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Ethics services

How can we help you?

Our role is to support you to identify, analyze, and resolve ethical issues. Ethical concerns may include issues related to 

  • Access to Care or Treatment
  • Adherence to Treatment
  • Advance Care Planning
  • Beginning-of-life Care Or End-of-life Care
  • Decision-making capactiy
  • Code Status/Level of Care
  • Conflict of Interest
  • Conscientious Objection
  • Disclosure
  • Diversity And Cultural Sensitivity
  • Duty of Ca re
  • Futility
  • Informed Consent
  • Justice , Equity and Human Rights
  • Living at Risk
  • Medical Assistance in Dying
  • Moral Distress
  • Priority Setting and Resource Allocation
  • Privacy and Confidentiality
  • Respect for Autonomy and Empowerment
  • Substitute Healthcare Decision-Maker
  • Withholding Or Withdrawing of Treatment

Our Team

Everett, Bethan 
VGH/UBC Hospitals, GF Strong Rehabilitation Centre, George Pearson Centre, Vancouver Community, and VCH Affiliated Sites

Migneault, David 
All VCH & VCH Affiliated Sites - Physician Support Ethicist


Gill, Julia
Richmond, Coastal (North Shore, Sea-to-Sky, Sunshine Coast & Powell River, Bella Coola & Bella Bella), and VCH Affiliated Sites

Please note: Kim Jameson, VCH Ethicist, is on LOA September 18, 2019 to October 1, 2020

What we do

Clinical and organizational consultation

We can help by providing consultations with an individual Ethicist, an ethics committee or a small group of its members. This service is free, confidential and available to patients, clients, residents, substitute decision-makers, health care professionals and care providers.

Ethics consultations seek to:

  • Bring clarity as a response to ethical questions. 
  • Assist in understanding ethical terms and concepts. 
  • Identify and help balance various, sometimes conflicting, interests in a particular case. 
  • Assist in developing and evaluating a care plan. 
  • Assist in identifying choices that will lead to the fulfillment of the organization's missions and values.

An ethics consult may be helpful for a range of issues, such as:

  • Addressing discrepancies between clinical judgement and the wishes of patients or their surrogates. 
  • Interpreting patient wishes or advance directives. 
  • Discerning patient wishes or interests when there is no clear advance directive. 
  • Clarifying who the decision-makers are. 
  • Determining the extent of patient confidentiality. 
  • Respecting patient confidentiality. 
  • Resolving tensions related to religious beliefs or cultural backgrounds.

SOURCE: Ethics services ( )
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