Ethics Consultation: A Practical Guide

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Jones & Bartlett Learning, Jan 1, 1994 - Health & Fitness - 234 pages
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This is a book about clinical ethics consultation by two practitioners who together have done more than 700 consultations. There is not another authoritative book like it. Practical rather than theoretical in scope, the book addresses strategies for conducting consultations, relating to patients at the bedside, investigating the ethical issues, making recommendations, following up on cases, and keeping records. Chapters include issues such as the need for training, the skills needed, the problem of certification, how to set up a practice, financial compensation and billing, and the relation of the consultant to committees, particularly ethics committees. The authors include reflections about learning clinical ethics and education of committees, hospital staff, and the general public about issues that arise. The purpose is to help ethics consultants improve their conscious assessment of their work, both how they go about it and its legitimacy for patients, health care providers, and hospitals. The orientation is primarily on clinical care of patients, because the goal of such consultations is always aimed to improve patient care. Other ethics consultants might work to develop institutional policies. Although that is touched on in the book, it is not the primary goal of the authors. The book is aimed at the practitioner in bioethics in a clinical setting.
  

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Contents

Seeing the Patient
11
Talking With the Requesting Physician
24
Training Skills and Certification
37
The Growth and Development of Ethics
43
Specialization and Certification
58
Consultation Coverage and BackUp
71
Consultation Research
84
Consultants and Committees
99
Future Trends
125
CPRDNR
140
Uncertain Patient Proxies
156
Wilma Shell
171
Louela Stokes
184
Yolanda Cistema
197
Notes
227
Copyright

The Ethics Committees Role in Professional
106

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Page 228 - Ethics Committees and Due Process: Nesting Rights in a Community of Caring," Maryland Law Review, 50 (1991): 798-858.
Page 228 - Ethics Committees and Decisions to Limit Care: The Experience at the Massachusetts General Hospital," Journal of the American Medical Association 260 (1988): 803-807.

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