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A Casebook of Medical Ethics - Terrence F. Ackerman

Paperback

Published: 31st August 1989
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Should a brain-dead woman be artificially maintained for the sake of her fetus? Does a physician have the right to administer a life-saving transfusion despite the patient's religious beliefs? Can a family request a hysterectomy for their retarded daughter? Physicians are facing moral dilemmas with increasing frequency. But how should these delicate questions be resolved and by whom? A Casebook of Medical Ethics offers a real-life view of the central issue involved in clinical medical ethics. Since the analysis of cases plays a critical role in this study, the authors have assembled a broad collection of histories encountered in their work as medical ethics educators and consultants. The cases are developed in substantial detail to reflect the rich medical and psychosocial complexity involved, and each is brought to a decision point at which a course of action must be chosen. Among the issues examined are conflicts between patients' wishes and respect for their well-being, tensions concerning duties to patients unable to care for themselves and obligations to family members, and clashes between patient care obligations and the interests of other persons, including physicians, third parties, and the general public. The book also includes commentaries that combine general discussion of ethical principles with specific analysis of the cases examined in the text, as well as various options for resolving conflicts. Readers are invited to assess the comparative merits and liabilities of these approaches. An ideal text for undergraduate and medical school courses, A Casebook of Medical Ethics brings readers to the forefront of medicine, where they share in the determination of crucial ethical decisions.

"The book is good enough to command a place in any serious bibliography of health care ethics, and I will certainly be recommending it." --The Times Higher Education Supplement "Lucid, concise and to the point....The basic message is well worth consideration." --Bioethics "This book offers a real-life view of the central issues involved in clinical medical ethics. Since the analysis of cases plays a critical role in this study, the authors have assembled a broad collection of histories encountered in their work as medical ethics educators and consultants. The cases are developed in substantial detail to reflect the rich medical and psychosocial complexity involved, and each is brought to a decision point a which a course of action must be chosen." --Issues in Law & Medicine "The great value of this volume lies in the cases . . . . Not only to the case histories come from real life, they also come to life through a wealth of small details that nurses and clinicians will recognize. Any teacher of health care ethics ought to have these cases readily available." Bulletin of Medical Ethics "I can recommend this book . . . to sociologists as an easy, well-thought-out introduction to the subject. . . . the general principles they propound are sound. Certainly, they are lucid and not dogmatic." --Medical Sociology News

1: Paternalism in the Therapeutic Relationship 1.1: Ambivalence Toward Electroconvulsive Therapy 1.2: Treatment Refusal in the Medical Intensive Care Unit 1.3: An Uncooperative Leukemia Patient 1.4: Rehabilitation of a Dependent Patient 1.5: Alternative Approaches to Informed Consent 1.6: Previous Refusal of Treatment by a Presently Comatose Patient 1.7: A Family's Refusal of Blood Transfusions for a Mother and Her Son 1.8: Deciding Whether to Discharge a Suicidal Patient 1.9: A Request for Sex-Reassigning Surgery 1.10: Divulging Information Concerning an Infant's Condition 2: Duties to Patient and Family 2.1: A Daughter's Insistence on Aggressive Treatment 2.2: Parental Refusal of Cancer Treatment on Religious Grounds 2.3: Informed Consent and the Dying Adolescent 2.4: Treatment Refusal for an Infant with Possible Brain Damage 2.5: Venereal Disease and Adolescent Confidentiality 2.6: Contraceptives for an Adolescent 2.7: Request for Abortion for a Retarded Daughter 2.8: Request for Hysterectomy for a Retarded Eleven-Year-Old 2.9: Conflict About Maintaining a Brain-Dead Woman for the Sake of Her Fetus 2.10: Choosing the Method of Delivery for a Fetus with Hydrocephalus 3: Deciding for Others 3.1: A Bedridden and Cognitively Impaired Elderly Patient 3.2: Who Should Decide for a Patient in Persistent Vegetative State? 3.3: Nasogastric Tube Feedings for an Elderly Stroke Patient 3.4: A Prolonged Stay in the Neonatal ICU 3.5: Deciding Treatment When the Preliminary Diagnosis is Trisomy 18 3.6: Risk/Benefit Assessment of Surgery for a Child Suffering from Strokes 3.7: Responding to a Family's Decision for Laetrile 3.8: Selecting Therapy for a Mentally Retarded Teenager 3.9: Birth Control for a Retarded Woman 3.10: A Family's Lack of Commitment 4: Medical Research Involving Human Subjects 4.1: Limited Consent in Alcoholism Research 4.2: Disclosure of Preliminary Results in a Randomized Clinical Trial 4.3: Constraints on Consent in a Phase I Clinical Trial 4.4: Proxy Consent for Incompetent Trauma Patients 4.5: Undue Inducement in the Recruitment of Research Subjects 4.6: Nontherapeutic Research Procedures Involving Children 4.7: Discomfort from Repeated Nontherapeutic Research Procedures Involving Competent Adults 4.8: Physicians' Treatment Preferences and Recruitment of Subjects for a Randomized Clinical Trial 4.9: Parental Preferences and a Child's Involvement in a Randomized Clinical Trial 4.10: Compensating Research Injuries 5: Physicians, Third Parties, and Society 5.1: Request for Surgery the Physician Considers Unnecessary 5.2: Providing Free Care 5.3: Risk of Litigation as a Factor in Decision Making 5.4: Pressures to Provide Customary Care 5.5: Confidentiality and Child Abuse 5.6: Rejection of a Consultant's Advice 5.7: Abortion Resulting in a Live Birth 5.8: Costly Nutrition for a Terminal Patient 5.9: Cost Factors in the Choice of Treatment for Kidney Stone Disease 5.10: Artificial Insemination for a Single Woman Topical Index to Cases

ISBN: 9780195039177
ISBN-10: 0195039173
Audience: Professional
Format: Paperback
Language: English
Number Of Pages: 264
Published: 31st August 1989
Publisher: Oxford University Press Inc
Country of Publication: US
Dimensions (cm): 23.44 x 15.67  x 1.5
Weight (kg): 0.44