Core IM | Internal Medicine Podcast

#159 Moral Distress Part 1: At the Bedside Segment

6 snips
Sep 11, 2024
Explore the distinctions between moral distress, moral residue, and moral injury as they affect healthcare professionals. The discussion highlights the ethical dilemmas faced in high-pressure environments, particularly in neonatal care. Experts delve into the systemic challenges that lead to emotional turmoil, including cumbersome workflows and the disconnect between administrative demands and patient care. Understanding these issues is crucial for fostering open communication and improving both clinician well-being and patient outcomes.
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ANECDOTE

Clinical Moral Distress Examples

  • Dr. Jaufer Elmandri shares experiences of moral distress involving family conflicts and treatment disagreements in ICU cases.
  • These examples illustrate the painful moment knowing the right action but being blocked from it in clinical care.
INSIGHT

Defining Moral Distress

  • Moral distress happens when clinicians can't do ethically right actions or must do ethically wrong ones.
  • This causes clinicians to feel complicit in wrongdoing, conflicted with their professional duties.
INSIGHT

Understanding Moral Residue

  • Moral residue is the emotional scar from unresolved moral distress that clinicians carry forward.
  • It accumulates over time and keeps resurfacing, impacting clinicians long after the initial event.
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