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Case Studies in Medical Ethics by 
Clinical Ethics: A Practical Approach to Ethical Decisions in Clinical Medicine, Ninth Edition by
The go-to textbook on the increasingly important and rapidly evolving topic of medical ethics A Doody's Core Title for 2022! Ethical issues are embedded in every clinical encounter between patients and clinicians. In order to practice excellent clinical care, clinicians must understand ethical issues such as informed consent, decisional capacity, surrogate decision making, truth telling, confidentiality, privacy, the distinction between research and clinical care, and end-of-life care. This popular, clinically-oriented guide provides crystal-clear case-based coverage of the ethical situations encountered in everyday medical practice. Clinical Ethics introduces the proven Four Box Method--a much-needed pattern for collecting, sorting, and ordering the facts of a clinical ethical problem. This easy-to-apply system is based on simple questions about medical indications, patient preferences, quality of life, and contextual features that explain clinical ethics and help clinicians formulate a sound diagnosis and treatment strategy. In each chapter, the authors discuss case examples and provide analysis, comments, and specific recommendations. The book is divided into the four topics that constitute the essential ethical structure of every clinical encounter: Medical Indications Preferences of Patients Quality of Life Contextual Features
Clinical Ethics Consultation: Theories and Methods, Implementation, Evaluation by
This volume brings together researchers from different European countries and disciplines who are involved in Clinical Ethics Consultation (CEC). The work provides an analysis of the theories and methods underlying CEC as well a discussion of practical issues regarding the implementation and evaluation of CEC. The first section deals with different possible approaches in CEC. The authors explore the question of how we should decide complex cases in clinical ethics, that is, which ethical theory, approach or method is most suitable in order to make an informed ethical decision. It also discusses whether clinical ethicists should be ethicists by education or rather well-trained facilitators with some ethical knowledge. The second chapter of this book focuses on practical aspects of the implementation of CEC structures. The analysis of experienced clinical ethicists refers to macro and micro levels in both developed and transitional countries. Research on the evaluation of CEC is at the centre of the final chapter of this volume. In this context conceptual as well as empirical challenges with respect to a sound approach to judgements about the quality of the work of CECs are described and suggestion for further research in this area are made. In summary this volumes brings together theorists and healthcare practitioners with expertise in CEC. In this respect the volume serves as good example for a multi- and interdisciplinary approach to clinical ethics which combines philosophical reasoning and empirical research.
Code of Medical Ethics of the American Medical Association 2010-2011 by 
Complex Ethics Consultations: Cases That Haunt Us by
Clinical ethicists encounter the most emotionally eviscerating medical cases possible. They struggle to facilitate resolutions founded on good reasoning embedded in compassionate care. This book fills the considerable gap between current texts and the continuing educational needs of those actually facing complex ethics consultations in hospital settings. 28 richly detailed cases explore the ethical reasoning, professional issues, and the emotional aspects of these impossibly difficult consultations. The cases are grouped together by theme to aid teaching, discussion and professional growth. The cases inform any reader who has a keen interest in the choices made in real-life medical dilemmas as well as the emotional cost to those who work to improve the situations. On a more advanced level, this book should be read by ethics committee members who participate in ethics consultations, individual ethics consultants, clinicians who seek education about complex clinical ethics cases, and bioethics students.
Conflicts of Interest in Clinical Practice and Research by 
Ethical Challenges in Managed Care by
The rapid rise of managed care in the United States has introduced new complexities into ethical dilemmas in health care by changing the traditional relationships among health plans, payers, providers, and patients. Through twenty case studies that provide snapshots of a wide range of ethical challenges, this book explores the goals, methods, and practices of managed care. Accompanying each case are questions for consideration and a pair of commentaries by prominent contributors from diverse fields. Through the cases and commentaries, this book clarifies the internal workings of managed care, explains relevant concepts, and offers practical, constructive guidance in addressing the ethical and policy issues. The cases address a broad spectrum of issues concerning rationing shared resources, financial incentives, quality of care, and responsibilities to patients, vulnerable populations, and the community. Specific topics range from coverage of emergency services through funding medical education to respecting patients' religious beliefs and caring for the seriously mentally ill. This casebook offers a wealth of insights into critical issues that affect the delivery of managed care in an increasingly competitive market. It will be invaluable for those managing the delivery and financing of health care and for students and practitioners of the health professions and health administration, as well as interested recipients of managed care.
Ethics in Clinical Practice by
An easy to understand text, which at the same time reflects contemporary health care practice, emphasising inter-professional care and cultural sensitivity to clients or patients. Discussing common ethical problems in all aspects of interdisciplinary clinical practice and presents both sides of any ethical issue. Case studies throughout make ethical issues applied and relevant to your clinical practice, so that you can understand how you can apply ethics in everyday situations including Primary Care, Mental Health, Complex Care The book is packed with activities and pointers on professional development, and contains advice on keeping a reflective journal.
Ethics in Clinical Practice by
Helps professionals in all health care disciplines grapple with ethical issues throughout the life span. Early chapters provide a foundation in history and theory of clinical ethics. The bulk of the book is devoted to 31 case studies analyzed from medical, ethical, and legal perspectives. Cases anal
The Ethics of Managed Care: A Pragmatic Approach by
Discussions of managed care frequently begin and end with an opposition between the Hippocratic ethic of dedication to patient welfare and a business ethic of self-interest in the service of efficiency. Mary R. Anderlik approaches managed care as a problem of organizations. Rejecting a simple "medicine vs. business" analysis, she directs attention to management as manipulation, the neglect of such personal goods as satisfaction in professional accomplishment, and organizational moral myopia. In this account, "pragmatic" suggests practical idealism, not the jettisoning of principle in the interests of expediency. In The Ethics of Managed Care, Anderlik favors a broad empiricism and a moral vision centered on values of democracy and community. She describes how organizations can nourish or destroy openness, creativity, cooperation, and faithfulness--and display "virtues" such as justice, integrity, responsiveness, and efficiency, rightly understood. She uses community care clinics, asthma outreach programs, and new contexts for participatory decision-making to show the promise of managed care. She also explains the complexities of financial arrangements, arguing for an end to schemes that reward clinicians for providing less care and profiting from avoiding people who need a lot of it. The book concludes with a look at the future of managed care, proposing a program for reform.
Fletcher's Introduction to Clinical Ethics by 
From Clinic to Classroom: Medical Ethics and Moral Education by
The current development of biomedical ethics is a source of radical critique not only in the clinic, but also in the classroom. This volume argues that today's moral education is too abstract to be effective and would benefit from the adoption of the practical approach which is typical of biomedical ethics_thinking with cases. In presenting this approach, Radest explores various issues of moral epistemology and advocates the urgency of realism and decision in ethics. The use of a rich and complex literature drawn from biomedical ethics, pedagogy, and philosophy serves to stimulate the reader to think through the moral complexity and ambivalence of modern experience.
