| Preface | p. xi |
| Acknowledgments | p. xiii |
| About Clinical Ethics | p. 1 |
| Defining Clinical Ethics | p. 1 |
| The New Clinical Ethics | p. 3 |
| The Emergence of Modern Clinical Ethics | p. 4 |
| Who Practices Clinical Ethics? | p. 6 |
| Religion in Clinical Ethics | p. 7 |
| Cultural Competence and Clinical Ethics | p. 9 |
| Law in Clinical Ethics | p. 9 |
| Public Policy and Clinical Ethics | p. 12 |
| Organization Ethics and Clinical Ethics | p. 13 |
| A Theory of Clinical Ethics | p. 17 |
| The Dominant Moral Philosophies in Clinical Ethics: Deontology and Utilitarianism | p. 17 |
| The Principles: Self-Determination, Beneficence, and Justice | p. 18 |
| Evaluating Common Distinctions | p. 51 |
| Active and Passive | p. 51 |
| Ordinary and Extraordinary Means | p. 52 |
| Killing and Letting Die | p. 53 |
| Withholding and Withdrawing | p. 54 |
| Clinical Ethics throughout the Life Span | p. 57 |
| Before Pregnancy | p. 57 |
| During Pregnancy | p. 60 |
| Infants | p. 63 |
| Children and Adolescents | p. 66 |
| The Elderly | p. 68 |
| Treating the Family | p. 70 |
| Futility | p. 72 |
| Brain Death and Organ Procurement | p. 74 |
| Assessing the Standard Theory | p. 79 |
| A Critique of the Standard Theory | p. 79 |
| Casuistry | p. 82 |
| The Care Perspective | p. 84 |
| Feminist Ethics | p. 86 |
| Strategy for a Clinical Ethics Assessment | p. 91 |
| The Organizational Climate | p. 91 |
| Identifying the Ethical Issues | p. 92 |
| Common Pitfalls in Assessing Decisional Capacity | p. 93 |
| Common Types of Ethical Conflict | p. 94 |
| A Protocol for a Clinical Ethics Intervention | p. 97 |
| Cases | p. 99 |
| A Religious Objection to a Blood Transfusion | p. 99 |
| Issues To Consider | p. 100 |
| Medical Considerations | p. 100 |
| Ethical and Legal Considerations | p. 103 |
| Determining If a Patient Has Decisional Capacity | p. 109 |
| Issues To Consider | p. 110 |
| Medical Considerations | p. 110 |
| Ethical and Legal Considerations | p. 113 |
| Urgent Surgery in a Stuporous Patient: The Use and Limitations of Advance Directives | p. 121 |
| Issues To Consider | p. 121 |
| Medical Considerations | p. 121 |
| Ethical and Legal Considerations | p. 123 |
| Management of Life-Threatening Illness: An Intensive Care Unit Patient with Uncertain Decisional Capacity | p. 131 |
| Issues To Consider | p. 133 |
| Medical Considerations | p. 133 |
| Ethical and Legal Considerations | p. 134 |
| "Don't Tell Mother": Withholding Information from a Patient | p. 144 |
| Issues To Consider | p. 145 |
| Medical Considerations | p. 145 |
| Ethical and Legal Considerations | p. 146 |
| Alternative Medicine for a Patient with Advanced Cancer | p. 152 |
| Issues To Consider | p. 153 |
| Medical Considerations | p. 153 |
| Ethical and Legal Considerations | p. 158 |
| Painful Treatment for a Severely Retarded Man | p. 168 |
| Issues To Consider | p. 168 |
| Medical Considerations | p. 168 |
| Ethical and Legal Considerations | p. 171 |
| Withdrawing Mechanical Ventilation at the Request of a Patient with Decisional Capacity | p. 180 |
| Issues To Consider | p. 180 |
| Medical Considerations | p. 180 |
| Ethical and Legal Considerations | p. 182 |
| Withholding Tube Feeding in a Woman with Advanced Dementia | p. 188 |
| Issues To Consider | p. 188 |
| Medical Considerations | p. 189 |
| Ethical and Legal Considerations | p. 194 |
| A Religious Objection to the Determination of Brain Death | p. 203 |
| Issues To Consider | p. 203 |
| Medical Considerations | p. 203 |
| Ethical and Legal Considerations | p. 207 |
| A Teenager with Prolonged Unconsciousness | p. 215 |
| Issues To Consider | p. 215 |
| Medical Considerations | p. 216 |
| Ethical and Legal Considerations | p. 221 |
