elderly: Facing Ethical Dilemmas offered in conjunction with the Church Ministry Institute of Loras College, Manchester, IA, Fall 1989.

 

Workshops offered at Loras College

        Medical Treatment: Who Decides?  March 8, 1988.

        Artificial Nutrition and Hydration: Ethical, Legal, and Religious Guidelines March 29, 1988.

        Caring for the Dying A series of workshops, Spring 1993

            Making Choices about Life-Sustaining Treatments: The Ethical Principles

            Physician Assisted Suicide: Have We Failed in Caring for the Dying?

            Artificial Nutrition and Hydration: The Current Debate.

        Towards Better Care of The Dying November 3, 1994.  Co-sponsored by the Ethics  Committee of Mercy Health Center, Dubuque.

        Intensive Workshop on Nursing Ethics: Issues in Death and Dying November 20, 1995

        Making Ethical Decisions about Futile Medical Treatments December 4, 1995.

        Helping Caregivers Make Ethical Decisions about Life-Sustaining Treatments December 4, 1995.

        Everyday Ethics in Long-Term Care December 16, 1996.

        The Challenge of Resistant Organisms May 20, 1999.  Co-sponsored by Finley Hospital, Dubuque, and the Dubuque Regional Healthcare Ethics Committee.

        Death and Dying in America The Response of Healthcare Providers A series of four workshops   Septemer 10-13, 2000.

        Death and Dying in America The Response of the Faith Community A series of foru workshops   September 10-13, 2000.

 

 

Service to Healthcare Facilities and Agencies

  Board and Committee Service

The Centerís director has served on the following boards and committees within the Dubuque community:

        Board, Mercy Medical Center  1992-present.

        Board of Directors, Stonehill Care Center/Franciscan Services  1996-present.

        Ethics Committee, Mercy Medical Center   Member, 1989-92; chair, 1993-99.

        Institutional Ethics Committee, Mercy Medical Center   1999-present 

        Clinical Ethics Committee, Mercy Medical Center   1999-present.

        Ethics Committee, Stonehill Care Center/Franciscan Services   1986-present.

        Consultant, Ethics Committee, Bethany Home.  1991-present.

        Planning Committee, Learning Caregiving.  1995-97.

        Advisory Committee for Sexual Abuse, Sisters of St .Francis of Dubuque. 1995- present.

        Dubuque Regional Healthcare Ethics Committee. Chair, 1998-present.

 

 

Educational Programming

The Centerís director has given educational programs which have served various healthcare facilities and services. These educational programs have included:

        Workshops for the management team of Mercy Health Center, Dubuque

            Towards a Deeper Understanding of the CatholicChurch June 6, 1990

            Catholic Social Teaching and Health Care September 18, 1990

            An Introduction to Healthcare Ethics March 20, 1991

            The Patient Self-Determination Act, Advance Directives for Health Care, and Related Issues in Clinical Medical Ethics November 11, 1991

            Catholic Social Teaching, Catholic Identity in Healthcare, and Values Based                    Decisionmaking April 16, 1993.

        The Patient Self-Determination Act and Advance Directives for Healthcare

            Administrative staff of Dubuque area long-term care facilities October 8, 1991

            Nursing staff of Amicare, Dubuque, IA October 23, 1991

            Sponsorship Committee, Mercy Health Center, Dubuque, IA November 5, 1991

            Nursing staff of Hospice of Dubuque, IA November 6, 1991

 

 

            Staff of Stonehill Care Center, Dubuque, IA November 21, 1991; May 5, 1994.

            Staff of Julien Care Facility, Dubuque, IA January 20, 1992; October 21, 1993;       September 21, 1994.

            Volunteers of Hospice of Dubuque, IA January 23, 1992.

 

        1994 Revision of the Ethical and Religious Directives for Catholic Health Care Services

            Board of Mercy Health Center, Dubuque, IA, March 16, 1995

            Sponsorship Committee of Mercy Health Center, Dubuque, IA, April 18, 1995

            Board of Stonehill Care Center, Dubuque, IA, April 19, 1995.