Making Medical Decisions for the Profoundly Mentally Disabled by
A legal and moral analysis of medical decision making on behalf of those with such severe cognitive impairments that they cannot exercise self-determination. In this book, Norman Cantor analyzes the legal and moral status of people with profound mental disabilities--those with extreme cognitive impairments that prevent their exercise of medical self-determination. He proposes a legal and moral framework for surrogate medical decision making on their behalf. The issues Cantor explores will be of interest to professionals in law, medicine, psychology, philosophy, and ethics, as well as to parents, guardians, and health care providers who face perplexing issues in the context of surrogate medical decision making. The profoundly mentally disabled are thought by some moral philosophers to lack the minimum cognitive ability for personhood. Countering this position, Cantor advances both theoretical and practical arguments for according them full legal and moral status. He also argues that the concept of intrinsic human dignity should have an integral role in shaping the bounds of surrogate decision making. Thus, he claims, while profoundly mentally disabled persons are not entitled to make their own medical decisions, respect for intrinsic human dignity dictates their right to have a conscientious surrogate make medical decisions on their behalf. Cantor discusses the criteria that bind such surrogates. He asserts, contrary to popular wisdom, that the best interests of the disabled person are not always the determinative standard: the interests of family or others can sometimes be considered. Surrogates may even, consistent with the intrinsic human dignity standard, sometimes authorize tissue donation or participation in nontherapeutic medical research by profoundly disabled persons. Intrinsic human dignity limits the occasions for such decisions and dictates close attention to the preferences and feelings of the profoundly disabled persons themselves. Cantor also analyzes the underlying philosophical rationale that makes these decision-making criteria consistent with law and morals.
Medical Law, Ethics and Bioethics for the Health Professions by
Now in its 6th Edition, this groundbreaking book continues to champion the "Have a Care" approach, while also providing readers with the strong ethical and legal foundation that enables them to better serve their clients. Clearly written and authoritative, it provides a solid groundwork in legal concepts and laws, important ethical issues, and the emerging area of bioethics faced in today's medical practices by today's health care professionals. SPECIAL FEATURES Vignettes--A thought-provoking vignette opens each chapter, adapted from case law or based on real-world situations. "Have a Care"--Personal stories from the authors illustrate the heart of the law and ethics of health care. A Code of Ethics Appendix contains the Hippocratic Oath, AAMA creed, and the Principles of Medical Ethics. Sample Documents Appendix provides important health care, life, and death documentation.
Medicine, Money, and Morals: Physicians' Conflicts of Interest by
Conflicts of interest are rampant in the American medical community. Today it is not uncommon for doctors to refer patients to clinics or labs in which they have a financial interest (40% of physicians in Florida invest in medical centers); for hospitals to offer incentives to physicians who refer patients (a practice that can lead to unnecessary hospitalization); or for drug companies to provide lucrative give-aways to entice doctors to use their "brand name" drugs (which are much more expensive than generic drugs). In Medicine, Money and Morals, Marc A. Rodwin draws on his own experience as a health lawyer--and his research in health ethics, law, and policy--to reveal how financial conflicts of interest can and do negatively affect the quality of patient care. He shows that the problem has become worse over the last century and provides many actual examples of how doctors' decisions are influenced by financial considerations. We learn how two California physicians, for example, resumed referrals to Pasadena General Hospital only after the hospital started paying $70 per patient (their referrals grew from 14 in one month to 82 in the next). As Rodwin writes, incentives such as this can inhibit a doctor from taking action when a hospital fails to provide proper service, and may also lead to the unnecessary hospitalization of patients. We also learn of a Wyeth-Ayerst Labs promotion in which physicians who started patients on INDERAL (a drug for high blood pressure, angina, and migraines) received 1000 mileage points on American Airlines for each patient (studies show that promotions such as this have a direct effect on a doctor's choice of drug). Rodwin reveals why the medical community has failed to regulate conflicts of interest: peer review has little authority, state licensing boards are usually ignorant of abuses, and the AMA code of ethics has historically been recommended rather than required. He examines what can be learned from the way society has coped with the conflicts of interest of other professionals --lawyers, government officials, and businessmen--all of which are held to higher standards of accountability than doctors. And he recommends that efforts be made to prohibit and regulate certain kinds of activity (such as kickbacks and self-referrals), to monitor and regulate conduct, and to provide penalties for improper conduct. Our failure to face physicians' conflicts of interest has distorted the way medicine is practiced, compromised the loyalty of doctors to patients, and harmed society, the integrity of the medical profession, and patients. For those concerned with the quality of health care or medical ethics, Medicine, Money and Morals is a provocative look into the current health care crisis and a powerful prescription for change.
Principles of Health Care Ethics by
Edited by four leading members of the new generation of medical and healthcare ethicists working in the UK, respected worldwide for their work in medical ethics, Principles of Health Care Ethics, Second Edition is a standard resource for students, professionals, and academics wishing to understand current and future issues in healthcare ethics. With a distinguished international panel of contributors working at the leading edge of academia, this volume presents a comprehensive guide to the field, with state of the art introductions to the wide range of topics in modern healthcare ethics, from consent to human rights, from utilitarianism to feminism, from the doctor-patient relationship to xenotransplantation. This volume is the Second Edition of the highly successful work edited by Professor Raanan Gillon, Emeritus Professor of Medical Ethics at Imperial College London and former editor of the Journal of Medical Ethics, the leading journal in this field. Developments from the First Edition include: The focus on 'Four Principles Method' is relaxed to cover more different methods in health care ethics. More material on new medical technologies is included, the coverage of issues on the doctor/patient relationship is expanded, and material on ethics and public health is brought together into a new section.
Promoting Legal and Ethical Awareness: A Primer for Health Professionals and Patients by
Combining the best of author Ron Scott's books, Promoting Legal Awareness in Physical and Occupational Therapy and Professional Ethics: A Guide for Rehabilitation Professionals, his newest text Promoting Legal and Ethical Awareness: A Primer for Health Professionals and Patients includes the latest case, regulatory, and statutory law. This valuable ethical and legal resource also includes an alphabetized section on HIPAA, current information on the reauthorized IDEA (Individuals with Disabilities Act), and expanded coverage of alternative dispute resolution and attorney-health professional-client relations. Cases and Questions allow you to apply key legal and ethical principles to a rehabilitation practice situation. Special Key Term boxes introduce and define important vocabulary to ensure your understanding of chapter content. Additional resource lists in each chapter include helpful sources for articles, books, and websites to further your learning. Case Examples let you put new ideas and concepts into practice by applying your knowledge to the example. Legal Foundations and Ethical Foundations chapters introduce the basic concepts of law, legal history, the court system, and ethics in the professional setting to provide a solid base for legal and ethical knowledge. An entire chapter devoted to healthcare malpractice provides vital information on practice problems that have legal implications, the claim process, and claim prevention. An extended discussion of the Americans with Disabilities Act informs you of your rights as an employee as well as the challenges faced in the workforce by your rehabilitation patients. Content on employment legal issues includes essential information for both employees and employers on patient interaction and the patient's status in the workplace. Coverage of end-of-life issues and their legal and ethical implications provides important information for helping patients through end-of-life decisions and care.
