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Resolving Ethical Dilemmas

A Guide for Clinicians

9780781753579
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Description

Every day clinicians face ethical dilemmas, many of which result from medical advances and challenges in managed care. How practitioners resolve these challenges has a direct impact on patient care. This timely Third Edition will keep you up to date on a wide range of ethical dilemmas and new ways of thinking about them.

Highlights of this edition include::

  • Important new material addressing federal privacy regulations, disclosure of medical errors, limits on residents working hours, patient compliance with public health directives, genetic testing, gifts from drug companies, and more
  • Revised sections on decision-making near the end of life
  • Update on organ transplantation including living donations and financial incentives for donation
  • Plus more real-life cases to illustrate ethical dilemmas and challenge your critical thinking skills

This useful resource is a must-read for medical students and practicing professionals at every level of experience. It presents real patient problems and provides an easy-to-use format to help you develop an action plan that provides the best medical care to your patients.

Product Details
39665
9780781753579
9780781753579

Data sheet

Publication date
2005
Issue number
3
Cover
paperback
Pages count
320
Dimensions (mm)
178 x 254
Weight (g)
562
  • SECTION I:: Fundamentals of Clinical Ethics

  • An Approach to Ethical Dilemmas in Patient Care 3
  • Overview of Ethical Guidelines 10
  • Informed Consent 17
  • Promoting the Patients Best Interests 28
  • Confidentiality 36
  • Avoiding Deception and Nondisclosure 45
  • Keeping Promises 54

    SECTION II:: Shared Decision Making

  • An Approach to Decisions About Clinical Interventions 59
  • Futile Interventions 61
  • Decision-making Capacity 67
  • Refusal of Treatment by Competent, Informed Patients 75
  • Standards for Decisions When Patients Lack Decision-making Capacity 79
  • Surrogate Decision Making 90
  • Persistent Disagreements over Care 95

    SECTION III:: Decisions About Life-Sustaining Interventions

  • Confusing Ethical Distinctions 105
  • Ethics Committees and Case Consultations 111
  • Do Not Attempt Resuscitation Orders 117
  • Tube and Intravenous Feedings 125
  • Physician-Assisted Suicide and Active Euthanasia 130
  • The Persistent Vegetative State 140
  • Determination of Death 143
  • Legal Rulings on Life-Sustaining Interventions 147

    SECTION IV:: The Doctor-Patient Relationship

  • Overview of the Doctor-Patient Relationship 155
  • Refusal to Care for Patients 157
  • Gifts from Patients to Physicians 163
  • Sexual Contact between Physicians and Patients 168
  • Secret Information about Patients 174
  • Clinical Research 176

    SECTION V:: Conflicts of Interest

  • Overview of Conflicts of Interest 185
  • Bedside Rationing of Health Care 189
  • Incentives for Physicians to Increase Services 196
  • Incentives for Physicians to Decrease Services 200
  • Gifts from Drug Companies 209
  • Disclosing Errors 213
  • Impaired Colleagues 221
  • Ethical Dilemmas Students and House Staff Face 226

    SECTION VI:: Ethical Issues in Clinical Specialities

  • Ethical Issues in Pediatrics 235
  • Ethical Issues in Surgery 243
  • Ethical Issues in Obstetrics and Gynecology 249
  • Ethical Issues in Psychiatry 256
  • Ethical Issues in Organ Transplantation 264
  • Testing for Genetic Conditions 272
  • Ethical Issues in Public Health Emergencies 280 Cases for Discussion 285

    Index 296
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