Clinical Ethics: A Practical Approach to Ethical Decisions in Clinical Medicine / Edition 7

by Albert Jonsen, Mark Siegler, William Winslade

Overview

A unique structured approach to solving ethical issues that arise in daily clinical practice

A Doody's Core Title for 2011!

Clinical Ethics teaches the widely-known Four-Topics Method to help you make the right choice when facing complex ethical questions and dilemmas encountered during everyday patient care. You will learn an easy-to-apply system based on simple questions about medical indications, patient preferences, quality of life, and contextual features that clearly explain clinical ethics and helps you formulate a sound diagnosis and treatment strategy.

• Goes beyond theory to offer a solid decision-making strategy applicable to real-world practice
• Numerous clinical case examples link principles to everyday practice--many new to this edition
• Practical coverage of important legal issues
• Ethical considerations in palliative care, medically assisted death, clinical research, and other timely issues
• Perfect for students, trainees, clinicians, ethics committee members, nurses, and patients
• Handy four-topics chart pullout card

The content you need to make the right choice:

Introduction;
Medical Intervention;
Patient Preferences;
Quality of Life;
Contextual Features.

Product Details

ISBN-13:	9780071634144
Publisher:	McGraw-Hill Professional Publishing
Publication date:	05/05/2010
Series:	LANGE Clinical Science Series
Edition description:	Older Edition
Pages:	240
Product dimensions:	5.90(w) x 8.90(h) x 0.70(d)

About the Author

Albert R. Jonsen, PhD

Professor Emeritus of Ethics in Medicine

University of Washington School of Medicine

Seattle, WA

Senior Ethics Scholar in Residence

California Pacific Medical Center

San Francisco, CA

Mark Siegler, MD

Lindy Bergman Distinguished Service Professor

of Medicine and Surgery

Director, MacLean Center for Clinical Medical Ethics

University of Chicago

Chicago, IL

William J. Winslade, PhD, JD

James Wade Rockwell Professor of Philosophy in Medicine

Institute for the Medical Humanities

Professor of Psychiatry and Preventive Medicine

and Community Health

University of Texas Medical Branch

Galveston, TX

Table of Contents

Introduction 1

The Four Topics 2

Resources in Clinical Ethics 5

Acknowledgements 6

Bibliography 7

The Four Topics Chart 8

Topic 1 Medical Indications 9

1.1 Indicated and Nonindicated Interventions 18

1.2 Clinical Judgment and Clinical Uncertainty 24

1.3 Cardiopulmonary Resuscitation (CPR) and Orders not to Resuscitate (DNR) 30

1.4 Medical Error 39

1.5 Determination of Death 40

1.6 Summary 43

1P Pediatric Notes 44

Topic 2 Patient Preferences 47

2.1 Informed Consent 51

2.2 Decisional Capacity 65

2.3 Decision Making for the Mentally Incapacitated Patient 80

2.4 Surrogate Decision-Makers 87

2.5 Failure to Cooperate in the Therapeutic Relationship 92

2P Pediatric Notes 102

Topic 3 Quality of Life 109

3.1 Divergent Evaluations of Quality of Life 116

3.2 Enhancement Medicine 125

3.3 Compromised Quality of Life and Life-Sustaining Interventions 126

3.4 Pain Relief for Terminally Ill Patients 144

3.5 Medically Assisted Dying 148

3.6 Care of the Dying Patient 155

3.7 Treatment of Attempted or Suspected Suicides 156

3P Pediatric Notes 158

Topic 4 Contextual Features 161

4.1 Health Professions 165

4.2 Other Interested Parties 170

4.3 Confidentiality of Medical Information 174

4.4 Economics of Clinical Care 181

4.5 Allocation of Scarce Health Resources 187

4.6 Influence of Religion on Clinical Decisions 199

4.7 Role of Law in Clinical Ethics 201

4.8 Clinical Research 203

4.9 Clinical Teaching 211

4.10 Public Health 214

4.11 Organizational Ethics 219

4P Pediatric Notes 222

Locator 225

Pullout Card-The Four Topics Chart