Resolving Ethical Dilemmas: A Guide for Clinicians by
Every day clinicians encounter ethical dilemmas that have a direct impact on patient care. This timely Fourth Edition gives you expert guidance in approaching a wide range of ethical dilemmas and developing an action plan even when competing points of view have equal merit. Most chapters include real-life sample cases that the author walks through, discussing the salient issues and how to approach them. Highlights of this edition include: A new chapter on ethical issues in cross-cultural medicine New material addressing conscientious objection by physicians, with particular reference to reproductive health and caring for underserved populations Revised sections on disclosure of errors to patients, gifts to physicians from drug companies, involuntary psychiatric treatment, genomic medicine, and ethical issues during public health emergencies such as pandemics Updates on organ transplantation including increasing the donor pool and non-heart beating donors Updated references throughout A summary of key points at the end of each chapter A companion Website includes instant fully searchable text. This useful resource is a must-read for medical students and practicing professionals at every level of experience.
Tough Decisions: Cases in Medical Ethics by
Life is full of tough decisions that must be made ethically and under the pressures of time. This book places readers in realistic situation where they experience the difficulties of making tough medical decisions. The cases are composites of actual cases the authors have seen or managed. Inthe role of decision-maker, the reader helps to determine what happens in the case as his or her decision often shapes the course of events and the patient's outcome. This gives a compelling sense of the pressures that bear on clinical decision-making. The authors assume that the reader wants to dothe right thing, but faces the problem of determining what the right thing will be when information is necessarily incomplete and the future unknown. Ethical theory emerges as others involved in the case offer different views of what is right in a particular medical situation. Two concludingchapters discuss the major theories of medical ethics, but there are no answers in the back of the book. Instead, the book will familiarize readers with some of the ethical principles and issues critical to the practice of medicine to patients and their families.
What Patients Teach: The Everyday Ethics of Health Care by
Being a patient is a unique interpersonal experience but it is also a universal human experience. The relationships formed when we are patients can also teach some of life's most important lessons, and these relationships provide a special window into ethics, especially the ethics ofhealthcare professionals. This book answers two basic questions: As patients see it, what things allow relationships with healthcare providers to become therapeutic? What can this teach us about healthcare ethics?This volume presents detailed descriptions and analyses of 50 interviews with 58 patients, representing a wide spectrum of illnesses and clinician specialties. The authors argue that the structure, rhythm, and horizon of routine patient care are ultimately grounded in patient vulnerability andclinician responsiveness. From the short interview segments, the longer vignettes and the full patient stories presented here emerge the neglected dimensions of healthcare and healthcare ethics. What becomes visible is an ethics of everyday interdependence, with mutual responsibilities that followfrom this moral symbiosis.Both professional expressions of healthcare ethics and the field of bioethics need to be informed and reformed by this distinctive, more patient-centered, turn in how we understand both patient care as a whole and the ethics of care more specifically. The final chapters present revised codes ofethics for health professionals, as well as the implications for medical and health professions education.
Bioethics: A Nursing Perspective by
The 5th edition of Bioethics provides nursing students with the necessary knowledge and understanding of the ethical issues effecting nursing practice. Groundbreaking in its first edition, Bioethics continues its role as a vital component of nursing education and provides a framework for students to understand the obligations, responsibilities and ethical challenges they will be presented with throughout their careers. This latest edition responds to new and emerging developments in the field and marks a significant turning point in nursing ethics in that it serves not only to inform but also to revitalise and progress debate on the issues presented.
Case Studies in Nursing Ethics by
As the healthcare professional in closest contact with both the patient and the physician, nurses face biomedical ethical problems in unique ways. Accordingly, Case Studies in Nursing Ethics presents basic ethical principles and specific guidance for applying these principles in nursing practice, through analysis of over 150 actual case study conflicts that have occurred in nursing practice. Each case study allows readers to develop their own approaches to the resolution of ethical conflict and to reflect on how the traditions of ethical thought and professional guidelines apply to the situation. The Fourth Edition has been completely revised and updated. It includes two new chapters, one on Moral Integrity and Moral Distress which contains AACN model of moral distress and work and one on Respect which addresses several aspects of the general problem of showing respect for patients and others. It's also been updated with new case studies, new 'Critical Thinking Questions' and 'Research Briefs' boxes throughout, as well as citations, glossary, and web resources in health care ethics.
Ethics and Issues in Contemporary Nursing by
Students and professionals alike have utilized this dynamic resource to apply legal and ethical decision making to the complex issues affecting their practice. Now, this highly praised text has been updated to include the latest trends, principles, theories, and models that serve as guides for ethically sound behavior in contemporary nursing care. With real world examples like Hurricane Katrina and the Schiavo case, chapter concepts are naturally applied to the practice setting. Critical thinking examples and exercises challenge you through self-reflection. Considering the complexities created by scientific and technological advances, client diversity, and various practice settings, this text emphasizes the importance of moral action in personal and professional situations.
Ethics in Nursing by
Written by a nurse and a philosopher, Ethics in Nursing blends the concrete detail of recurring problems in nursing practice with the perspectives, methods, and resources of philosophical ethics. It stresses the aspects of the nurses role and relations with others -- physicians, patients,administrators, other nurses -- that give ethical problems in nursing their special focus. Among the issues addressed are deception, parentalism, confidentiality, conscientious refusal, nurse autonomy, compromise, and personal responsibility for institutional and public policy. The third edition hasbeen enlarged with new cases and case discussions related to AIDS and an additional chapter on the expanding scope of nursing ethics as it addresses issues related to scarce resources, cost containment, justice, and the possibilities of health care rationing.
Guide to the Code of Ethics for Nurses with Interpretive Statements: Development, Interpretation, and Application by 
Law and Ethics for Advanced Practice Nursing by
Designated a Doody's Core Title ""This is an extremely valuable book for practicing APNs and students in APN programs. The authors demystify legal/ethical/political issues and make them understandable for advanced practice nurses. The authors help to focus APNs on these important and necessary aspects of nursing practice.""Score: 100, 5 stars "--Doody's" The book presents an overview of the history and current state of advance practice nursing and the law both nationally and internationally. The authors provide detailed, exemplary legal and ethical case studies that frame pivotal moments in practice. The book's key topics include nursing pedagogy related to law, international law and nursing, future roles for APNs that may be legally and ethically supported, and potential challenges to APN practice. The book also discusses current issues that affect nursing law for advance practice, such as autonomy in end of life situations, conflicts between professional duties, and caring needs. Key Features: Presents the history and current state of the law and advance practice nursingSummarizes and analyzes legal and ethical issues facing APNsProvides guidelines for how to prevent lawsuitsOffers guidance on dealing with a lawsuit filed against youProvides international comparisons of legal and ethical considerations
Legal and Ethical Issues in Nursing by
The fourth edition of Legal and Ethical Issues in Nursing is the essential book that combines legal and ethical knowledge for students and practicing nurses under one cover. It reflects the continuing influence that the law, legal issues, and the field of ethics have on the professional practice of nursing. Readers familiar with earlier editions will recognize that much of the content in this text is new or updated to mirror changes in the practice of professional nursing. This edition also combines the field of ethics with legal issues, as these two aspects of professional nursing practice cannot truly be separated.