   

        Topical Presentations to Ethics Committees

            Ethical Principles for Issues in Death and Dying Finley Hospital, Dubuque, IA                   November 10, 1995

            Ethical Issues in Pain Management Joint meeting of the ethics committees of             Bethany Home and Stonehill Care Center, Dubuque, IA, November 11, 1995.

            Medical Futility and DNR Orders Mercy Health Center, Dubuque, IA, April 17,                  1996.

            Ethical Issues in Managed Care, presented for members of ethics committees at the                Catholic healthcare facilities in the Archdiocese of Dubuque, Waterloo, IA,                 January 24, 1997.

            Physician Assisted Suicide: Recent Trends in the Debate  Northeast Iowa Regional            Ethics Committee, Oelwein, IA, April 9, 1997.

            Ethical Issues in the New Genetics, presented for members of the ethics committees        at the Catholic healthcare facilities in the Archdiocese of Dubuque, Waterloo, IA,                  April 24, 1998.

            Pain Management;   Confidentiality; and  The Future of Ethics Committees:                      Organizational Ethics Northeast Iowa Regional Ethics Committee, Oelwein, IA                    May 27, 1998.

            Risk Taking in Resident Care  Bethany Home, Dubuque, IA September 22, 1998.

            Cultural and Religious Perspectives on Pain Management    Joint meeting of the ethics    committees of Bethany Home and Stonehill Care Center, Dubuque, IA,           October 10, 1998.

            Panelist, Changing Role of Long-Term Care   Joint meeting of the ethics committees

                of Bethany Home and Stonehill Franciscan Services, Dubuque, IA   November          20, 1999.

 

        Euthanasia and the Living Will, Hospice of Dubuque, May 26, 1988.

        Pain Management, for the staff of Stonehill Care Center, Dubuque, IA, February 24, 1994.

        The Ethics of End of Life Treatment Decisions, for the staff of Sunnycrest Manor, Dubuque, IA, March 6, 1996.

        Research Ethics presented for the CME program, Mercy Health Center, Dubuque, IA, September 24, 1997.

        Ordinary/Extraordinary Treatment: Where Do We Go From Here?Ē  Four presentations for the Covenant Health System, May 11, 1999

            * Medical Staff, Covenant Medical Center, Waterloo, IA.

             * Nursing  Staff,  Allied  Health  Staff, and Pastoral  Care  Staff,  Mercy Hospital                            of Franciscan Sisters, Oelwein, IA.

            * Medical Staff, Mercy Hospital of Franciscan Sisters, Oelwein, IA.

            * Nursing Staff and Pastoral Care Staff, Covenant Medical Center, Waterloo, IA.

 

        A Fair and Just Workplace Independence, IA, December 7, 1999.  A workshop on unionization in healthcare presented for senior management of Catholic healthcare facilities in the Archdiocese of Dubuque, the leadership of sponsoring religious communities, and senior staff of the Archdiocese of Dubuque.

 

             

Establishment of Ethics Committees

  The Centerís director has provided assistance to the following facilities in establishing ethics committees and ethics consultation programs:

        Calvin Manor, Des Moines 1991, 1993-94

        Crestridge, Maquoketa, IA 1993-94

        Mercy Hospital of Franciscan Sisters, Oelwein, IA for the Northeast Iowa Regional Ethics Committee 1995

        Presbyterian Village Care Center, Ackley, IA 1998

        Iowa Veterans Home, Marshalltown, IA   1998-99

 

  In 1998 the Center established the Dubuque Regional Healthcare Ethics Committee as a service for facilities and agencies in the tri-state area which do not have their own ethics committee.  Participating facilities and agencies include:

        Area Residential Care, Dubuque

        Bethany Home, Dubuque

        Dubuque Nursing and Rehab Center, Dubuque

        Ennoble Manor Care Center, Dubuque

        Galena-Stauss Hospital and Nursing Care Facility, Galena, IL

        Heritage Manor, Dubuque

        Hospice of Dubuque

        Manor Care Health Services, Dubuque

        Orchard Manor, Lancaster, WI

        Sunnycrest Manor, Dubuque

 

 

Service to Churches

Commission Memberships and Consulting Positions

        Since 1988 the Centerís director has served as chair of  the  Medical-Moral Commission of the Catholic Archdiocese of Dubuque, Iowa.  A major project of the Commission is the ongoing production of Church Teaching on Health Care Ethics   A Handbook of Policies for the Archdiocese of Dubuque.

