Banner Shadow

Welcome to the Dalhousie University Department of Bioethics’ ethics consultation simulation!

Background

In an ethics consultation, it is rarely a straightforward journey from request through to evaluation as there are many decisions made in the course of a single consult. This resource aims to capture that experience more accurately through the use of a Choose Your Own Adventure(™)-style branching framework. Although the choices presented in these cases reflect only a small subset of the possible outcomes, they nonetheless help to demonstrate why there are a range of answers in any given case to the question, “What should we do?”

With the help of ethicists and healthcare providers across Canada, we developed this interactive resource to help users (a) understand the ethics consultation process and (b) build confidence and capacity in ethics consultation.

For more information, see About the Project or About Us.

Getting Started

To get started, scroll down or use the menu bar on the top right to navigate through the website.

When you click on a case, you will be presented with a scenario that requires an ethics consultation. Using the interactive window, you will then be asked to make a series of choices as you think through various values, stakeholders, and policies that are relevant to the case. Each choice you make will be followed with feedback on the decision, so you can better understand how decisions in ethics consultations are justified.

In addition to various clinical and organizational ethics interactive cases, we have included Definitions and General Discussions of important ethical concepts for you to browse.

Statement of Disclosure

All of the cases presented on this resource are either completely fictionalized or composite cases that are grounded in and reflective of the reality of ethics support work. The cases were contributed by ethicists and healthcare providers across Canada for your professional development.

Cases

Care During Short Staffing

The Medicine program in your hospital has been struggling with high volumes of acutely ill patients, and short staffing due...

Read more ...

Choosing Wisely

Pneumonia season is in full swing in your facility. Recently in the ICU there have been a string of patients...

Read more ...

Conflict resolution at the end of life and the role of the ethics consultant

Ms. Bearchild is a 64-year-old woman with end-stage renal disease and moderate dementia. She often experiences paranoia and agitation as...

Read more ...

Difficult Discharge

It is Thursday afternoon.  You receive a call from one of the hospital Discharge Planners, Zahra.  Zahra requests your assistance...

Read more ...

Harm Reduction in the Hospital

Dora is a patient in her thirties. She is an inpatient on a regular medical/surgical unit at the University hospital....

Read more ...

Help me, please!

A mental health therapist, Cathy, working in a rural clinic, receives a phone call from a 42-year-old client, Emma. Cathy...

Read more ...

Living at Risk

Marta is a 73 year-old woman, living in her own apartment. She has early-stage dementia with non-insulin-dependent diabetes (requiring oral...

Read more ...

Money, Money, Money

The ethics committee has received a request to review a donation proposed by a local oil company. The proposed donation...

Read more ...

Now and Then

Mr. Hendricks is a 58 year old with early-onset dementia that has progressed rapidly in the last three years. He...

Read more ...

Public Health Crisis

Your organization includes several pediatric and neonatal intensive care units, located in different hospitals. The facilities were built at different...

Read more ...

Should we enact a slow code for this neonate?

Malik was born at 32 weeks gestation after an otherwise unremarkable pregnancy to parents of Iranian descent who identify as...

Read more ...

The Road Less Traveled

Daniel is a 22 year old with cerebral palsy. He has recently transitioned from care in a pediatric setting, and...

Read more ...

Who Decides at the End-of-Life?

Near the end of the workday, you get a call from a nurse in the ICU. He’s been asked to...

Read more ...

Winds of Winter

The health care organization you work for serves a rural population and most staff members commute to work, some for...

Read more ...

 

Definitions

This is a list of links to all the definitions used throughout this website.