PMID- 28001134 OWN - NLM STAT- MEDLINE DCOM- 20180315 LR - 20180315 IS - 1046-7890 (Print) IS - 1046-7890 (Linking) VI - 27 IP - 4 DP - 2016 Winter TI - New Paradigms in Medical Ethics. PG - 267-280 AB - 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. CI - Copyright 2016 The Journal of Clinical Ethics. All rights reserved. FAU - Howe, Edmund G AU - Howe EG AD - Programs in Medical Ethics, Uniformed Services University of the Health Sciences, 4301 Jones Bridge Road, Bethesda, Maryland 20814 USA. edmund.howe@uhuhs.edu. LA - eng PT - Journal Article PL - United States TA - J Clin Ethics JT - The Journal of clinical ethics JID - 9114645 RN - 0 (Antipsychotic Agents) SB - IM MH - Antipsychotic Agents/therapeutic use MH - Dementia/drug therapy/psychology MH - *Ethics, Clinical MH - Extracorporeal Membrane Oxygenation/ethics MH - Health Equity MH - Humans MH - Pain Management MH - Personal Autonomy MH - Proxy MH - Sexual Behavior MH - Transgender Persons MH - Withholding Treatment/ethics EDAT- 2016/12/22 06:00 MHDA- 2018/03/16 06:00 CRDT- 2016/12/22 06:00 PHST- 2016/12/22 06:00 [entrez] PHST- 2016/12/22 06:00 [pubmed] PHST- 2018/03/16 06:00 [medline] AID - 2016274267 [pii] PST - ppublish SO - J Clin Ethics. 2016 Winter;27(4):267-280.