Resolving Ethical Dilemmas: A Guide for Clinicians

Front Cover
Lippincott Williams & Wilkins, 2000 - Medical - 369 pages
0 Reviews
Reviews aren't verified, but Google checks for and removes fake content when it's identified
Designed for clinicians, this guide to approaching ethical decisions and developing action plans addresses such routine problems as informed consent and more difficult issues such as economic incentives to decrease medical care. It presents real-life case studies and expands on them to clarify the ethical issues and develop action plans. This edition includes new chapters on paediatrics, surgery, obstetrics and gynaecology, and organizational policies to decrease medical services.

What people are saying - Write a review

We haven't found any reviews in the usual places.

Contents

An Approach to Ethical Dilemmas in Patient Care
3
Overview of Ethical Guidelines
11
Informed Consent
19
Responding to Patients Refusals of Beneficial Interventions
30
Confidentiality
42
Avoiding Deception and Nondisclosure
52
Keeping Promises 7
62
Shared DecisionMaking
67
The DoctorPatient Relationship 25 Overview of the DoctorPatient Relationship
195
Refusal to Care for Patients
197
Gifts from Patients to Physicians
206
Sexual Contact Between Physicians and Patients
217
Secret Information about Patients
219
Clinical Research 206 212 219
221
Conflicts of Interest
231
Bedside Rationing of Health Care
236

An Approach to Decisions About Clinical Interventions
69
Futile Interventions
72
DecisionMaking Capacity
80
Refusal of Treatment by Competent Informed Patients
89
Standards for Decisions When Patients Lack DecisionMaking Capacity
94
Surrogate DecisionMaking
111
Decisions About LifeSustaining Interventions
119
Confusing Ethical Distinctions
121
Patient or Surrogate Insistence on LifeSustaining Interventions
128
Physician Insistence on LifeSustaining Interventions
135
Ethics Committees and Case Consultations
140
Do Not Resuscitate Orders
147
PhysicianAssisted Suicide and Active Euthanasia
156
Tube and Intravenous Feedings
167
The Persistent Vegetative State
173
Determination of Death
177
Legal Rulings on LifeSustaining Interventions
181
Myths About the Law on LifeSustaining Interventions
189
Incentives for Physicians to Increase Services
244
Incentives for Physicians to Decrease Services
248
Gifts from Drug Companies
258
Disclosing Mistakes
263
Impaired Colleagues
272
Ethical Dilemmas Facing Students and House Staff 231 236 244 248 258 263 271
277
Ethical Issues in Clinical Specialties
283
Ethical Issues in Pediatrics
285
Ethical Issues in Surgery
294
Ethical Issues in Obstetrics and Gynecology
309
Ethical Issues in Psychiatry 285 294 302
310
Current Controversies
319
Transmission of HIV Infection in Health Care Settings
321
Ethical Issues in Organ Transplantation
328
Testing for Genetic Conditions 321 328
337
Cases for Discussion
345
Subject Index
349
Copyright

Bibliographic information