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abortion advance directives Alzheimer's disease American Medical Association asked autonomy behavior Bioethics cancer careproviders Center clinical and organizational Clinical Ethics confidentiality conflict consent Court Critical culture death deci dementia discussion disease donating donors drugs Edmund G end-of-life ethical issues ethicist ethics committee ethics consultation example FAHC fetus genetic goals guidelines Hagerstown health plans healthcare ethics healthcare organizations hospital human Ibid identified individual informed consent institutional integrated Internal Medicine interventions involved Journal of Clinical medi Medical Ethics ment moral nurses organizational ethics outcomes participants patients and families percent persons physi physicians postmodern practice pregnant problems professional question response risk role sentinel event sion staff sultation surrogacy surrogate Task Force report therapy tients tion tional tive treatment trial University values women York