Clinical Ethics: A Practical Approach to Ethical Decisions in Clinical Medicine, Sixth Edition

by ; ;
Edition: 6th
Format: Paperback
Pub. Date: 2006-04-26
Publisher(s): McGraw-Hill Medical
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Summary

Clinical Ethics introduces the four-topics method of approaching ethical problems (i.e., medical indications, patient preferences, quality of life, and contextual features). Each of the four chapters represents one of the topics. In each chapter, the authors discuss cases and provide comments and recommendations. The four-topics method is an organizational process by which clinicians can begin to understand the complexities involved in ethical cases and can proceed to find a solution for each case.

Author Biography

Albert R. Jonsen, PhD: Professor Emeritus of Ethics in Medicine, School of Medicine, University of Washington. Seattle, WA

Mark Siegler, MD: Lindy Bergman Distinguished Service Professor of Medicine; and Director, MacLean Center for Clinical Medical Ethics, University of Chicago, IL

William J. Winslade, PhD, JD: University of Texas Medical Branch, Galveston; and Distinguished Visiting Professor of Law, University of Houston, Health, Law, and Policy Institute, TX

Table of Contents

INTRODUCTION 1(12)
The Four Topics: Case Analysis in Clinical Ethics
1(9)
References
10(1)
The Four Topics Chart
11(2)
CHAPTER 1 Indications for Medical Intervention 13(38)
1.1 Indicated and Nonindicated Interventions
24(13)
1.2 Orders Not To Resuscitate (DNR)
37(9)
1.3 Legal Implications of Forgoing Treatment
46(1)
1.4 Determination of Death
47(4)
CHAPTER 2 Preferences of Patients 51(58)
2.1 Informed Consent
54(6)
2.2 Decisional Capacity
60(5)
2.3 Beliefs Due To Religious and Cultural Diversity
65(1)
2.4 Truthful Communication
66(7)
2.5 Competent Refusal of Treatment
73(10)
2.6 Advance Planning
83(5)
2.7 Decision Making for the Mentally Incapacitated Patient
88(12)
2.8 The Limits of Patient Preferences
100(1)
2.9 Failure To Cooperate With Medical Recommendations
101(5)
2.10 Alternative Medicine
106(3)
CHAPTER 3 Quality of Life 109(50)
3.1 Enhancing Quality of Life
123(8)
3.2 Compromised Quality of Life and Life-Sustaining Interventions
131(15)
3.3 Euthanasia and Assisted Suicide
146(8)
3.4 Care of the Dying Patient
154(1)
3.5 Suicide
155(4)
CHAPTER 4 Contextual Features 159(64)
4.1 Role of Other Interested Parties
166(5)
4.2 Confidentiality of Medical Information
171(7)
4.3 The Economics of Clinical Care
178(11)
4.4 Allocation of Scarce Health Resources
189(9)
4.5 Influence of Religion on Clinical Decisions
198(2)
4.6 The Role of the Law in Clinical Decisions
200(3)
4.7 Clinical Research
203(9)
4.8 Clinical Teaching
212(3)
4.9 Occupational Medicine
215(1)
4.10 Public Health
216(2)
4.11 Ethics Committees
218(2)
4.12 Ethics Consultation
220(3)
Locator 223

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