        Since 1996 the Centerís director has served as Health Care Consultant for the Archdiocese of Dubuque.

        The Centerís director served as a consultant to the Sisters of the Presentation, Dubuque, IA, for revision of the congregationís advance directive forms.  1998-99.

 

  Curricular Programs

        Assisted Reproductive Technologies (ART)  Moral Principles of the Catholic Tradition

            High school level educational program (Dubuque, IA: Archdiocese of Dubuque,             2000).

   

Pamphlets

        Treating Infertility and Assisting Reproduction Guidance from the Catholic Moral Tradition (Dubuque, IA: Archdiocese of Dubuque, 2001).

   

Educational Programming

  The Centerís director has provided the following programs as part of the Centerís service to the community:

        How to Start an Ethics Committee, and Why and The Problem of Artificial Nutrition and Hydration presented at a retreat for the administrators and chaplains of the Lutheran Association of Nursing Homes in Iowa, Strawberry Point, IA, November 12, 1988.

        Member of program committee and presenter for Health Care Ethics: Church Teaching and Pastoral Ministry, clergy convocation for the Archdiocese of Dubuque, June 11- 14, 1990.

        Ethical Issues in Death and Dying and   Advance Directives, Motherhouse of the

            Sisters of the Presentation, Dubuque, IA, July 19, 1990.

        Co-presenter with Fr. John Boyle (University of Iowa School of Religion) of a workshop on healthcare ethics for a joint meeting of the Catholic bishops and major superiors of religious communities in the State of Iowa, New Melleray Abbey, Peosta, IA  October 10-11, 1990.

        Presentation on healthcare ethics for a meeting of Catholic Charities, Waterloo, IA, March 22, 1991.

        Co-presenter, Ethical Issues in Death and Dying, for pastoral associates in the Archdiocese of Dubuque, Waterloo, IA, April 16, 1991.

        Co-presenter, Ethics of Suicide, CCD class, Sacred Heart Church, Monticello, IA, October 23, 1991.

        The Patient Self-Determination Act and Advance Directives for Health Care presented

            for the annual clergy luncheon at Mercy Health Center, Dubuque , IA, November 8,             1991.

        Co-presenter,  Advance Directives, New Melleray Abbey, Peosta, IA November 18, 1991.

        Advance Directives for Health Care presented at the Evangelical Free Church, Platteville, WI, October 4, 1992.

        The Perspective of the Churches on Death and Dying: Comparative Religious Perspectives presented at Choices in Death and Dying: A Religious Perspective, Dubuque, IA, November 15, 1992.

        Ethical Issues in Long-Term Care presented for area clergy at Luther Manor as part of national pastoral care week, Dubuque, IA, October 26, 1993.

        Care of the Dying presented at the annual clergy luncheon at Mercy Health Center, Dubuque, IA, October 27, 1993.

        Church teaching on death and dying, Theresians, Dubuque, IA, December 3, 1993.

        Some Reflections on the Spirituality of Death and Dying, Serra Club, Dubuque, IA February  23, 1994.

        Presentation on death and dying issues and advance directives for the Stephen Ministry program at the First Congregational Church, Dubuque, IA, March 29, 1994.

        Presentation on the care of the dying to senior citizen groups at St. Johnís Lutheran Church, Bellevue, IA, October 21, 1994.

        Catholic Moral Teaching on Reproductive Technologies presented to the Infertility Support Group, Resurrection Church, Dubuque, IA  April 18, 1995.

