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An Ethics Casebook for Hospitals : Practical Approaches to Everyday Cases - Mark G. Kuczewski

An Ethics Casebook for Hospitals

Practical Approaches to Everyday Cases

Paperback Published: 22nd April 1999
ISBN: 9780878407231
Number Of Pages: 219
For Ages: 18+ years old

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This collection of thirty-one cases and commentaries addresses ethical problems commonly encountered by the average health care professional, not just those working on such hightech specialties as organ transplants or genetic engineering. It deals with familiar issues that are rarely considered in ethics casebooks, including such fundamental matters as informed consent, patient decision-making capacity, the role of the family, and end-of-life decisions. It also provides resources for basic but neglected ethical issues involving placement decisions for elderly or technologically dependent patients, rehabilitation care, confidentiality regarding AIDS, professional responsibility, and organizational and institutional ethics.

The authors describe in detail the perspectives of each party to the case, the kind of language that ethicists use to discuss the issues, and the outcome of the case. A short bibliography suggests useful articles for further reading or curriculum development.

Easily understood by readers with no prior training in ethics, this book offers guidance on everyday problems from across the broad continuum of care. It will be valuable for health-care professionals, hospital ethics committees, and for students preparing for careers in health-care professions.

Industry Reviews

The strength of these cases is their occasional complexity and reflection of the reality of day-to-day practice... I highly recommend this book as an aid in the case-based teaching of medical ethics. Ethics committee members, medical students, and house staff of academic institutions should also find these cases useful in their continuing education. Bioethics Forum This book represents a major step forward in the teaching of ethics and as such has the potential to become an indispensable tool for teachers and clinicians alike... A unique feature of this book is that the cases exemplify a sample of ethical dilemmas that were submitted by representatives of hospitals... Kuczewski and Pinkus have produced an indispensable addition to the bioethics literature... a volume that is both undaunting and user friendly. As such it represents a valuable resource and tool for educating front line clinicians, ethics committees and administrators about bioethics. Nursing Ethics

Prefacep. vii
What Is Different About this Casebook?p. vii
How Was the Casebook Developed?p. ix
What Features Are Included in the Casebook?p. ix
What About Confidentiality?p. xi
Acknowledgments and Participantsp. xiii
Consent and Competencep. 1
"He Doesn't Know What He's Saying"p. 3
Consent and the Elderlyp. 8
Caring for the Indecisive Patient: No Longer Secret But Still a Problemp. 14
Withdrawing Treatment: Easier Said Than Donep. 21
It's the Simple Stuff: Ageism, Autonomy, and Provider Competencep. 27
Advance Directives and Surrogate Decision Makingp. 35
"But She Said She Wanted Everything"p. 37
The Letter and Spirit of a Directivep. 43
Interpreting Advance Directives: The Problem of Partial Codesp. 49
When Wishes Are Not Heardp. 55
How Competent Need a Surrogate Be?p. 59
Advance Directives: Refusing Nutrition and Hydrationp. 64
Does Asking Help? Problems With Pre-Hospital Advance Directivesp. 68
Advance Directives and Pregnancyp. 73
Discharge Dilemmasp. 79
Negotiating Care for the Technologically Dependent Patientp. 81
No Good Way Out?p. 88
Family Autonomy and the Child's Best Interestp. 93
The Family in Medical Decision Makingp. 99
What Does She Really Want? Coercion, Persuasion and Family Autonomyp. 101
Withdrawing Treatment and the Family's "Returning Hero"p. 107
Families and Hopep. 112
Restraints and the Familyp. 117
Organizational and Institutional Ethicsp. 123
A Memo About Our Missionp. 125
Who Pays? Hospital Coping Strategies in a Managed Care Environmentp. 130
Who's in Charge? Managed Care and the Ethics Consultantp. 134
Rehabilitation Ethicsp. 141
This Is Consent to Therapy?p. 143
Who's the Patient?p. 148
A New Rehab Ethics Committee "On The Prowl"p. 156
Professional Responsibility: Employers, Colleagues, and Othersp. 161
Justice and Responsibility In Hiring Practicesp. 163
Conflicts Among Physicians: Playing "Resident in the Middle"p. 168
In Whose Interest? Withholding the Truth From a Patientp. 174
AIDS: Problems of Confidentialityp. 179
Confidentiality and Caringp. 181
Confidentiality and the Duty to Warnp. 187
Teaching Case Presentations: Materials To Assist Youp. 195
Works Citedp. 203
Name Indexp. 213
Subject Indexp. 217
Table of Contents provided by Syndetics. All Rights Reserved.

ISBN: 9780878407231
ISBN-10: 0878407235
Series: An Ethics Casebook for Hospitals
Audience: Tertiary; University or College
For Ages: 18+ years old
Format: Paperback
Language: English
Number Of Pages: 219
Published: 22nd April 1999
Country of Publication: US
Dimensions (cm): 23.5 x 15.88  x 1.91
Weight (kg): 0.39

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