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Ethics in Clinical Practice - Judith C. Ahronheim

Paperback Published: 11th July 2004
ISBN: 9780763729455
Number Of Pages: 508

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Ethics in Clinical Practice, Second Edition continues to focus on multidisciplinary medicine and how ethical dilemmas affect not only doctors and patients, but also nurses, social workers, members of ethics committees, hospital attorneys, administrators, and others. Greater attention is given to care in a variety of settings and across settings. Cases reflect the managed care phenomenon and cost containment, demographic changes, the electronic revolution, and the ethical dilemmas resulting from this new climate. The revised edition discusses advances in palliative medicine and its availability, and includes new data regarding attitudes and prevalence of physician-assisted suicide. Attention is given to how issues of cost containment might directly or indirectly influence patients' end-of-life treatment options. Cases are updated to include pertinent information about medical advances and legal developments, and how ethical analysis reflects these new developments.

Prefacep. xi
Acknowledgmentsp. xiii
About Clinical Ethicsp. 1
Defining Clinical Ethicsp. 1
The New Clinical Ethicsp. 3
The Emergence of Modern Clinical Ethicsp. 4
Who Practices Clinical Ethics?p. 6
Religion in Clinical Ethicsp. 7
Cultural Competence and Clinical Ethicsp. 9
Law in Clinical Ethicsp. 9
Public Policy and Clinical Ethicsp. 12
Organization Ethics and Clinical Ethicsp. 13
A Theory of Clinical Ethicsp. 17
The Dominant Moral Philosophies in Clinical Ethics: Deontology and Utilitarianismp. 17
The Principles: Self-Determination, Beneficence, and Justicep. 18
Evaluating Common Distinctionsp. 51
Active and Passivep. 51
Ordinary and Extraordinary Meansp. 52
Killing and Letting Diep. 53
Withholding and Withdrawingp. 54
Clinical Ethics throughout the Life Spanp. 57
Before Pregnancyp. 57
During Pregnancyp. 60
Infantsp. 63
Children and Adolescentsp. 66
The Elderlyp. 68
Treating the Familyp. 70
Futilityp. 72
Brain Death and Organ Procurementp. 74
Assessing the Standard Theoryp. 79
A Critique of the Standard Theoryp. 79
Casuistryp. 82
The Care Perspectivep. 84
Feminist Ethicsp. 86
Strategy for a Clinical Ethics Assessmentp. 91
The Organizational Climatep. 91
Identifying the Ethical Issuesp. 92
Common Pitfalls in Assessing Decisional Capacityp. 93
Common Types of Ethical Conflictp. 94
A Protocol for a Clinical Ethics Interventionp. 97
Casesp. 99
A Religious Objection to a Blood Transfusionp. 99
Issues To Considerp. 100
Medical Considerationsp. 100
Ethical and Legal Considerationsp. 103
Determining If a Patient Has Decisional Capacityp. 109
Issues To Considerp. 110
Medical Considerationsp. 110
Ethical and Legal Considerationsp. 113
Urgent Surgery in a Stuporous Patient: The Use and Limitations of Advance Directivesp. 121
Issues To Considerp. 121
Medical Considerationsp. 121
Ethical and Legal Considerationsp. 123
Management of Life-Threatening Illness: An Intensive Care Unit Patient with Uncertain Decisional Capacityp. 131
Issues To Considerp. 133
Medical Considerationsp. 133
Ethical and Legal Considerationsp. 134
"Don't Tell Mother": Withholding Information from a Patientp. 144
Issues To Considerp. 145
Medical Considerationsp. 145
Ethical and Legal Considerationsp. 146
Alternative Medicine for a Patient with Advanced Cancerp. 152
Issues To Considerp. 153
Medical Considerationsp. 153
Ethical and Legal Considerationsp. 158
Painful Treatment for a Severely Retarded Manp. 168
Issues To Considerp. 168
Medical Considerationsp. 168
Ethical and Legal Considerationsp. 171
Withdrawing Mechanical Ventilation at the Request of a Patient with Decisional Capacityp. 180
Issues To Considerp. 180
Medical Considerationsp. 180
Ethical and Legal Considerationsp. 182