        Euthanasia and Assisted Suicide and The 1994 Ethical and Religious Directives for Catholic Health Care Services for pastoral care staff of Catholic healthcare facilities in the Archdiocese of Dubuque, Cedar Falls, IA, October 13, 1995.

        When Patients/Residents and Caregivers Disagree about Medical Treatment, presented for the staff of the infirmaries of the Catholic religious communities in Dubuque, IA, October 18, 1995.

        Healthcare Ethics: Issues at the End of Life Diaconate Formation Program, Archdiocese of Dubuque  September 14, 1996.

        Issues in reproductive and genetic medicine; issues in social ethics and healthcare, Diaconate Formation Program, Archdiocese of Dubuque  October 12, 1996.

        Issues in Death and Dying: Ethical and Pastoral Perspectives, Waterloo, IA,  jointly sponsored by the three hospitals in Waterloo-Cedar Falls, IA as part of national pastoral care week, October 23, 1996.

        Forgoing Life-Sustaining Treatments, Euthanasia, and Assisted Suicide   CCD class, St. Josephís Church, Sinsinawa, WI   November 13, 1996.

        Organizer and presenter, Health Care Ethics: Responding to Needs in the Parish

            Community, Clergy/Pastoral Staff Study Day, Archdiocese of Dubuque, April 8,              1997.

        Hard Choices for Married Couples: Genetic Disorders, Reproductive Decisionmaking, and Church Teaching

            *     Holy Family Church, Mason City, IA    February 5, 1998.

            *     St. Mary Church, Waterloo, IA     February 12, 1998.

            *     St. Jude Church, Cedar Rapids, IA     February 26, 1998.

        Presentation on death and dying issues for the Stephen Ministry Program, St. Peter Lutheran Church, Dubuque, IA, March 3, 1998.

        Genetic Disorders, Reproductive Decisionmaking, and Church Teaching, CCD class, St. John Nepomucene Church, Ft. Atkinson, IA    March 4, 1998.

        Coping with Infertility: Infertility, Assisted Reproduction, and Church Teaching, St. Joseph the Worker Church, Dubuque, IA    March 22, 1998.

        Pastoral Genetics presented for area clergy as part of national pastoral care week at North Iowa Mercy Health Center, Mason City, IA, October 23, 1998.

        New Dilemmas in Reproductive Decisionmaking: Assisted Reproduction, Genetic Testing, and Church Teaching

         Presented for junior and senior high school catechists in the Archdiocese of             Dubuque:

           *    St. Joseph the Worker Church, Dubuque, IA  February 15, 1999.

            *    Xavier High School, Cedar Rapids, IA  March 1, 1999.

            *    Covenant Medical Center, Waterloo, IA  March 22, 1999.

            *    Newman High School, Mason City, IA  April 26, 1999.

            Presented for religion teachers in the Catholic high schools of the Archdiocese             of Dubuque, Waterloo, IA   April 20, 1999.

        Workshop on Catholic Church teaching on assisted reproduction and on reproductive decisions related to genetic disorders presented for sponsor couples involved in conducting marriage preparation programs, St. Stephen the Witness Student Center, Cedar Fall, IA   February 25, 1999.

        Member of panel on advance directives for a community meeting of the Sisters of the Presentation, Dubuque, IA   July 16, 1999.

        Catholic Perspectives on End-of-Life Care, Archdiocesan Council of Catholic Women, New Hampton IA   October 13, 1999.

        Presentation on end-of-life issues to the Advisory Committee on Persons with Disabilities, Archdiocese of Dubuque, Dubuque, IA October 23, 1999.

        Cardinal Joseph Bernardin: Modeling How to Die, Dubuque Deanery of the Archdiocesan Council of Catholic Women, Dubuque, IA   January 31, 2000

  Presenter or co-presenter of programs on Catholic Church teaching on death and dying  issues and advance directives:

        St. Francis Xavier Basilica, Dyersville, IA November 11, 1990; October 13, 1991; November 17, 1996.