Nursing Ethics by
The aim of this text is to explain ethical concepts by using examples, issues and problems. It starts at the level of the individual on how our moral and ethical values are shaped and then moves on to broader issues of nursing management and social policy issues. Case studies are used throughout, enabling better understanding of real life issues.
Nursing Ethics: Across the Curriculum and Into Practice by
Newly revised and updated, the Second Edition of this leading ethics textbook integrates nursing ethics content throughout the nursing curriculum, preparing students and professionals for moral issues encountered in daily practice. Nursing Ethics: Across the Curriculum and Into Practice derives its theoretical foundations from clinical evidence and case studies. Emphasizing the collaborative nurse-patient relationship in care, this text includes decision-making approaches and models, rationale for decisions, and management of care for various situations.
Nursing Ethics: Holistic Caring Practice by
Nursing Ethics: Holistic Caring Practice explores the moral practice of nursing, asserting that there is an inherent moral sense in nursing practice itself. This new edition of the book requires one to reconsider what it means to be a nurse. Rather than someone who merely applies ethical thinking and ethical models of decision making in nursing practice, the nurse is a moral being who is engaged in a moral practice.
Nursing Ethics Through the Life Span by
Using philosophical guidelines--and applying these guidelines throughout a patient's lifespan--this text assists readers in making ethically sound choices in nursing. It explores both traditional and contemporary ethical theories and acknowledges changing trends in the health field, incorporating issues such as managed care. KEY TOPICS:Includes clinical case studies within each chapter. Incorporates a new organization in Part Two, in three sections entitled "Developmental Highlights," "Issues and Problems," and "Morally Reasoned Nursing Interventions." Provides new "What if?" questions throughout to help apply theory to real events. Offers extensive analysis of euthanasia and assisted suicide. Includes thorough coverage of the HIV/AIDS epidemic and its moral complexities. Discusses organ transplantation and experimental medical treatments in ethical context. MARKET: Ideal for practicing nurses looking for a reference on professional ethics.
Nursing Law and Ethics by
Nursing Law and Ethics takes an innovative and challenging approach to key legal and ethical issues, and considers the practical application of law and ethics in nursing. Part 1 explores the interface between law, ethics and nursing, patient complaints and the changing policy context. Part 2 addresses legal and ethical perspectives on more specialist topics including negligence, consent, resource allocation, mental health nursing, the critically ill patient, clinical governance and research. The new edition reflects recent changes in mental health and learning disabilities, as well as the implementation of the new clinical negligence and complaints system. * Builds upon the strengths of previous editions * Legal Chapters accompanied by Ethical Commentary * Includes contributions from leading nurses, lawyers and ethicists
Ethics, Prevention, and Public Health by
Public health is an important and fast-developing area of ethical discussion. In this volume a range of issues in public health ethics are explored using the resources of moral theory, political philosophy, philosophy of science, applied ethics, law, and economics.The twelve original papers presented consider numerous ethical issues arise within public health ethics. To what extent can the public good or the public interest justify state interventions that impose limits upon the freedom of individuals? What role should the law play in regulating risks? Should governments actively aim to change our preferences about such things as food, smoking or physical exercise? What are public goods, and what role (if any) do they play in public health? To whatextent do individuals have moral obligations to contribute to protecting the community or the public good? Where is it appropriate to concentrate upon prevention rather than cure? Given the fact that we cannot be protected from all harm, what sorts of harm provide a justification for public health action?What limits do we wish to place upon public health activities? How do we ensure that the interests of individuals are not set aside or forgotten in the pursuit of population benefits?An excellent line-up of authors from North America, Europe, and the UK tackle these questions.
Ethics and Epidemics by
"The Advances in Bioethics" series is devoted to publishing collections of original papers and multi-authored volumes that advance the field of bioethics either by exploring new areas, or by taking new approaches to traditional areas. Although the series is published in English, its scope is international, and manuscripts are welcome from authors throughout the world. Divided into three sections this volume covers: Human Rights, Public Safety, and Public Policy; Practitioner Responsibilities During Times of Epidemics; Global Dimensions of Epidemics - each chapter in the book goes in depth to discuss the issues surrounding the topic in question and combines a theoretical thought process with practical application.
International Public Health Policy and Ethics by
Public Health Policy and Ethics brings together philosophers and practitioners to address the foundations and principles upon which public health policy may be advanced - especially in the international arena. What is the basis that justifies public health in the first place? Why should individuals be disadvantaged for the sake of the group? How do policy concerns and clinical practice work together and work against each other? Can the boundaries of public health be extended to include social ills that are amenable to group-dynamic solutions? What about political issues? How can international finance make an impact? These are some of the crucial questions that form the core of this volume of original essays sure to cause practitioners to engage in a critical re-evaluation of the role of ethics in public health policy.
Public Health Communication Interventions by
`It is a timely, thought-provoking thesis, whose analytical framework has the potential to reduce well-intentioned naivete and encourage us all to critically examine the inherently political and controversial nature of the public health promotion endeavour′ - Critical Public Health Examining the efforts to affect behaviour change, the author questions how far health communication can and should go in changing people′s vlaues. The author broadens the current analysis of interventions and presents conceptual frameworks that help identify values and justifications that are embedded in health communication goals, strategies, and evaluation criteria.
Public Health Ethics: Cases Spanning the Globe by
This Open Access book highlights the ethical issues and dilemmas that arise in the practice of public health. It is also a tool to support instruction, debate, and dialogue regarding public health ethics. Although the practice of public health has always included consideration of ethical issues, the field of public health ethics as a discipline is a relatively new and emerging area. There are few practical training resources for public health practitioners, especially resources which include discussion of realistic cases which are likely to arise in the practice of public health. This work discusses these issues on a case to case basis and helps create awareness and understanding of the ethics of public health care. The main audience for the casebook is public health practitioners, including front-line workers, field epidemiology trainers and trainees, managers, planners, and decision makers who have an interest in learning about how to integrate ethical analysis into their day to day public health practice. The casebook is also useful to schools of public health and public health students as well as to academic ethicists who can use the book to teach public health ethics and distinguish it from clinical and research ethics.
Public Health Law and Ethics: A Reader by
Now revised and expanded to cover today’s most pressing health threats, Public Health Law and Ethics probes the legal and ethical issues at the heart of public health through an incisive selection of government reports, scholarly articles, and relevant court cases. Companion to the internationally acclaimed text Public Health Law: Power, Duty, Restraint, this reader can also be used as a stand-alone resource for students, practitioners, scholars,and teachers. It encompasses global issues that have changed the shape of public health in recent years including anthrax, SARS, pandemic flu, biosecurity, emergency preparedness, and the transition from infectious to chronic diseases caused by lifestyle changes in eating and physical activity. In addition to covering these new arenas, it includes discussion of classic legal and ethical tensions inherent to public health practice, such as how best to balance the police power of the state with individual autonomy.