| Resuscitation Decision in a Patient with Lung Cancer | p. 228 |
| Issues To Consider | p. 229 |
| Medical Considerations | p. 229 |
| Ethical and Legal Considerations | p. 230 |
| Dispute over DNR Status in a Patient Who Wants Palliative Surgery | p. 241 |
| Issues To Consider | p. 242 |
| Medical Considerations | p. 242 |
| Ethical and Legal Considerations | p. 245 |
| Suicide Risk in a Managed Care Patient | p. 252 |
| Issues To Consider | p. 253 |
| Medical Considerations | p. 253 |
| Ethical and Legal Considerations | p. 256 |
| Assisted Suicide in a Man with Amyotrophic Lateral Sclerosis | p. 267 |
| Issues To Consider | p. 268 |
| Medical Considerations | p. 268 |
| Ethical and Legal Considerations | p. 277 |
| A Married Man Contracts Syphilis | p. 287 |
| Issues To Consider | p. 287 |
| Medical Considerations | p. 287 |
| Ethical and Legal Considerations | p. 290 |
| A House-Bound Woman with Tuberculosis | p. 297 |
| Issues To Consider | p. 297 |
| Medical Considerations | p. 297 |
| Ethical and Legal Considerations | p. 301 |
| Surgical Delay in a Patient Infected with HIV | p. 311 |
| Issues To Consider | p. 311 |
| Medical Considerations | p. 311 |
| Ethical and Legal Considerations | p. 315 |
| An Elderly Driver | p. 323 |
| Issues To Consider | p. 323 |
| Medical Considerations | p. 323 |
| Ethical and Legal Considerations | p. 326 |
| A Difficult Patient and the Limits of Provider Obligations | p. 334 |
| Issues To Consider | p. 335 |
| Medical Considerations | p. 335 |
| Ethical and Legal Considerations | p. 337 |
| "Do Everything": Physician Obligations in the Face of Family Demands | p. 346 |
| Issues To Consider | p. 347 |
| Medical Considerations | p. 347 |
| Ethical and Legal Considerations | p. 350 |
| A Man with Alcoholic Cirrhosis Wants a Liver Transplant | p. 358 |
| Issues To Consider | p. 358 |
| Medical Considerations | p. 359 |
| Ethical and Legal Considerations | p. 361 |
| Genetic Testing in a Woman with a Family History of Breast Cancer | p. 368 |
| Issues To Consider | p. 368 |
| Medical Considerations | p. 368 |
| Ethical and Legal Considerations | p. 372 |
| Assisted Reproduction in a Woman with Strong Religious Beliefs | p. 382 |
| Issues To Consider | p. 384 |
| Medical Considerations | p. 384 |
| Ethical and Legal Considerations | p. 390 |
| Prenatal Counseling of a Pregnant Woman at Risk for HIV Infection | p. 399 |
| Issues To Consider | p. 399 |
| Medical Considerations | p. 399 |
| Ethical and Legal Considerations | p. 404 |
| A Pregnant Woman Using Cocaine | p. 413 |
| Issues To Consider | p. 413 |
| Medical Considerations | p. 413 |
| Ethical and Legal Considerations | p. 416 |
| Tracheoesophageal Fistula in a Newborn with Down Syndrome | p. 425 |
| Issues To Consider | p. 425 |
| Medical Considerations | p. 425 |
| Ethical and Legal Considerations | p. 430 |
| Determination of Death in a Newborn | p. 441 |
| Issues To Consider | p. 441 |
| Medical Considerations | p. 442 |
| Ethical and Legal Considerations | p. 445 |
| A Religious Objection to a Child's Medical Treatment | p. 453 |
| Issues To Consider | p. 453 |
| Medical Considerations | p. 453 |
| Ethical and Legal Considerations | p. 455 |
| A Teenager Who Wants Cosmetic Surgery | p. 463 |
| Issues To Consider | p. 463 |
| Medical Considerations | p. 464 |
| Ethical and Legal Considerations | p. 466 |
| An Adolescent with Cancer Who Wants to Discontinue Medical Treatment | p. 474 |
| Issues To Consider | p. 475 |
| Medical Considerations | p. 475 |
| Ethical and Legal Considerations | p. 476 |
| Internet References, Suggested Readings, and Other Sources | p. 483 |
| Index | p. 493 |
| Table of Contents provided by Ingram. All Rights Reserved. |
