Resolving Ethical Dilemmas: A Guide for Clinicians

Front Cover
Lippincott Williams & Wilkins, 2000 - Medical - 369 pages
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.

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Contents

An Approach to Ethical Dilemmas in Patient Care
3
Overview of Ethical Guidelines
11
Informed Consent
19
Responding to patients
30
An Approach to Decisions About Clinical Interventions
69
Futile Interventions
76
Refusal of Treatment by Competent Informed Patients
89
Surrogate DecisionMaking
111
Conflicts of Interest 1 Overview of Conflicts of Interest
231
Bedside Rationing of Health Care
236
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

Confusing Ethical Distinctions
121
Patient or Surrogate Insistence on LifeSustaining Interventions
128
Physician Insistence on LifeSustaining Interventions
135
Do Not Resuscitate Orders
147
Physician Assisted Suicide and Active Euthanasia
161
Tube and Intravenous Feedings
170
Determination of Death
177
Myths About the Law on LifeSustaining Interventions
189
The DoctorPatient Relationship
195
Gifts from Patients to Physicians
206
Sexual Contact Between Physicians and Patients
212
Secret Information about Patients
219
Clinical Research 206 212 219
221
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
337
Cases for Discussion
345
JIUI
349
Copyright

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