title: New Paradigms in Medical Ethics.
abstract: As new technologies develop, new ethical paradigms may be needed. This article considers several examples, such as stopping venoarterial extracorporeal membrane oxygenation (VA-ECMO), treating patients who are in a locked-in-like state who have awareness, purposefully deceiving patients who have dementia, meeting the needs of transgender persons, showing loved ones patients' wounds, and doing research on controlled substances. I suggest that clinicians should identify the practices underlying their value assumptions so they can alter their assumptions when this might improve the care they offer to their patients.
authors.affiliation: Programs in Medical Ethics, Uniformed Services University of the Health Sciences, 4301 Jones Bridge Road, Bethesda, Maryland 20814 USA. edmund.howe@uhuhs.edu.
authors.forename: Edmund G
authors.initials: EG
authors.lastname: Howe
mesh_terms: D014150:Antipsychotic Agents / Q000627:therapeutic use; D003704:Dementia / Q000188:drug therapy / Q000523:psychology; D026690:Ethics, Clinical; D015199:Extracorporeal Membrane Oxygenation / Q000941:ethics; D000069576:Health Equity; D006801:Humans; D059408:Pain Management; D026684:Personal Autonomy; D019727:Proxy; D012725:Sexual Behavior; D063106:Transgender Persons; D028761:Withholding Treatment / Q000941:ethics; D008297:Male; D005260:Female
chemical_list: D014150:Antipsychotic Agents