Publications by authors named "Ellen L Schellinger"

9 Publications

  • Page 1 of 1

Responding to the Pandemic: The Evolving Role of Tele-Ethics in Ethics Consultation.

S D Med 2021 Feb;74(2):80-82

Department of Neurosciences, University of South Dakota Sanford School of Medicine, Sioux Falls, South Dakota.

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February 2021

American Indian Ethics of Health Care When Serving American Indian Patients in South Dakota.

S D Med 2019 Mar;72(3):123-126

Department of Neurosciences, University of South Dakota Sanford School of Medicine, Sioux Falls, South Dakota.

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March 2019

Medical futility: balancing patient autonomy and physician integrity.

S D Med 2008 ;Spec No.:25-7

Center for Ethics & Caring, Sanford USD Medical Center, University of South Dakota, SD, USA.

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September 2008

Ethical and legal issues at the end of life.

S D Med 2008 ;Spec No.:20-1. 23-4

Pediatric Hermatology/Oncology, Sanford Children's Specialty Clinic, Sanford School of Medicine, University of South Dakota, SD, USA.

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September 2008

Advance care planning.

S D Med 2008 ;Spec No.:12-8

Department of Internal Medicine, Section of Ethics and Humanities, Sanford School of Medicine, University of South Dakota, SD, USA.

Advance care planning is important; the discussion should start early, prior to a life-threatening illness and repeated as necessary when there are changes in a patient's status. It is not necessarily the final document that is important, but the communication that occurs during the process of ACP. It is during the discussion the physician and family will learn about and understand the patient's wishes. As Teno commented, "Even the most detailed written directive is likely to be of limited value if there has been no communication among patient, provider team, and proxy decision-maker." If an advance directive document is not completed, the wishes of the patient must be documented in the medical record. We know from the 2005 South Dakota "Dying to Know" survey that only 35 percent of South Dakotans have completed an advance directive and 39 percent want their physicians to initiate the conversation. South Dakota physicians can take an active role in increasing these percentages by initiating the advance directive discussion with their patients and completing their own directives. We can help our patients realize that the discussion of their values at end of life is a natural part of caring for themselves and their family.
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September 2008

Extenuating circumstances: regarding comfort one: new cardiopulmonary resuscitation directives in South Dakota.

S D Med 2006 Dec;59(12):523-4

Center for Ethics and Caring, Sioux Valley Hospital, Sioux Falls, SD, USA.

Circa 2001, Aunt Abby had reached her seventh decade when she was diagnosed with advanced ovarian cancer. Chances of cure were slim to nil, and true to her Midwestern upbringing and staunch faith that a better world awaits, Aunt Abby chose to live out her last months at home, "doing" for Uncle Bill, as she had for the last fifty-two years. Uncle Bill and the kids understood and were willing to abide by her wishes to just let her pass, as God would will. But, when the day came that Aunt Abby's heart failed, she was puttering through the local grocery alone, while Uncle Bill slipped around the corner to pick up parts from the hardware store. An alert store clerk called 911. The EMS team arrived quickly, and, as their protocol required, began resuscitation. Aunt Abby's wish for a death with "no fuss" was no match for the emergency medical system's clinical and legal duty to treat until a physician ordered otherwise.
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December 2006

Reflections: improving care at the end of life.

S D J Med 2003 Jun;56(6):229-30

Center for Ethics and Caring, Sioux Valley Hospital, Sioux Falls, SD, USA.

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June 2003