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Navigable Slide Index

1. Introduction
2. Outline of talk
3. Images of the suffering of pain
4. Some quotations about pain
5. Diagnosis: painful diseases and pain diseases
6. What is pain? the beginning
7. What is pain? the end
8. Pain affects the whole person
9. Pain expectation: anterior cingular gyrus activation
10. Beginning to end: the chronic pain cycle
11. Challenges and ethical issues in chronic pain
12. The challenge: social factors
13. Insightful clinical reasoning
14. Four clinical metrics of clinical reasoning
15. Provider factors that inform clinical decisions
16. 5 bioethical principles in practicing pain medicine
17. Clinical metrics: efficacy
18. Clinical metrics: effectiveness
19. Effects that might influence treatment outcomes
20. Established effects of chronic pain on patients
21. How to deliver clinical care driven by outcome?
22. Insight and responsibility
23. Scope of ethics
24. Medicine as a fiduciary responsibility
25. 18th century issues of professionalism in medicine
26. 18th century tools of ethics in medicine
27. Responsibility for ethical practice: 19th century
28. Responsibility for ethical practice: 20th century (1)
29. Responsibility for ethical practice: 20th century (2)
30. Responsibility for ethical practice: 20th century (3)
31. Pain management, 2000
32. Survival
33. The pain management physician roles
34. Pain treatment continuum (1)
35. A model for pain medicine and primary care
36. Pain care, 2020?
37. Integrating ethics into clinical decision-making
38. Five bioethical principles in pain medicine
39. Beneficence
40. Beneficence in designing research
41. Autonomy
42. Lack of autonomy (1)
43. Lack of autonomy (2)
44. Nonmaleficence
45. Justice
46. Double effects
47. Common ethical conflicts in pain medicine (1)
48. Pain treatment continuum (2)
49. Common ethical conflicts in pain medicine (2)
50. Summary

Topics Covered

• The nature of chronic pain, pain patients, and the system we practice in creates ethical issues for us all
• Diagnosis: there are many painful diseases and pain diseases
• What is pain?
• Beginning to end: the chronic pain cycle
• The challenge: social, conscious and provider factors
• Clinical reasoning, ethics and clinical practice management
• Clinical metrics: efficacy and effectiveness
• Effects of chronic pain on individual patients that might influence treatment outcomes
• Insight and responsibility
• Scope of ethics
• Pain management
• Managing levels of complexity to provide ethical community practice
• Pain treatment continuum
• Pain medicine and primary care community rehabilitation model
• Pain care, 2020?
• Integrating ethics into clinical decision-making in pain medicine and palliative care medicine in the 21st century
• Beneficence
• Nonmaleficence
• Autonomy
• Justice
• Double effect

Links

Series:

• Cancer Pain Management

Categories:

• Cancer
• Clinical Practice
• Neuroscience

Therapeutic Areas:

• Neurology
• Oncology

Talk Citation

Gallagher, R. (2009, February 23). Insight and responsibility: ethics in pain medicine and palliative care [Video file]. In The Biomedical & Life Sciences Collection, Henry Stewart Talks. Retrieved June 29, 2025, from https://doi.org/10.69645/XDCF4571.
Export Citation (RIS)

Publication History

• Published on February 23, 2009
• Archived on May 28, 2025

Financial Disclosures

• Prof. Rollin Gallagher has not informed HSTalks of any commercial/financial relationship that it is appropriate to disclose.