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Medical Futility : And the Evaluation of Life-Sustaining Interventions - Marjorie Bass Zucker

Medical Futility

And the Evaluation of Life-Sustaining Interventions

By: Marjorie Bass Zucker (Editor), Howard D. Zucker (Editor), Alexander Morgan Capron (Foreword by)

Paperback Published: 11th August 1997
ISBN: 9780521568777
Number Of Pages: 220

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This volume surveys the clinical, ethical, religious, legal, economic, and personal dimensions of decision making in situations when the choice is either to extend costly medical treatment of uncertain effectiveness, or to terminate treatment, thereby ending the patient's life. Contributors from a wide range of disciplines offer perspectives on issues ranging from the definition of medical futility to the implications for care in various clinical settings, including intensive care, neonatal and pediatric practice and nursing homes. An important contribution toward the more humane and consistent handling of these situations, Medical Futility will be obligatory reading for health care professionals, students, and scholars concerned with ethical standards in medical care.

'The conflict between patients' automony and choice and professionals' decision making is at the core of Medical Futility ... It analyses care at the end of life in cultural, religious, and ethical contexts, as well as the economic consequences of providing treatments that are of little benefit at this, or indeed, any, time.' Alex Paton, British Medical Journal 'For those wishing for insight it will provide food for thought.' Gina Agarwal, The Lancet ' ... useful contribution to the public debate.' Journal of the Royal Society of Medicine 'The 25 contributors, 10 from disciplines other than medicine, address with authority a range of issues associated with the concept of medical futility in various clinical settings ... The message of hope from this though-provoking book is that conflict can be avoided in most cases by good communication between doctor and patient and the exercise of common sense.' Neuroradiology 40 'A valuable contribution to a subject of immense practical importance and warmly recommended.' John Saunders, Journal of Medical Ethics ' ... a compact treatment of a complex subject ... a very accessible book, clearly written and easy to read ... a good introduction ... a good, basic introduction to an important topic in bioethics.' The New England Journal of Medicine

Foreword Alexander Morgan Capron
Medical futility: a useful concept?
Death with dignity Patricia Brophy
Physicians and medical futility: experience in the critical care setting
Physicians and medical futility: experience in the setting of general medical care Norton Spritz
Futility issues in pediatrics
Medical futility: a nusing home perspective
Alternative medicine and medical futility
How culture and religion affect attitudes toward medical futility
When religious views and medical judgements conflict: civic polity and the social good
Conflict resolution: experience of consultation-liaison psychiatrists
Ethics committees and end of life decision making
The economics of futile interventions
Medical futility: a legal perspective
Professional and public community projects for developing medical futility guidelines
Community futility policies: the illusion of consensus?
Not quite the last word: scenarios and solutions
Table of Contents provided by Publisher. All Rights Reserved.

ISBN: 9780521568777
ISBN-10: 0521568773
Audience: Professional
Format: Paperback
Language: English
Number Of Pages: 220
Published: 11th August 1997
Country of Publication: GB
Dimensions (cm): 22.89 x 15.34  x 1.04
Weight (kg): 0.32