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More About This Textbook
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.
The content you need to make the right choice:
Introduction;
Medical Intervention;
Patient Preferences;
Quality of Life;
Contextual Features.
Product Details
Related Subjects
Meet 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