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Resolving Ethical Dilemmas
A Guide for Clinicians
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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.
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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