The ethical conundrums that arise in the care of critically ill people are diverse, complex, and challenging. They can involve value conflicts around goals of care or inadequate informed consent, allocation of scarce resources including staff, inequities in access to critical care interventions, and myriad others. Often there are no clear or satisfying resolutions to these complex issues. The vestiges of them remain as moral residue even when we have done our best—all things considered. The moral residue can manifest in a variety of ways including physical, emotional, spiritual, and moral consequences. We may be unable to name the source of our moral suffering or identify the moral adversity that produced it. Or we may be stuck in an endless cycle of questions or grievances that leave us powerless and exhausted. We often wonder: How do I restore my integrity and wholeness in response to the persistent moral residue? How...

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