Clinical ethics : a practical approach to ethical decisions in clinical medicine

Using the four-box method of approaching ethical problems (i.e., medical indications, patient preferences, quality of life, and contextual features), this brief, relevant, and practical book assists students and practitioners in identifying, analyzing, and resolving ethical problems arising in clinical medicine. Clinical Ethics is also an excellent reference that provides abundant clinical cases and concise summaries of current opinion on the ethics of typical cases. Revision Highlights: Emphasis on Evidence Based Medicine; Expansion of the discussion on palliative care; Introduction of many new issues that have raised unique ethical questions; Molecular genetics testing and screening; Risk, consent, and innovation regarding organ transplantation, bone-marrow and stem-cell transplantation; Ethics of research (e.g., expansion of clinical trials from the academic setting to private practice under sponsorship of the pharmaceutical industry]); Major changes in the ethical and legal concepts of physician assisted death; Changes in the practice of resuscitation orders (DNR) (e.g., portable DNR, telephonic and Internet communication of orders); New problems in medical confidentiality due

Introduction

The Four Topics: Case Analysis in Clinical Ethics

References

The Four Topics Chart

Chapter 1 Indications for Medical Intervention

1.1 Inappropriate Interventions

1.2 Orders not to Attempt Resuscitation

1.3 Care of the Dying Patient

1.4 Legal Implications of Forgoing Treatment

1.5 Determination of Death

Chapter 2 Preferences of Patients

2.1 Informed Consent

2.2 Decisional Capacity

2.3 Beliefs due to Religious and Cultural Diversity

2.4 Truthful Communication

2.5 Competent Refusal of Treatment

2.6 Advance Planning

2.7 Decision-Making for the Mentally Incapacitated Patient

2.8 The Limits of Patient Preferences

2.9 Failure to Cooperate with Medical Recommendation

2.10 Alternative Medicine

Chapter 3 Quality of Life

3.1 Enhancing Quality of Life

3.2 Objective Criteria for Quality of Life

3.3 Euthanasia and Assisted Suicide

3.4 Suicide

Chapter 4 Contextual Features

4.1 Role of Interested Parties

4.2 Physician Confidentiality

4.3 The Economics of Health Care

4.4 Allocation of Scarce Health Resources

4.5 Religion

4.6 The Role of the Law in Clinical Ethics

4.7 Clinical Research

4.8 Clinical Teaching

4.9 Occupational Medicine

4.10 Public Health

4.11 Ethics Committees

4.12 Ethics Consultation

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Table of Contents