Clinical Ethics: A Practical Approach to Ethical Decisions in Clinical MedicineUsing 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 |
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Contents
INTRODUCTION | 1 |
Indications for Medical Intervention | 13 |
Preferences of Patients | 47 |
Copyright | |
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accept action advance appear appropriate asked attempt authority become beliefs benefits called capacity cause Chapter child choices clear clinical communication competent condition consent considered consultation continued course court death decisions determine difficult directives discussed disease DNAR drug duty effects emergency ethical ethical problems evaluation example expressed facts function futility given goals harm hospital important indications individual infection informed consent institutions interest intervention issues judgment known limited living managed means medicine mental moral obligation organ pain parents particular patient persons physical physician possible practice preferences present Press principle problems procedure protect questions reasonable RECOMMENDATION refusal relationship relevant request respect responsibility result resuscitation risk rules serious severe situation social sometimes standard studies suffering suggest suicide surgery surrogate terminal therapy tient tion topics treat treatment University usually values