Business Ethics in Healthcare: Beyond Compliance by
Healthcare ethics is not just about decisions made at the bedside. It is also about decisions made in executive offices and in boardrooms. Business Ethics in Healthcare offers perspectives that can assist healthcare managers achieve the highest ethical standards as they face their roles as healthcare providers, employers, and community service organizations. Weber suggests guidelines and criteria based on the understanding that the healthcare organization is committed to patients' rights, to careful stewardship of resources, to just working conditions for employees, and to service to the community. As Weber shows, addressing business ethics issues in a healthcare organization starts with complying with relevant laws and regulations. As a provider of high quality patient care with limited resources, it needs to be able to distinguish between the right way and the wrong way of taking cost into consideration when making decisions about patient care practices. As employer, the organization needs to use good criteria for determining wages and salaries, to know how to make fair decisions about downsizing, and to respond most appropriately to union organizing efforts and employee strikes. As a community service organization, it has particular responsibilities to the community in the way it advertises, how it disposes of medical waste, and the types of mergers it enters into. Leonard J. Weber is on the faculty of the University of Detroit, Mercy. He has published over 70 articles and is the principal author of the "Case Studies in Ethics" column in Clinical Leadership & Management Review. He serves as an ethics consultant to several healthcare organizations and is a past president of the Medical Ethics Resource Network of Michigan. Medical Ethics Series--David H. Smith and Robert M. Veatch, editors
Ethical Challenges in the Management of Health Information (2008) by 
Ethics Case Studies for Health Information Management by
Today's health information professionals are working within an ever-changing environment of technology and regulatory guidelines. This dynamic workplace requires fundamental skills to appropriately manage and react to ethical dilemmas. Ethics Case Studies for Health Information Management provides real-world examples to prepare you for the inevitable challenges of the modern office and offers a methodology to interpret the various situations and determine courses of action.
An Introduction to Healthcare Organizational Ethics by
This is a lucid, readable discussion of ethical questions in health care as they arise on the business or organizational level: an effort to spell out an ethical perspective for healthcare organizations. It will be of use to students in health services management programs, health careprofessionals, healthcare administrators, and members of healthcare ethics committees. Hall begins with the ethical analysis of decision-making in the management of healthcare organizations and then addresses some of the questions of organizational ethics through an analysis of corporate socialresponsibility in for-profit and not-for-profit organizations and of the problem of uncompensated care. Later chapters take up patient development, community relations, diversity, employee relations, governmental relations, regulatory compliance and medical records. The author's analysis focuses onhealthcare institutions as business organizations with many of the problems faced by corporate management in other fields but with the difference that health care holds a special place among human needs and has traditionally been viewed from an altruistic perspective. He gives special attention tothe new standards on organizational ethics promulgated by the Joint Commission on Accreditation of Healthcare Organizations and includes many case studies not only to illustrate the main points but also to direct the reader's attention to peripheral aspects that can complicate theses issues.
Organizational Ethics in Health Care: Principles, Cases, and Practical Solutions by
This comprehensive and much-needed resource helps health care ethicists to meet the demand of challenges such as managed care, medical technology, and patient activism. Through a review of core principles and a rich selection of cases, practitioners and students will learn to apply ethics in the day-to-day administration of health care organizations. The authors are from the Park Ridge Center, the nationally acclaimed consulting and research firm.
The Ethics of Organ Transplantation by
Since the 1970s, we have witnessed astonishing scientific and technical progress in the field of organ transplantation. Patients who suffer organ failure can now often have their lives greatly improved both in terms of quality and quantity of years. The success of transplantation techniques has created an enormous demand for donor organs. Unfortunately, donor organs are in short supply, relative to the number of patients who could greatly benefit from them. Therefore, donor organs are a scarce and valuable resource that must be thoughtfully and fairly allocated among waiting patients. Not surprisingly, this situation raises many pressing ethical questions, each requiring careful consideration. This volume presents a systematic and balanced treatment of some of the most pressing ethical questions including: what is our ethical obligation to become organ donors and who should be allowed to donate?; to what extent can markets facilitate the fair allocation of organs and how should we most fairly determine who should be recipients?; how do we determine death when the donor is not brain dead?; should non-human donor organs be used to save human lives and should we use organs from anencephalic infants and tissue from embryos? ; and what is the role of the news media in covering stories about organ transplantation? Many of the leading authorities in medical ethics come together in this volume to develop extensive analyses and arguments. The reader is provided with a sound understanding of the ethical, as well as many of the broader issues in organ donation and transplantation.
Non-Heart-Beating Organ Transplantation: Medical and Ethical Issues in Procurement by
Non-heart-beating donors (individuals whose deaths are determined by cessation of heart and respiratory function rather than loss of whole brain function) could potentially be of major importance in reducing the gap between the demand for and available supply of organs for transplantation. Prompted by questions concerning the medical management of such donors--specifically, whether interventions undertaken to enhance the supply and quality of potentially transplantable organs (i.e. the use of anticoagulants and vasodilators) were in the best interests of the donor patient--the U.S. Department of Health and Human Services asked the Institute of Medicine to examine from scientific and ethical points of view "alternative medical approaches that can be used to maximize the availability of organs from a] donor in an end-of-life situation] without violating prevailing ethical norms...." This book examines transplantation supply and demand, historical and modern conceptions of non-heart-beating donors, and organ procurement organizations and transplant program policies, and contains recommendations concerning the principles and ethical issues surrounding the topic.
Organ and Tissue Donation for Transplantation by
Organ and Tissue Donation for Transplantation is a unique book bringing together detailed analyses of the problems surrounding organ and tissue donation. The increasing number of organs that can be transplanted and the rising number of patients on waiting lists have reached the point where availability or organ donors has surpassed the immunological problems as the major challenge for transplantation. In direct response to these problems, this book addresses all aspects of organ and tissue donation and the methods used to increase donation. Organ and Tissue Donation for Transplantation examines the many different approaches, both at legislative and individual levels, to improve donor rates. The inclusion of a technical section considers the practical aspects of donation and testing to prevent the transmission of disease for living organ donation, cadaver organ donation and tissue and bone marrow donation. Legal and social aspects are considered extensively, as are the various strategies used around the world to increase organ donation, from the United States and Australia, to Spain and the rest of Europe. This book will prove to be an invaluable guide for all transplant units and intensive care units where knowledge of organ and tissue is required.
Raising the Dead: Organ Transplants, Ethics, and Society by
Ronald Munson plunges us into the tense and tangled world of organ transplantation. Using vivid, often gut-wrenching cases as points of departure, Munson shows us how transplants are performed, decisions are made, and ethical and social issues arise. Fast-paced and readable, the science and medicine lucidly explained, this book forces us to confront the human and moral dimensions of using donor organs to save lives.
