A Primer for Health Care Ethics: Essays for a Pluralistic Society, Page 953

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Georgetown University Press, 2000 - Medical - 323 pages
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From Harry and Louise through the McCaughey septuplets, this book explains stories and issues in health care ethics that have appeared in the news media. Written for the general reader in a pluralistic society, it outlines and applies principles of justice from the Catholic tradition to contemporary problems that increasingly affect us all.

This second edition contains extensive new material and new topics, including physician-assisted suicide, managed care, organ donation, genetic testing, cloning, and the question of futility. Aimed at a wide audience, this book will also be useful for introductory ethics courses in colleges and high schools.

 

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Contents

What Is Health Care Ethics?
3
Other Ethical Systems
9
Medical Ethics Needs Accurate Distinctions
13
The Values Inherent in Medical Care
16
Basic Goals
19
Not an Exact Science
22
The Essence Is Empathy
26
Professional AttitudesThe Ethical Physician
29
The Good That Could Be Done
167
The Baby Fac Legacy
171
Destroying One Life to Save Others
174
Obtaining Organs from NonHeartBeating Cadavers
179
Mandated Choice for Organ Donation
182
Part Six Research
187
Human Research Using Animals
189
Use of Fetal Tissue in Research and Therapy
192

Human Rights and Health Care
32
Culture and Religion
36
No Greater Love
40
Personal and Proxy
45
Informed Consent
47
Deciding for Others
49
Informed Consent and the Purpose of Medicine
52
Standards for Surrogates
55
Therapeutic and Nontherapeutic Procedures
58
Neonatal Care
61
When Children Can Consent
65
Telling the Truth to Patients
69
Confidentiality
71
Confidentiality in the Computer Age
74
CPR and DNR Revisited
78
Living Will and Durable Power of Attorney
82
The Patient SelfDetermination Act PSDA
85
Advance Directives Revisited
88
Part Three Use and Removal of Life Support
93
Ordinary and Extraordinary Means
95
Ethical Criteria for Removing Life Support
98
Withholding and Withdrawing Life Support
102
Assessing Treatment Options
106
Discontinuing Life Support in Doubt
109
Religious Beliefs and Lifesaving Therapy
113
Care for Patients in Persistent Vegetative States
117
Unfinished Business in the Cruzan Case
120
Only God Can Heal My Daughter
124
Its Time to Resolve the Futility Debate
127
Court Decisions on Futile Therapy
131
Demands for Futile Therapy
134
Its Time to Take a Stand
138
Part Four Genetics
143
Have We Gone Too Far?
145
Ethics Issues
149
Is a Little Knowledge Dangerous?
153
Cloning Human Beings
157
Part Five Organ Donation
161
Priceless Gift or Market Commodity?
163
Ethical Issues
195
Research in the Emergency Department
198
Part Seven Suicide and PhysicianAssisted Suicide
203
A Rational Choice?
205
The Myth of Managed Death
208
Are We Owners or Stewards of Human Life?
211
An Ethical Analysis of Presuppositions
214
Suffering and the Debate over Assisted Suicide and Euthanasia
218
Federal Courts Approve PhysicianAssisted Suicide
222
The U S Supreme Court and Assisted Suicide
226
Social Aspects of Assisted Suicide
229
Can Liberty Sustain Itself? Reflections on PhysicianAssisted Suicide
233
Part Eight Managed Care
237
Asking the Right Questions
239
What Happened?
243
Managed Care and Early Discharge of Newborn Infants
246
Treating Symptoms or Basic Causes
249
Handling the 800Pound Gorilla
253
Some Questions
257
Part Nine Artificial Generation
261
In Vitro Fertilization and Surrogate Motherhood
263
Conceiving One Child to Save Another
266
Part Ten Special Questions
271
On Playing God
273
Ethical and Religious Considerations
276
Some Ethical Considerations
279
Suffering and the Need for Compassion
282
TruthTelling and Alzheimers Disease
285
Ethics Committees in Hospitals
289
The Role of Ethics Committees
292
Disclosing Imperfect Care
295
Treatment of Rape Victims
300
Ethical Issues
303
Alls Well that Ends Well?
307
Ethical Opinions
311
About the Center for Health Care Ethics
316
Index
317
Copyright

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About the author (2000)

Kevin O'Rourke, OP, is professor emeritus and former director of the Center for Health Care Ethics at the Saint Louis University Health Sciences Center. He is co-author of Health Care Ethics: A Theological Analysis (fourth edition, 1997), Medical Ethics: Sources of Catholic Teachings (third edition,1999) and Ethics of Health Care: An Introductory Textbook (second edition, 1994), all published by Georgetown University Press.

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