        St. Columbkilleís Church, Dubuque, IA   December 9, 1990; October 17, 1991; October 24, 1991.

        Church of the Resurrection, Dubuque, IA   March 17, 1991; November 13, 1994.

        St. Anthonyís Church, Dubuque, IA   April 28, 1991

        St. Raphaelís Cathedral, Dubuque, IA   October 6, 1991.

        St. Martinís and St. Maryís, Cascade, IA  November 10, 1991.

        St. Patrickís Church, Benton, WI   March 9, 1994.

        Immaculate Conception Church, Charles City, IA   April 9, 1995.

        St. Joseph the Worker Church, Dubuque, IA, September 24, 1995.

        St. Clementís Church, Lancaster, WI   November 5, 1995

        St. Maryís Church, East Dubuque, IL   November 6, 1995.

        St. Maryís Church, Manchester, IA   March 10, 1996.

        St. Josephís Church, Sinsinawa, WI    March 12, 1997.

        Sacred Heart Church, Fillmore, IA     June 10, 1997.

        St. John the Baptist Church, Mount Vernon, IA   January 10, 2001.

        Session on death and dying issues and on ethics consultation in healthcare presented  for seminary students completing C.P.E. at Luther Manor, Dubuque, IA

            January 24, 1994; June 14, 1994; July 21, 1995; July 25, 1996; June 11, 1997.

 

   

Presentations at Conferences and Workshops

and Guest Lectures

   

The Centerís director has received invitations to give the following presentations:

National Conferences

        Panelist for a teleconference An Examination of Early Implementation Efforts Relating to  Living Wills Legislation: Evaluations and their Impact on Participating Organizations  and Individuals sponsored by the U.S. Department of Health and Human Services, Office of the Inspector General, Dallas, TX, November 5, 1993.

Regional Conferences

        Starting an Ethics Committee in a Long-Term Care Facility: The Task of Committee Education presented at the Chicago Conference on Ethics in Healthcare Institutions, August  19-21, 1992.

Conferences for the State of Iowa

        Establishing Institutional Ethics Committees presented at a conference of the Iowa Association  of Homes for the Aging, Dubuque, IA, May 11, 1988.

        Ethics Committees in Long-Term Care: A Primer presented at a meeting of the members of boards of directors of the member institutions of the Iowa Association of Homes for the Aging, Des Moines, IA, March 28, 1991.

        Bioethics Principles of Late Stage Care presented at the Governorís Conference on  Alzheimerís Disease, Des Moines, IA, October 10-11, 1994; November 15-16, 1995; October 7-8, 1996; October 29-30, 1997.

        Ethical Issues in Long-Term Care presented at a conference of the Iowa Association  of Homes and Services for the Aging, Ames, IA, September 12-13, 1995.

        Ethical Issues in Long-Term Care presented at a meeting of the Iowa Nursing Home Social Workers Association, Ames, IA, March 27, 1997.

        Advance Directives presented at a meeting of the Iowa Association of Rehabilitation and Residential Care Facilities, Des Moines, IA, November 7, 1997.

        Ethical Decision Making presented at the annual meeting of the Iowa Association of Homes and Services for the Aging, Ames, IA, May 1, 1998.

        The Ethical Agenda for Long Term Care presented for the Long Term Care Social Workers of Iowa, Ames, IA   October 29, 1999.

   

Area Conferences and Workshops

        Ethical Principles for Making Decisions during Late Stage and End-of-Life presented at the sixth annual Caregiversí Conference of the Heart of Iowa Chapter of the Alzheimerís Association, held in Fort Dodge, IA and televised to locations in Ames, Mason City, and Marshalltown, IA, April 23, 1996.

        Health Care for Alzheimerís Patients: Facing the Ethical Dilemmas presented at a workshop on Alzheimerís disease, Franciscan Medical Center, Rock Island, IL, October 20, 1988.