Transplantation Ethics by
"A medical ethicist who has been involved in the organ transplant debate for many years, Robert M. Veatch explores a variety of questions that continue to vex the transplantation community, offering his own solutions in many cases. Ranging from the most fundamental questions to recently emerging issues, Transplantation Ethics is the first complete and systematic account of the ethical and policy controversies surrounding organ transplants."--BOOK JACKET.Title Summary field provided by Blackwell North America, Inc. All Rights Reserved
The Transplant Patient: Biological, Psychiatric, and Ethical Issues in Organ Transplantation by
Organ transplantation is an essential element of treatment for a wide range of diseases, but despite increasing surgical success rates there remain many other issues affecting selection of patients and clinical outcome with which clinicians and patients themselves must be familiar. Originally published in 2000, this book reviews psychosocial, psychiatric and ethical aspects of organ transplantation in a uniquely authoritative way. Drawing heavily on the pioneering work of the Pittsburgh transplant team, it surveys the essentials of transplantation biology before engaging with a range of topics fundamental to the success of the procedure and the quality of life of recipients and donors alike. The interdisciplinary approach and the authority of the contributors will make this book of value to anyone with an interest in organ transplantation procedures.
Xenotransplantation: Science, Ethics, and Public Policy by
Xenotransplantation involves the transplantation of cells, tissues, and whole organs from one species to another. Interest in animal-to-human xenotransplants has been spurred by the continuing shortage of donated human organs and by advances in knowledge concerning the biology of organ and tissue rejection. The scientific advances and promise, however, raise complex questions that must be addressed. This book considers the scientific and medical feasibility of xenotransplantation and explores the ethical and public policy issues surrounding the possibility of renewed clinical trials. The volume focuses on the science base of xenotransplantation, public health risks of infectious disease transmission, and ethical and public policy issues, including the views of patients and their families.
Allied Health
Case Studies in Allied Health Ethics by
Distinguished ethics professors Veatch and Flack have teamed up to offer this remarkable collection of case studies based on the actual experiences of practicing allied health personnel in various fields.
Ethical and Legal Dilemmas in Occupational Therapy by 
Legal and Ethical Issues in Physical Therapy by
At last, a book that integrates law and ethics within the physical therapy context. This unique text offers a problem-solving approach to the legal and ethical issues faced by today's physical therapist.
Legal Issues and Ethical Dilemmas in Respiratory Care by
-- Each dilemma is presented in a case-study format, giving readers the opportunity to apply the theory -- Focuses on specific legal/ethical dilemmas likely to be encountered by respiratory therapists, such as confidentiality, difficult patients, caring for the terminally ill, and advance directives -- The last chapter summarizes the importance of legal issues and ethical dilemmas and emphasizes the importance of critical thinking and decision making
Emergency Medicine
Ethical Problems in Emergency Medicine: A Discussion-Based Review by
This book is designed to consolidate the relevant literature as well as the thoughts of professionals currently working in the field into a practical and accessible reference for the emergency medical technician, student, nurse, resident, and attending emergency physician. Each chapter is divided into four sections: case presentation, discussion, review of the current literature, and recommendations. Designed to serve simultaneously as a learning and reference tool, each chapter begins with a real case that was encountered in an ED setting. The case presentation is followed by a short discussion of the case, as if at a morbidity and mortality conference, by a panel of experienced attending physicians explaining how they would approach the ethical dilemmas associated with the case, and a review of the existing literature.
Ethics in Emergency Medicine by Forensic Medicine
Ethics in Forensic Science and Medicine: Guidelines for the Forensic Expert and the Attorney by Genetics
The Ethics of Genetic Screening by
This collection of essays represents the work produced in the course of a three-year project funded by the Commission of the European Communities under the Biomed I programme, on the ethics of genetic screening, entitled 'Genetic screening: ethical and philosophical perspectives, with special reference to multifactorial diseases'. The short title of the project was Euroscreen, thereafter known as Euroscreen I, in the light of the fact that a second project on genetic screening was subsequently funded. The project was multinational and multidisciplinary, and had as its objectives to examine the nature and extent of genetic screening programmes in different European countries; to analyse the social policy response to these developments in different countries; and to explore the applicability of normative ethical frameworks to the issues. The project was led by a core group who had oversight of the project and members of which have acted as editors for this volume. Darren Shickle edited the first section; Henk ten Have the second; Ruth Chadwick and Urban Wiesing the third and final part. The volume opens with an overview of genetic screening and the principles available for addressing developments in the field, with special reference to the Wilson and Jungner principles on screening. The first of the three major sections thereafter includes papers on the state of the art in different countries, together with some analysis of social context and policy.
Genetics: Ethics, Law, and Policy by
Perfect for an upper level seminar or course, this casebook traces the legal impacts of genetics across the legal spectrum--from family law to medical law to forensics. It addresses international and federal regulation of genetic research; medical applications including prenatal testing, pharmacogenomics, and gene therapy; paternity testing; intellectual property rights; and the use of genetic technologies by social institutions, including law enforcement, courts, insurers, employers and schools. The 3rd edition newly covers Octomom and President Obama's stem cell directive. No scientific background on the part of the students or professor is required.
Gerontology
Medical Ethics and the Elderly by
This ground-breaking and highly regarded book explores the central ethical issues arising from the day-to-day care of older patients. This Third Edition incorporates key recent developments including guidance from the General Medical Council and the National Council for Palliative Care on consent and refusal of treatment, The Mental Capacity Act 2005 and the NHS Code of Practice on Confidentiality. The key aim of the book remains to provide a practical guide for health professionals who are involved with doctors in making difficult decisions. Medical students who now study medical ethics and their application in the day-to-day management of patients as part of the undergraduate curriculum will also benefit.
The Moral Challenge of Alzheimer Disease: Ethical Issues from Diagnosis to Dying by
Society today, writes Stephen Post, is "hypercognitive": it places inordinate emphasis on people's powers of rational thinking and memory. Thus, Alzheimer disease and other dementias, which over an extended period incrementally rob patients of exactly those functions, raise many dilemmas. How are we to view--and value--persons deprived of what some consider the most important human capacities? In the second edition of The Moral Challenge of Alzheimer Disease, Post updates his highly praised account of the major ethical issues relating to dementia care. With chapters organized to follow the progression from mild to severe and then terminal stages of dementia, Post discusses topics including the experience of dementia, family caregiving, genetic testing for Alzheimer disease, quality of life, and assisted suicide and euthanasia. New to this edition are sections dealing with end-of-life issues (especially artificial nutrition and hydration), the emerging cognitive-enhancing drugs, distributive justice, spirituality, and hospice, as well as a critique of rationalistic definitions of personhood. The last chapter is a new summary of practical solutions useful to family members and professionals.
Home Healthcare
Ethical and Legal Issues in Home Health Care: Case Studies and Analyses by Infectious Disease
Ethics and AIDS: Compassion and Justice in a Global Crisis by
HIV and AIDS raise ethical questions that extend throughout the life cycle.Ethics and AIDS: Compassion and Justice in Global Crisis pulls together many of the these life issues in one book and carefully considers them in the context of the realities of the daily existence of people across the globe suffering from this terrible disease. In thoughtful analysis, Overberg suggests appropriate responses in light of a Christian ethic that challenges individuals, governments, parishes, and individuals across the political spectrum to address this worldwide crisis.
