Articles By: Jonathan Breslin
Discharging patients with vaccine hesitant parents
Jonathan Breslin is Hospital News' Ethics Columnist. As an ethicist I try to always be as balanced as possible when I write columns like this one. This is not because I don’t have opinions or I’m afraid to express them. ...
A life or death decision
Kay Carter, Gloria Taylor, Dr. Donald Low, and Hassan Rasouli – all names of Canadians who have made headlines recently for being at the forefront of high profile challenges to our current legal landscape regarding end-of-life issues. Kay Carter (through her ...
Should oral feeding be considered healthcare or a
necessity of life?
Jonathan Breslin runs J. Breslin Consulting, specializing in providing ethics services to hospitals and long term care organizations across Ontario. HIs column appears every month in Hospital News. About a month ago the case of Margot Bentley hit the national ...
Don’t ignore those ethics red flags
A couple of weeks ago I participated in two case reviews for a community care organization, one of which dealt with issues that were identified at the point of transfer from hospital to the community. One of the cases unfortunately ...
Refusal of pain medication
Pain management is a vitally important part of good health care, and an especially important part of quality care for patients at the end of life. Several studies have shown that pain and symptom management is one of the core ...
What does ethics have to do with recruitment
Recruitment and retention of high quality health care staff is an ongoing challenge for hospitals in Canada, especially when it comes to nurses. A 2008 study by the Canadian Nurses Association predicated that Canada would face a shortfall of 113,000 ...
Ask the Ethicist: Should health care organizations
mandate influenza vaccinations for staff members as a
condition of employment?
It’s that time of year again: flu season. Every year at this time influenza vaccinations for health care workers becomes a hot topic of conversation, and this year is no exception. In fact the topic is even hotter this year ...
Ask the Ethicist: Withholding a cancer diagnosis from
One of the ethical issues I get consulted about most frequently is when family members of a patient request that certain information be withheld from the patient, and in my experience it most often centers around cancer diagnoses. A typical ...
Should health care providers report extremely obese
children to child welfare agencies?
About a year ago there was a commentary in the Journal of the American Medical Association that sparked controversy by suggesting that in some cases, severe childhood obesity could justify state intervention on behalf of the child. The commentary received ...
Ask the Ethicist: Declaring death prematurely?
Responding to concerns about organ donation
In December, 2005, the Canadian Council for Donation and Transplantation (CCDT) published a report entitled, “Public Awareness and Attitudes on Organ and Tissue Donation and Transplantation Including Donation After Cardiac Death.” The report included the results of a survey of ...
During a cold afternoon in mid-December 2013, a young patient walked in the emergency department at Hôpital Montfort in Ottawa. She had nausea, […]Read more →
How do factors such as diet, physical activity and genetics impact human health and disease? The Ontario Health Study (OHS) has been working […]Read more →
This fall, the Montreal Neurological Institute and Hospital (The Neuro, at McGill University and the McGill University Health Centre) expects to introduce a […]Read more →
Innovation and Technology
Designing and building a 1.8 million square foot acute care hospital facility presents many operational challenges. Workflows, supply delivery routing and environmental efficiency […]Read more →
In hopes of better understanding the growing issue of post-traumatic stress disorder (PTSD) and mild traumatic brain injury (mTBI) among soldiers, the Canadian […]Read more →
When it comes to the challenge of ambulance off-load delays, Trillium Health Partners and Peel Paramedics are partnering to find a solution. Off-loading […]Read more →
In the past few years, Health Sciences North/Horizon Santé-Nord (HSN) in Greater Sudbury has struggled with some of the longest emergency department wait […]Read more →
The rate of type 1 diabetes is on the rise worldwide, with the greatest increase happening in children younger than five. There’s no […]Read more →
The number of emergency room cases where a Windsor/Essex teen or young adult is critically injured or killed in a preventable trauma incident […]Read more →
For some Canadians, a routine commute to work in the morning may end at a designated trauma centre, courtesy of a moment of […]Read more →
Innovation and Technology
Empowering patients, improving care and support, and enhancing quality of life; that’s what the newly launched iCHIP application will deliver to patients across […]Read more →
Health Care Policy
The Association of Ontario Midwives (AOM) recently recognized two health care organizations for successfully integrating midwives into their maternity care teams. Markham Stouffville […]Read more →
Innovation and Technology
A patient at The Hospital for Sick Children (SickKids) is the first child in North America to have undergone a specialized procedure that […]Read more →
Education and Professional Development
William Osler Health System has made significant gains in organ and tissue donation, according to year-end data from Trillium Gift of Life Network […]Read more →
Outside the Ornge hangar in Toronto, the sky is clear and the day is tranquil. But inside, the phones are ringing, and Ornge’s […]Read more →
Patients admitted to acute care hospitals on the weekend have slightly higher odds of dying than those admitted on weekdays, according to a […]Read more →
In healthcare, there are many kinds of emergencies — but not all are medical in nature. The emergency may be the urgent need […]Read more →
One of the first things patients notice about Lisa McKay is the set of white, DJ-calibre headphones she sports around her neck or […]Read more →
From the CEO's Desk
When blood donors roll up their sleeves to give, they do so with trust in our commitment to put their donation to the […]Read more →
Addictions and Drugs
One in every eight deaths among young adults is related to opioid overdose The misuse and abuse of opioids — strong painkillers such […]Read more →