        Do Not Resuscitate Orders presented with Joyce Roberson (University of Iowa College of Nursing) at a Nursing and Ethics Symposium, Clarke College, Dubuque, IA, April 7, 1989.

        Ethics and Reform in Health Care: A Kaleidoscope of Issues presented for P.A.C.E.,  Dubuque, IA, February 10, 1994.

        Panelist for a program on physician assisted suicide sponsored by the University of Iowa School of Religion, Iowa City, IA, April 23, 1994.

        Death and Dying: Ethical Dilemmas for Nurses presented at the Sinsinawa Mound Conference Center, Sinsinawa, WI, April 30, 1994.

        Opening lecture for Dynamics in End of Life Decision Making, a seminar at Cedar Falls Nursing Home, Cedar Falls, IA, March 25, 1998.

        Attitudes of Individuals and Families as Aging Takes Place presented at Calvin Community, Des Moines, IA, April 23, 1998.

        End-of-Life Treatment Decisions: Resolving the Ethical Dilemma presented at the Alzheimerís Disease and Dementia Education Conference, Cedar Rapids, IA   August 10, 2000.

   

Guest Lectures

        Ethics Committees in Long-Term Care Facilities presented at the annual Board dinner, Calvin Manor, Des Moines, IA, May 28, 1991.

        Caring for the Dying: Developing Alternatives to Physician Assisted Suicide, Founder Lecture, Loras College, February 18, 1993.

        Fetal Tissue Research: The Catholic Position presented as part of a program on the ethics of fetal tissue research under the sponsorship of the Msgr. Supple Endowment Fund, Iowa State University, March 1, 1994.

   

 

Presentations to Community Groups

  The Centerís director has responded to invitations to address support groups, senior citizens,  family members of residents in long-term care facilities, teachers of religious education, and members of the community at large:

        Ethical Issues in the Case of Alzheimerís and Related Diseases sponsored by Stonehill Care Center and the Dubuque Visiting Nurse Association, March 22, 1988.

        Panelist for program on issues in death and dying, Mercy Advantage Senior Citizens Group, Dubuque, IA, August 29, 1990.

        Advance Directives for Healthcare presented for the Jamestown Firemenís Auxiliary, Kieler, WI, March 26, 1991.

        The Patient Self-Determination Act and Advance Directives for Healthcare presented to residents and families of Stonehill Care Center, Dubuque, IA, January 12, 1992.

        Advance Directives for Healthcare presented at Seniorfest, Northeast Iowa Community College, Peosta, IA, August 19, 1992.

        Session on Rationing Healthcare and panelist for session on Advance Directives at Tough Choices in Health Care sponsored by the Consortium on Aging Network, Dubuque, IA, September 1, 1992.

        Co-presenter for program on the ethical and legal dimensions of healthcare for residents and families of Bethany Home, Dubuque, IA, March 14, 1993.

        Ethical Dilemmas for Caregiving Families presented for the Alzheimerís Support Group at Stonehill Care Center, Dubuque, IA, October 28, 1993.

        Ethical Issues in Death and Dying presented to the Alzheimerís Support Group in Davenport/Bettendorf, IA, August 2, 1994; August 5, 1996.

        Panelist for program on assisted suicide presented for teachers of religious education  at the Shalom Retreat Center, Dubuque, IA, January 30, 1995.

        Which is the Best Form of Advance Directive?presented to a senior citizens group in Delhi, IA, July 27, 1995.

        Ethical Issues in Organ Transplantation presented to the Transplant Support Group,  Finley Hospital, Dubuque, IA, April 10, 1996.

        Medical Treatment Directives presented to family members of residents of Sunnycrest Manor, Dubuque, IA, August 21, 1996.

        Presentation on death and dying issues to the West Side Kiwanis Club, Dubuque, IA, March 18, 1998.

        Co-presenter, Ethical Concerns of the Alzheimerís Family, Mississippi Valley Chapter, Dubuque Branch Office, Alzheimerís Association   August 6, 1998.

        Ethical Principles for End-of-Life Decisionmaking, Alzheimer Support Group,Galena, IL   May 5, 1999.