Withholding Tube Feeding in a Woman with Advanced Dementiap. 188
Issues To Considerp. 188
Medical Considerationsp. 189
Ethical and Legal Considerationsp. 194
A Religious Objection to the Determination of Brain Deathp. 203
Issues To Considerp. 203
Medical Considerationsp. 203
Ethical and Legal Considerationsp. 207
A Teenager with Prolonged Unconsciousnessp. 215
Issues To Considerp. 215
Medical Considerationsp. 216
Ethical and Legal Considerationsp. 221
Resuscitation Decision in a Patient with Lung Cancerp. 228
Issues To Considerp. 229
Medical Considerationsp. 229
Ethical and Legal Considerationsp. 230
Dispute over DNR Status in a Patient Who Wants Palliative Surgeryp. 241
Issues To Considerp. 242
Medical Considerationsp. 242
Ethical and Legal Considerationsp. 245
Suicide Risk in a Managed Care Patientp. 252
Issues To Considerp. 253
Medical Considerationsp. 253
Ethical and Legal Considerationsp. 256
Assisted Suicide in a Man with Amyotrophic Lateral Sclerosisp. 267
Issues To Considerp. 268
Medical Considerationsp. 268
Ethical and Legal Considerationsp. 277
A Married Man Contracts Syphilisp. 287
Issues To Considerp. 287
Medical Considerationsp. 287
Ethical and Legal Considerationsp. 290
A House-Bound Woman with Tuberculosisp. 297
Issues To Considerp. 297
Medical Considerationsp. 297
Ethical and Legal Considerationsp. 301
Surgical Delay in a Patient Infected with HIVp. 311
Issues To Considerp. 311
Medical Considerationsp. 311
Ethical and Legal Considerationsp. 315
An Elderly Driverp. 323
Issues To Considerp. 323
Medical Considerationsp. 323
Ethical and Legal Considerationsp. 326
A Difficult Patient and the Limits of Provider Obligationsp. 334
Issues To Considerp. 335
Medical Considerationsp. 335
Ethical and Legal Considerationsp. 337
"Do Everything": Physician Obligations in the Face of Family Demandsp. 346
Issues To Considerp. 347
Medical Considerationsp. 347
Ethical and Legal Considerationsp. 350
A Man with Alcoholic Cirrhosis Wants a Liver Transplantp. 358
Issues To Considerp. 358
Medical Considerationsp. 359
Ethical and Legal Considerationsp. 361
Genetic Testing in a Woman with a Family History of Breast Cancerp. 368
Issues To Considerp. 368
Medical Considerationsp. 368
Ethical and Legal Considerationsp. 372
Assisted Reproduction in a Woman with Strong Religious Beliefsp. 382
Issues To Considerp. 384
Medical Considerationsp. 384
Ethical and Legal Considerationsp. 390
Prenatal Counseling of a Pregnant Woman at Risk for HIV Infectionp. 399
Issues To Considerp. 399
Medical Considerationsp. 399
Ethical and Legal Considerationsp. 404
A Pregnant Woman Using Cocainep. 413
Issues To Considerp. 413
Medical Considerationsp. 413
Ethical and Legal Considerationsp. 416
Tracheoesophageal Fistula in a Newborn with Down Syndromep. 425
Issues To Considerp. 425
Medical Considerationsp. 425
Ethical and Legal Considerationsp. 430
Determination of Death in a Newbornp. 441
Issues To Considerp. 441
Medical Considerationsp. 442
Ethical and Legal Considerationsp. 445
A Religious Objection to a Child's Medical Treatmentp. 453
Issues To Considerp. 453
Medical Considerationsp. 453
Ethical and Legal Considerationsp. 455
A Teenager Who Wants Cosmetic Surgeryp. 463
Issues To Considerp. 463
Medical Considerationsp. 464
Ethical and Legal Considerationsp. 466
An Adolescent with Cancer Who Wants to Discontinue Medical Treatmentp. 474
Issues To Considerp. 475
Medical Considerationsp. 475
Ethical and Legal Considerationsp. 476
Internet References, Suggested Readings, and Other Sourcesp. 483
Indexp. 493
Table of Contents provided by Ingram. All Rights Reserved.

ISBN: 9780763729455
ISBN-10: 0763729450
Audience: Professional
Format: Paperback
Language: English
Number Of Pages: 508
Published: 11th July 2004
Publisher: Jones and Bartlett Publishers, Inc
Country of Publication: US
Dimensions (cm): 22.23 x 15.24  x 3.18
Weight (kg): 0.7
Edition Number: 2
Edition Type: Revised