Publications

AMA Ethical Force Program Concensus Report:

Improving Communication Improving Care

End of Life Series from Missouri Medicine:

• Cultural Sensitivity in End-of-Life Discussions. David A. Fleming, MD. Missouri Medicine. January/February 2003. Vol. 100. No. 1. p 67-73.
• Helping Older Patients and Their Families Decide about End-of-Life Care. Steven Zweig, MD, David R. Mehr, MD. Missouri Medicine. January/February 2003. Vol. 100. No. 1. p 60-66
• Making Difficult Choices at the End of Life: A Personal Challenge for All Participants. David A. Fleming, MD. Missouri Medicine. November/December 2004. Vol. 101. No. 6. p 53-58
• Pain Relief at the End-of-life: A clinical guide. Clay M. Anderson, MD. Missouri Medicine. November/December 2002. Vol. 99. No. 10. p 546-549
• Questions & Answers about Hospice: A guide for Missouri's physicians. Steven Zweig, MD. Missouri Medicine. November/December 2002. Vol. 99. No. 10. p 556-560
• Relieving Non-Pain Suffering at the End-of-life. David D. Cravens, MD, Clay M. Anderson, MD. Missouri Medicine. January/February 2003. Vol. 100. No. 1. p 74-79
• Relieving Pain: What are today’s ethical and legal risks? David A. Fleming, MD. Missouri Medicine. November/December 2002. Vol. 99. No. 10. p 550-555
• Spirituality and End-of-Life Care. Scott E. Shannon, MD and Paul Tatum, MD. Missouri Medicine. November/December 2002. Vol. 99. No. 10. p 561-566
• The Burden of Caregiving at the End-of-life. David A. Fleming, MD. Missouri Medicine. January/February 2003. Vol. 100. No. 1. p 80-84
• The Endless Challenges of End-of of-Life Car Care: A good death = medical, psychological, spiritual support and free of pain. David A. Fleming, MD. Missouri Medicine. November/December 2002. Vol. 99. No. 10. p 522-523.
• The Opportunities of Caring at the End-of of-Life. David A. Fleming, MD. Missouri Medicine. January/February 2003. Vol. 100. No. 1. p 6-8

Ethical Issues Series

• Access in Missouri June 2007
• Do Not Attempt Recusitation: DNAR April 2007
• Recommendations of the Citizens' Health Care Working Group David A. Fleming, MD. November 2006
• Futility Policies and Politics. David A. Fleming, MD October 2006
• Patient-Centered Communication. David A. Fleming, MD June 2006
• "...but I have no insurance." David A. Fleming, MD. April 2006
• A Good Death. David A. Fleming, MD. March 2006
• Assisted Suicide Upheld. David A. Fleming, MD. January 2006
• Narrowing the Disparity Gap. David A. Fleming, MD. November 2005
• Tribute to Edmund D. Pellegrino, M.D.. David A. Fleming, MD. October 2005
• Treating Patients Without Permission. David A. Fleming, MD. September 2005
• Saying I'm Sorry. David A. Fleming, MD. June 2005
• Communication and Prevention. David A. Fleming, MD. May 2005
• Reflections on HB 905. David A. Fleming, MD.April 2005
• Futility Policies. David A. Fleming, MD. March 2005
• DNR Revisited. David A. Fleming, MD. February 2005
• Organ Donation and Procurement. David A. Fleming, MD. January 2005
• Ethical Research. David A. Fleming, MD. December 2004
• Engaging Patients. David A. Fleming, MD. November 2004
• The Ethical Use of New Drugs. David A. Fleming, MD. October 2004
• Disparities in End of Life Care. David A. Fleming, MD. September 2004
• "The Patient Just Wants to Go Home." David A. Fleming, MD. August 2004
• The Pope and Terri's Tube. David A. Fleming, MD. July 2004
• The Uninsured. David A. Fleming, MD. June 2004
• Communication. David A. Fleming, MD. May 2004
• Malpractice Crisis. David A. Fleming, MD. April 2004
• Caring for the Caregiver. David A. Fleming, MD. March 2004
• Spirituality and Health Care. David A. Fleming, MD. February 2004
• The Difficult Family. David A. Fleming, MD. January 2004
• Partial DNR Orders. David A. Fleming, MD. December 2003
• The Terri Schiavo Crisis. David A. Fleming, MD. November 2003
• Organizational Ethics Committees. David A. Fleming, MD. October 2003
• Ethics Consultation. David A. Fleming, MD. September 2003

Ethics in Nursing

• Nurs Manage. 2008 Feb ;39 (2):35-6, 42-3 18376508 (P ,S ,E ,B )
  
• What's your contribution to the clinical ethics process?
  Sarah Breier- Mackie
  Center for Health Ethics, the University of Missouri-Columbia, USA.
  Mo Med. ;104 (3):191-5 17619492 (P ,S ,E ,B )
  
• The science and ethics of feeding tubes.
  Sarah Breier- Mackie, David Fleming
  Gastroenterol Nurs. ;30 (3):227-8 17568264 (P ,S ,E ,B )
  
• Impaired nurses in the workplace.
  Sarah Breier- Mackie
  Gastroenterol Nurs. ;30 (2):120-2 17440315 (P ,S ,E ,B ,D )
  
• Cultural competence and patient advocacy: the new challenge for nurses.
  Sarah Breier- Mackie
  Gastroenterol Nurs. ;29 (6):484-6 17273016 (P ,S ,E ,B )
  
• Percutaneous feeding tube placement and severe anorexia nervosa.
  Sarah Breier- Mackie
  Department Editor.
  Gastroenterol Nurs. ;28:248-9 15976571 (P ,S ,E ,B )
  
• Why ethics and gastroenterology nursing?
  Sarah Breier- Mackie
  Aust J Adv Nurs. ;19 (4):27-32 12118732 (P ,S ,E ,B )
  
• Home parenteral nutrition: an ethical decision making dilemma.
  Sarah Breier- Mackie, Christopher J Newell
  Royal Hobart Hospital, Tasmania, Australia.

Ethics Manual of the American College of Physcians, 5th ed.