Infectious Disease Ethics: Limiting Liberty in the Context of Contagion by
Infectious disease ethics is one of the fastest growing--and increasingly being recognised as one of the most important--topics in bioethics and public health ethics. Paramount among ethical issues associated with infectious disease are those that arise with conflict between the goal to promote individual liberty, on the one hand, and the goal to promote other legitimate social goals such as (equality or) utility in the way of public health, on the other. Authored by world leading figures in philosophy, bioethics, law, public health and medicine, the papers in this volume focus on such conflicts and, inter alia, illustrate the diversity of ways in which such conflicts can arise and offer carefully argued, creative solutions for addressing them. They cover a broad range of topics including ethical issues associated with pandemic planning, health workers' rights and duties, vaccination policy, coercion and compensation, opt-out HIV testing, public health surveillance, and bioterrorism.
International Aid
Ethics for International Medicine: A Practical Guide for Aid Workers in Developing Countries by
In recent years, international medicine has become a growth industry. International aid organizations, religious organizations, and medical schools all provide opportunities for health care workers to travel to developing countries to provide needed medical care to the world’s poorest citizens. Ethics for International Medicine explores the many challenges faced by these medical aid workers from the West: They serve in settings with limited medical supplies, facilities, and personnel. Their patients speak different languages, have different cultures, and may even have different interpretations of disease. With limited time in which to provide medical care to hundreds of people or more, ethical dilemmas abound, and many health care practitioners, both novice and expert, are unprepared to manage them. This volume uses a series of cases studies to provide medical aid workers with a method for identifying, analyzing, and resolving ethical issues within the context of international medicine. It is an invaluable tool for individuals and health organizations seeking to serve in developing countries throughout the world.
Medical Imaging
Ethics and Basic Law for Medical Imaging Professionals by
Complies with ASRT curriculum guidelines requiring coverage of ethical theory, behavior, and dilemmas; legal responsibilities; and patient consent.
Military Medicine
Military Medical Ethics: Issues Regarding Dual Loyalties: Workshop Summary by
Dual loyalties exist in many medical fields, from occupational health to public health. Military health professionals, as all health professionals, are ethically responsible for their patients' well-being. In some situations, however, military health professionals can face unique ethical tensions between responsibilities to individual patients and responsibilities to military operations. This book summarizes the one-day workshop, Military Medical Ethics: Issues Regarding Dual Loyalties, which brought together academic, military, human rights, and health professionals to discuss these ethical challenges. The workshop examined two case studies: decisions regarding returning a servicemember to duty after a closed head injury, and decisions on actions by health professionals regarding a hunger strike by detainees. The workshop also addressed the need for improvements in medical ethics training and outlined steps for organizations to take in supporting better ethical awareness and use of ethical standards.
Nephrology
Ethics and the Kidney by
'This excellent multi-authored book gives a comprehensive account of the many ethical issues that have surrounded the management of End Stage Renal Disease. This is a book that every nephrologist and kidney transplant surgeon should read.' John Dossetor in The Lancet, September 2001This book provides a comprehensive review of ethical issues in clinical nephrology. With the advent of dialysis and kidney transplantation midway through the 20 Century, clinical nephrology was one of the first areas of medicine to deal with complex ethical issues such as rationing of health care and discontinuation of life-sustaining therapy. In the first section of the book this historical perspective is reviewed, followed by a consideration of legal issues. Specific ethical issues in nephrology are discussed in detail in the next section. These include problems in the allocation of chronic dialysis and in termination of that treatment. Also reviewed are issues in kidney transplantation, such as proposals for enhanced acquisition of kidneys, including a number of controversial proposals such as payment to donors and xenotransplantation; and equity in allocation of the supply of kidneys. Other chapters consider ethical issues in genetics; special problems in the care of children with kidney disease; and broad societal issues such as allocation of national resources for expensive therapies and economic issues in clinical practice. In the final part of the book ethical issues in the care of patients with kidney disease are discussed from an Asian and African perspective.
Neurology
Ethical Issues in Neurology by
Current and comprehensive, this significant text covers the ethical dilemmas you face in daily practice. While exploring and analyzing each ethical issue, it reviews existing guidelines and scholarly opinions and offers you balanced and objective approaches. Updated and revised, this new edition includes new chapters on controversial issues including palliative care, withholding and withdrawing life-sustaining treatment, and clinical research.
Oncology
Ethical Issues in Cancer Patient Care by
Many volumes have been written on medical ethics in the past 30 years. However, few have focused on ethical issues specific to the care of cancer patients. This book brings together such a focused examination. The contributors include clinicians, ethicists, medical humanists and medical educators. The issues raised have direct relevance to the care of oncology patients in treatment as well as research settings. The chapters address issues that are central to contemporary medical practice and medical ethics inquiry. This work should have importance for practising physicians, nurses and others caring for cancer patients. In addition, medical students, medical educators and ethicists should find this book of interest.
Pain Medicine
The Bioethics of Pain Management: Beyond Opioids by
In this book, public health ethicist Daniel S. Goldberg sets out to characterize the subjective experience of pain and its undertreatment within the US medical establishment, and puts forward public policy recommendations for ameliorating the undertreatment of pain. The book begins from the position that the overwhelming focus on opioid analgesics as a means for improving the undertreatment of pain is flawed, and argues instead that dominant Western models of biomedicine and objectivity delegitimize subjective knowledge of the body and pain in the US. This general intolerance for the subjectivity of pain is part of a specific American culture of pain in which a variety of actors take part, including not only physicians and health care providers, but also pain sufferers, caregivers, and policymakers. Concentrating primarily on bioethics, history, and public policy, the book brings a truly interdisciplinary approach to an urgent practical ethical problem. Taking up the practical challenge, the book culminates in a series of policy recommendations that provide pathways for moral agents to move beyond contests over drug policy to policy arenas that, based on the evidence, hold more promise in their capacity to address the devastating and inequitable undertreatment of pain in the US.
Pain Medicine: Philosophy, Ethics and Policy by Palliative Care
Ethics in Palliative Care: A Complete Guide by
No specialty faces more diverse and challenging ethical dilemmas than palliative medicine. What is the best way to plan ahead for the end of life? How should physicians respond when patients refuse treatments likely to be beneficial, or demand treatments not likely to be? Who makes medicaldecisions for patients who are too ill to decide for themselves? Do patients have the "right to die" (and, if so, what exactly does that mean)?In this volume noted palliative care physician and bioethicist Robert C. Macauley addresses a broad range of issues from historical, legal, clinical, and ethical perspectives. Clinically nuanced and philosophically rigorous, Ethics in Palliative Care analyzes hot-button subjects like physicianassisted dying and euthanasia, as well as often overlooked topics such as pediatric palliative care, organ donation, palliative care research, and moral distress. Drawing on real cases yet written in non-technical language, this complete guide will appeal to both medical professionals and layreaders.
