Mevcut:*
Library | Materyal Türü | Barkod | Yer Numarası | Durum |
|---|---|---|---|---|
Searching... Pamukkale Tıp Fakültesi Kütüphanesi | Kitap | 0024747 | W 50H446 1996 | Searching... Unknown |
Bound With These Titles
On Order
Özet
Özet
Traditionally, the knowledge needed by physicians has consisted largely of medical science. But in recent years ethical questions have been looming ever larger in everyday clinical practice. Doing Right is a practical guide to decision making in those situations. Using dozens of real cases, it analyzes the most common ethical problems encountered by physicians and medical trainees.The many topics covered include truthtelling, refusal of treatment, confidentiality, rationing of health care, parents' refusal of treatment for their children, living wills, the ethics of medical research, and assisted suicide.Written simply and concisely with little philosophical or legal jargon, Doing Right should be essential reading for medical students, residents, and practising physicians. For those who teach bioethics, it will be welcome as a practical and readable textbook.
Author Notes
Dr. Philip Hébert, a practising family physician is on active staff at Sunnybrook Health Sciences Centre, where he chairs the Hospital Ethics Committee and the Research Ethics Board. He is currently an Assistant Professor, Department of Family and Community Medicine, and Bioethics Co-ordinator, Undergraduate Medicine, Joint Centre for Bioethics, University of Toronto.
Table of Contents
| Introduction |
| 1 Principles Behind Ethically Sound Medicine |
| 1.1 Ethical Reasoning and Principles in Medicine |
| 1.2 Three Ethical Principles and Questions |
| 1.3 Resolving Ethical Dilemmas |
| 1.4 A ""Good Enough"" Ethics Decision Procedure |
| 1.5 A Starving Patient with Anorexia: To Feed or Not to Feed? |
| 2 Autonomy and Patient Care |
| 2.1 The Autonomy Principle |
| 2.2 The Case of Mrs. Malette and Dr. Shulman |
| 2.3 Living Wills: Choices of Autonomy Past |
| 2.4 Unhealthy Choices |
| 2.5 Difficulty with the Autonomy Model |
| 3 Confidentiality and Its Limits |
| 3.1 Confidentiality |
| 3.2 Secrets and Privacy |
| 3.3 Limits to Confidentiality |
| 3.4 Duty to Warn |
| 3.5 Whistle Blowing |
| 4 Truth, Lies and Deception in Clinical Practice |
| 4.1 The Role of Disclosure |
| 4.2 The Changing Practice of Medicine |
| 4.3 Seven Good Reasons for Telling the Truth |
| 4.4 Four Exceptions to Disclosure |
| 4.5 The Medical Student's Dilemma |
| 4.6 Telling Bad News |
| 5 Due Care and Informed Consent |
| 5.1 Informed Consent in Practice |
| 5.2 The Doctor Who Didn't: The Case of Mr. Reibl v. Dr. Hughes |
| 5.3 The Main Elements of Consent |
| 5.4 Exceptions to Consent |
| 5.5 Patients Who Withdraw Consent |
| 5.6 Elective Surgery and Medical Research |
| 5.7 Quandries for the Medical Learner |
| 6 The Duty of Care and Rescue: Beneficence and Non-Maleficence |
| 6.1 The Principles of Beneficence and Non-maleficence |
| 6.2 The Duty to Rescue |
| 6.3 Due Care and Negligence |
| 6.4 Minors and Refusal of Treatment by Parents |
| 6.5 Minors and Parental Requests for Treatment: The Case of Eve v. Mrs. E. |
| 6.6 Futility and the ""Hopelessly Ill"" |
| 7 Justice in Medical Care |
| 7.1 Justice in Every-day Practice |
| 7.2 Minimal and Optimal Justice |
| 7.3 Medically Necessary Treatment |
| 7.4 Practice Guidelines: A Solution for Just Medicine in Hard Times? |
| 7.5 The Physician's Master |
| 8 Capacity and the Duty to Protect |
| 8.1 Assessing Capacity |
| 8.2 Involuntary Assessment and Treatment |
| 8.3 When Not to Rescue: Messrs. Gallagher and Reid v. Dr. Fleming |
| 8.4 The Duty to Protect |
| 8.5 Failure to Care for Self |
| 9 End-of-Life Decisions |
| 9.1 Allowing Death: The Case of Nancy B. |
| 9.2 Guidelines for No-Cardio-Pulmonary-Resuscitation Orders |
| 9.3 The Case of Sue Rodriguez |
| 9.4 Physician's Aid in Dying |
| Conclusion |