 

Audio-Visual Resources

Videotape Productions

Choices in Death and Dying

In the spring of 1993 this videotape on advance directives was produced at Loras College under the sponsorship of a consortium of Dubuque area long-term care facilities and supported by a grant from the Presbyterian Church, U.S.A., Synod of Lakes and Prairies.  The Centerís director served on the planning committee for the video, is a panelist on it, and is author of the accompanying study guide.

 Artificial Nutrition and Hydration

Produced by the Centerís director for use in staff in-service programs at the Iowa Veterans Home, Marshalltown, IA    October 30, 1999

Videotape Collection

A collection of videotapes on various issues in healthcare ethics is available for community use free of charge.  The programs are available to institutions, church and civic groups, families, and individuals.

  AIDS

AIDS: Ethical Issues (St. Louis University Medical Center) 30 min.

 

ALLOCATING MEDICAL RESOURCES

Doctor, I Want... (KCTS/Seattle) 59 min.

Aging and Health Care (Golden Dome) 25 min.

 

BEHAVIOR MODIFICATION

Behavior Control (KCTS/Seattle) 59 min.

 

DEATH AND DYING

Overview of issues in death and dying:

Death and Dying (KCTS/Seattle) 59 min.

Daxís Case (Fanlight) 58 min.

When My Time Comes (Washington State Catholic Conference) 18 min.

 

 Using/Forgoing Life-Sustaining Treatments

The Presidentís Commission Report on Deciding to Forego Life-Sustaining Treatment (Sheed & Ward)   25 min.

Withholding and Withdrawing Life-Sustaining Treatment (Sheed & Ward) 45 min.

Ordinary and Extraordinary Means (Archdiocese of New York) 60 min.

 

DNR Orders

Ethics, Principles and Applications (Archdiocese of New York) 60 min.

 

Artificial Nutrition and Hydration

Withdrawing Nutrition/Fluids (Sheed & Ward) 48 min.

Artificial Nutrition/Hydration (St. Francis Hospital, Miami Beach) 30 min.

No Heroic Measures (Carle) 23 min.

 

Care in Terminal Illness

Care of the Terminally Ill (St. Francis Hospital, Miami Beach)

Management of Terminal Illness (Loma Linda University Medical Center)

End State Surgery: Is This a Limit? (St. Louis University Medical Center)

The Dying Patient: Treating Pain (Fanlight) 30 min.

End-of-Life Treatment: Pain Management and Terminal Illness(Catholic Health Association)   30 min.

End-of-Life Treatment: Caring in the Midst of Suffering (Catholic Health Association) 30 min.

Almost Home    Living with Suffering and Dying  (Redemptorist  Pastoral Communication)  30 min.

Our Journey with Hospice of Dubuque

 

Euthanasia and Assisted Suicide

Active Voluntary Euthanasia: Is It Moral? (Loma Linda University Medical Center)

Euthanasia (Sheed & Ward) 30 min.

Done With Life (Films for the Humanities and Sciences; Dutch with English Subtitles) 43 min.

Help Me Die (Fanlight) 48 min.

Dominion Over Life (Archdiocese of New York)

 

Advance Directives

Advance Directives (Sheed & Ward) 40 min.

On Your Behalf Your Right to Accept or Refuse Medical Treatment (CAREsource) 13 min.

Asking About Advance Directives Scenarios for Healthcare Providers (Catholic Health Association) 21 min.

Choices in Death and Dying (Bioethics Resource Center, Loras College) 30 min.

 

ETHICS COMMITTEES IN HEALTHCARE FACILITIES

The What, How and Why of Ethics Committees (Sheed & Ward)

Ethics Committee: Necessary Invention of Modern Health (Sheed & Ward)

Bioethics Committee (St. Francis Hospital, Miami Beach)

Ethics Committees: Allies in Long-Term Care (AAHA & AARP) 33 min.