The Ethics of Terminal Care: Orchestrating the End of Life by
In this volume the authors examine some of the medical social and psychological conditions which affect the way we die. Important topics covered include attitudes toward death; suicide, assisted suicide and euthanasia; hospice and pain management. This volume will be of interest to all who work with terminally ill patients.
Palliative Care Ethics: A Companion for All Specialties by
'..the definitive palliative care ethics textbook....an excellent book helping to extend an understanding of ethics into everyday clinical practice.' -Dr Lynne Russon, Palliative Medicine' Overall, this book is a practical, easy-to-read introduction to the field of bioethics and will provide a good resource for any health care provider in the field of palliative care- whatever the speciality.' -Canadian Oncology Nursing JournalPalliative care is a rapidly growing area within health care and one in which there are many ethical dilemmas. Chronically and terminally ill patients increasingly wish to take control of their own lives and deaths, resources are scarce and technology has created controversial life-prolonging treatment. This book has been written by a clinician and a teacher and writer of health care ethics to provide all those who care for the terminally ill - doctors, nurses, social workers, physiotherapists, clergy and other carers - with the concepts and principles to assist them in difficult decisions. A central theme, that technical expertise must be controlled by humane, non-technical judgements, runs through the challenging and thoughtful text. Palliative Care Ethics, in this second edition, is now more user- friendly and includes genuine case histories to illustrate ethical issues in the real world. The authors have expanded the section on rationing in respnse to the changing health care environment and confront the issues of patient rights to a far greater extent..There is also a new chapter covering terminally ill children. As the philosophy of palliation is increasingly recognised to be important from diagnosis, the coverage of more general cancer care ethics has been much increased. 'An excellent book' Palliative Medicine 'A thorough reference for practitioners of palliative care' Toronto Medical Journal 'The authors tackle many delicate concerns with professional and human integrity' Journal of Medical Ethic
Pediatrics
Extreme Prematurity: Practices, Bioethics, and the Law by
Extreme Prematurity examines the controversial issues surrounding the clinical management of this group of neonates by the intervention of modern neonatal intensive care. The foregoing of life-sustaining treatment is of particular importance. The subject matter is very relevant because of the alarming increase in multiple and preterm births, due to the increase in women who are undergoing assisted reproductive procedures, and the large increase in premature labor. No recent book covers the subject in such comparable breadth. The first section of this very timely monograph covers the epidemiology and practices in different parts of the world; the second section covers bioethics considerations, including ethical theories, moral principles and quality of life issues; the third section covers national and international guidelines; the last section covers medical law aspects in the US and around the world.
Neonatal Bioethics: The Moral Challenges of Medical Innovation by
Neonatal intensive care has been one of the most morally controversial areas of medicine during the last thirty years. This study examines the interconnected development of four key aspects of neonatal intensive care: medical advances, ethical analysis, legal scrutiny, and econometric evaluation. The authors hypothesize that a dramatic shift in societal attitudes toward newborns and their medical care was both a stimulus for and then a result of developments in the medical care of newborns. They divide their analysis into three historical eras of neonatal intensive care. The first, characterized by the rapid advance of medical technology from the late 1960s to the Baby Doe case of 1982, established neonatal care as a legitimate specialty of medical care, separate and distinct from the rest of pediatrics and medicine. During this era, legal scholars and moral philosophers debated the relative importance of parental autonomy, clinical prognosis, and children's rights. legislation mandating the treatment of infants with debilitating birth defects unless the attending physician deems efforts to prolong life futile), stimulated efforts to establish a consistent federal standard on neonatal care decisions and raised important moral questions concerning the meaning of futility and inhumane treatment. In the third era, a consistent set of decision-making criteria and policies was established. These policies were the result of synergy and harmonization of newly agreed upon ethical principles and newly discovered epidemiological characteristics of neonatal care. Tracing the field's recent history, notable advances, and considerable challenges to be faced, the authors present neonatal bioethics as a paradigm of complex societal conversation among physicians, philosophers, policymakers, judges, and legislators that led to responsible societal oversight of a controversial medical innovation.
Primary Care
Ethics in Primary Care by
One in a series of books about common problems in the primary care setting, this text answers practical questions about how to make ethical choices and balance interests in difficult clinical situations. Topics include advance directives, genetic testing, and treating minors.
General Practice and Ethics: Uncertainty and Responsibility by
Explores the ethical issues faced by GPs in their everyday practice, addressing two central themes; the uncertainty of outcomes and effectiveness in general practice and the changing pattern of general practitioners' responsibilities.
Practical Ethics for General Practice by
General practitioners have obligations to patients in their care, the government for responsible use of resources, and to communities for the standard of health services provided. Ethics is at the heart of health services, dealing with fundamental questions about what ought to be valued, and why. The two disciplines inevitably impact upon each other, and this book brings them together to focus on practical ethics for general practitioners.The focus is on practicethroughout, ensuring through real cases and discussions with practitioners that the book is not abstract and esoteric in its discussion of philosophical principles, but that it is applicable in thereal world of the doctor's surgery. Themes covered include the authors research-based account of trust and the doctor-patient relationship, acting in the patient's best interests, confidentiality, making decisions with patients, beginning and end of life issues, treating children and adolescents, and role conflicts in general practice.
Primary Care Ethics by
Relevant for the entire primary care team, this book provides a diverse range of perspectives on current topical issues. Healthcare ethics is a subject of increasing interest, especially when it related to some of the challenging themes regularly discussed in the media. Until now there has been little useful literature for those in primary care, where ethical problems are often experienced with a unique set of issues. Primary Care Ethics is rigorous and academic, while remaining highly accessible for the full range of practitioners. Moral and legal aspects are clearly distinguished throughout, and the theme-based approach is stimulating and original. In providing greater depth and breadth in this subject than has been available previously, the book is both practical and thought-provoking, and essential reading for everyone, whether in academic, training or practice-based primary care.
Surgery
Surgical Ethics by
The first textbook on the subject, this is a practical, clinically comprehensive guide to ethical issues in surgical practice, research, and education written by some of the most prominent figures in the fields of surgery and bioethics. Discussions of informed consent, confidentiality, andadvance directives--core concepts integral to every surgeon-patient relationship--open the volume. Seven chapters tackle the ethical issues in surgical practice, covering the full range of surgical patients--from emergency, acute, high-risk, and elective patients, to poor surgical risk and dyingpatients. The book even considers the special relationship between the surgeon and patients who are family members or friends.Chapters on surgical research and education address innovation, self-regulation in practice and research, and the prevention of unwarranted bias. Two chapters focus on the multidisciplinary nature of surgery, including the relationships between surgery and other medical specialties and theobligations of the surgeon to other members of the surgical team. The economic dimensions of surgery, especially within managed care, are addressed in chapters on the surgeons financial relationships with patients, conflicts of interest, and relationships with payers and institutions. The authors donot engage in abstract discussions of ethical theory; instead, their discussions are always directly relevant to the everyday concerns of practicing surgeons. This well-integrated volume is intended for practicing surgeons, medical educators, surgical residents, bioethicists, and medicalstudents.
