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Library | Materyal Türü | Barkod | Yer Numarası | Durum |
|---|---|---|---|---|
Searching... Pamukkale Tıp Fakültesi Kütüphanesi | Kitap | 0024659 | W 50S359W 1995 | Searching... Unknown |
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Özet
Özet
In Wrong Medicine, Lawrence J. Schneiderman, M.D., and Nancy S. Jecker, Ph.D., address issues that have occupied the media and the courts since the time of Karen Ann Quinlan. The authors examine the ethics of cases in which medical treatment is offered--or mandated--even if a patient lacks the capacity to appreciate its benefit or if the treatment will still leave a patient totally dependent on intensive medical care. In exploring these timely issues Schneiderman and Jecker reexamine the doctor-patient relationship and call for a restoration of common sense and reality to what we expect from medicine. They discuss economic, historical, and demographic factors that affect medical care and offer clear definitions of what constitutes futile medical treatment. And they address such topics as the limits on unwanted treatment, the shift from the "Age of Physician Paternalism" to the "Age of Patient Autonomy," health care rationing, and the adoption of new ethical standards.
Reviews (1)
Choice Review
For 15 years, renowned bioethicists Schneiderman (emer., Univ. of San Diego) and Jecker (Univ. of Washington, Seattle) have received and reflected on feedback to their landmark first edition of Wrong Medicine (1995). This second edition is a culmination of these reflections. As in the original volume, the authors straightforwardly and humanely tackle the controversies surrounding the difficult issue of medical futility. This frank, intelligent, and easily readable tome includes discussions of the history of the debates on issues surrounding medical futility, the difficulty providers and families face in letting go of the dying, the obligations one owes the dying, the litigious nature of end-of-life decisions, the present state of affairs for the dying, and a proposal for how things should be. The authors urge that the debate move beyond definitional concerns (e.g., what futility really means) to promote a positive ethic of care where obligations and responsibilities of all actors--providers, families, patients, and communities--are acknowledged and acted upon. The book ends with a chapter answering specific objections to ideas presented in the 1995 book. Summing Up: Highly recommended. Lower-level undergraduates and above; general readers. M. M. Gillis Herbert Wertheim College of Medicine, Florida International University