 

ETHICAL PRINCIPLES AND DECISIONMAKING

Making Ethical Decisions (Sheed & Ward) 60 min.

 

HEALTHCARE AND AGING

Canít Afford to Grow Old (WNET) 60 min.

Code Gray: Ethical Dilemmas in Nursing (Fanlight) 28 min.

Aging and Health Care (Golden Dome) 25 min.

 

ORGAN DONATION, PROCUREMENT, TRANSPLANTATION

A Heart Transplant Program (Fanlight) 29 min.

Brain Death and Organ Transplantation (St. Francis Hospital, Miami Beach)

 

PAIN MANAGEMENT

Quality of Mercy: A Case for Better Pain Management (Filmakers Library) 53 min.

End-of-Life Treatment: Pain Management and Terminal Illness (Catholic Health Association) 30 min.

The Dying Patient: Treating Pain (Fanlight) 30 min.

 

PROFESSIONAL ETHICS

Nursing Ethics (St. Francis Hospital) 30 min.

Physician/Nurse Relationships (Fanlight) 30min.

Truth-Telling/Promise Keeping (Archdiocese of New York) 60 min.

 

REPRODUCTIVE TECHNOLOGIES AND GENETIC MEDICINE

Boy or Girl: Should the Choice Be Ours? (KCTS/Seattle) 59 min.

Genetic Screening: The Ultimate Preventive Medicine (KCTS/Seattle) 59 min.

Genetic Screening and Counseling (St. Louis University Medical Center)

 

RESEARCH AND EXPERIMENTATION

Human Experiments: The Price of Knowledge (KCTS/Seattle) 59 min.

 

SERIOUSLY ILL NEWBORNS

Treatment of the Handicapped Newborn (Sheed & Ward)

Code Gray: Ethical Dilemmas in Nursing (Fanlight) 28 min.

 

VARIOUS TOPICS

Catholic Values in Health Care (St. Louis University Medical Center) 30 min.

In Sight: A Vision for a Healthy America (Catholic Health Association)

Consistent Ethic of Life Symposium (Sheed & Ward) 4 programs, 20 min. each

Ethics of Patient Care (St. Louis University Medical Center)

Law-Medicine-Ethics: How They Interact (St. Louis University Medical Center)

   

LECTURES GIVEN IN DUBUQUE

 

SOCIETY OF CHRISTIAN PHILOSOPHERS SUMMER SYMPOSIUM (1988)

Kevin OíRourke, O.P., Critical Care: The Ethical Norms.

Robert Audi, Respect for Persons, Quality of Life, and Terminal Care.

 

RURAL MINISTRY CONFERENCE (1989)

Ruth Purtilo, Rural Health Care in the United States.

 

LORAS SESQUICENTENNIAL CONFERENCE (1990)

Russell Smith, Medical Ethics: An Offspring of the Church.

Michael Place, Euthanasia: Ethical and Public Policy Considerations.

 

PRIESTSí CONVOCATION, ARCHDIOCESE OF DUBUQUE (1990)

Kevin OíRourke, OP, An Overview of the Problems and Principles of Contemporary Healthcare Ethics.

Kevin OíRourke, OP, Deciding to Forgo Life-Sustaining Treatments: The Ethical Norms.

Kevin OíRourke, OP, Lawrence Kukla, M.D., and Mary Lynn Neuhaus, J.D., Advance Directives.

Jean DeBlois, CSJ, Church Teaching on the New Reproductive Technologies.

 

CONFERENCE ON ISSUES IN DEATH AND DYING (1992)

James Bresnahan, S.J., Appropriate Care of the Dying.

Rev. John Boyle, Whether We Live or Die, We Are the Lordís.

Rev. Charles Fahey, Death and Dying in Long-Term Care: Is the Agenda the Same as in Acute Care?

 

PUBLIC LECTURE CO-SPONSORED BY THE ETHICS COMMITTEE OF MERCY HEALTH CENTER (1995)

Kevin OíRourke, O.P., Assisted Suicide: Private Dispositions and Public Policy.

 

 


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