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Albert R. Jonsen, who brought the field of bioethics to the bedside and whose way of reasoning influenced generations of medical ethicists, died on Oct.

He was William Andereck, his personal physician and a colleague, said Dr. Jonsen had been in poor health but had preferred that the cause of his death not be made public.

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Jonsen was almost legendary among bioethicists, respected for his wisdom and vast knowledge. Fins recalled a dinner with Dr. Fins and others at the table would ask Dr. Jonsen a question. He would provide an answer, which would provoke the next question.

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It also weighs in on policy choices Bioethics And Medical Ethics matters like the use of children or prisoners in medical research. Jonsen was a distinguished academic for most of his career — president of the University of San Francisco, where he taught philosophy and theology; chief of the division of medical ethics at the University of Amd, San Francisco; and chairman of the department of medical history and ethics at the University of Washington. But that path took an abrupt turn when he accepted a challenge from Dr. Andereck put it. Jonsen had endorsed four principles of bioethics: autonomy — allowing patients to make informed choices; beneficence — enabling health care professionals to make decisions that benefit the patient; non-maleficence — avoiding causing harm that outweighs any benefits of treatment; and respect for patients and Msdical families.

In a lecture Dr. Jonsen once compared the bioethicist to a balloonist floating high above the earth and able to see what lies ahead. Andereck said. Inhaving known him for 30 years, Dr. Andereck suggested, in effect, that Dr. Jonsen, but no. All too often, Dr.

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Andereck told Dr. He later left the priesthood. The idea, similar to legal reasoning, is that when an ethicist is confronted with a difficult decision, resolution can come by looking at other cases like it and seeing how they were resolved. Medifal example, doctors and nurses often agonize over what to do when they are caring for a patient who is clearly not going to recover but is being kept alive with multiple high-tech support systems because the family refuses to let the patient go.

The doctors and nurses may come to feel Etthics they are brutalizing the patient, letting him or her live on for another article source or so but Bioethics And Medical Ethics the cost of constant pain. Jonsen would begin by gathering all the relevant facts — the prognosis, the benefit of continued treatment and the burdens on the patient. He would look at similar cases Bioethics And Medical Ethics how they had been resolved. His goal was to organize the facts and clarify the obligations so that the family and medical professionals could all here on how to proceed. His real-world experiences with Dr.

Andereck led Dr.

Jonsen to promote a new idea in ethics consultation: placing Bioethjcs ethicist at the bedside as a part of the medical team. He and Dr. Andereck went on to establish a clinical ethics consultation service as part of Sutter HealthBioethics And Medical Ethics large Northern California network of hospitals and clinics.

The service provides more than ethics consultations a year to doctors, patients and their families. As a philanthropist he donated money to social causes, ecological foundations, academic institutions and the Society of Jesus, the Jesuit order. He spoke seven languages, liked to sketch, immersed himself in opera and baroque music, and traveled widely. His father, also named Albert, was an advertising executive with the Hearst newspapers. His mother, Helen Sweigert Jonsen, was the daughter of San Franciscans who had arrived in the city before the Gold Rush of the midth-century.]