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Ethics In Clinical Practice / Edition 2

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Overview

Ethics in Clinical Practice, Second Edition continues to focus on multidisciplinary medicine and how ethical dilemmas affect not only doctors and patients, but also nurses, social workers, members of ethics committees, hospital attorneys, administrators, and others. Greater attention is given to care in a variety of settings and across settings. Cases reflect the managed care phenomenon and cost containment, demographic changes, the electronic revolution, and the ethical dilemmas resulting from this new climate. The revised edition discusses advances in palliative medicine and its availability, and includes new data regarding attitudes and prevalence of physician-assisted suicide. Attention is given to how issues of cost containment might directly or indirectly influence patients' end-of-life treatment options. Cases are updated to include pertinent information about medical advances and legal developments, and how ethical analysis reflects these new developments.

This book contains black-and-white illustrations.

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Editorial Reviews

Erich H. Loewy
This book is a brief, very readable, and enjoyable addition to the field of clinical ethics. It is systematic, starting with a chapter defining and describing health care ethics. This is followed by a brief (about 70 pages) section dealing with theoretical considerations. This section, perforce, is all too short. It makes up in readability and, I think, usefulness what it lacks in thoroughness in exploring this field. The author set out to write a book for those involved in the multidisciplinary and interdisciplinary field of clinical ethics. As a reference for persons engaged in ethics consultation, on ethics committees or for physicians and allied health care workers who are willing to think a bit more deeply about the ethical aspects of what they must do, this is a highly useful volume. The cases are diverse, well presented, and systematically but briefly discussed. Together with the initial section, they form a very satisfactory whole. The book is highly readable and enjoyable. Although it certainly does not replace the standard works in the field of bioethics, and does not attempt to, it serves as a most welcome addition. Hospital as well as academic libraries will, I think, find this book a must for their shelves.
Mila Ann Aroskar
This second edition book, a foundation in the history and theory of clinical biomedical ethics, is a presentation of 31 cases. The authors define clinical ethics as "the systematic identification, analysis, and resolution of ethical problems associated with care of specific patients" to distinguish their work from research ethics or more philosophical approaches to professional ethics. Using the cases, the authors pose ethical and legal questions from across the lifespan with responses that integrate and expand on materials from the earlier chapters on history and theory. The purpose is to help clinicians and others, including those in management and administrative positions, respond in a reflective way to ethical issues in a variety of clinical settings. This is a resource for education in clinical ethics. The intended audience is all healthcare professionals who grapple with ethical issues in patient care. In the chapters on history and theory of clinical ethics there is a concise discussion of the context for the practice of clinical ethics and its emergence as an interdisciplinary field within bioethics. The authors give brief attention to questions and concerns in the field. They include who counts as a practitioner in the field, the role of religion and religious beliefs, the role of law, ethics, and cultural competence, the role of public policy, organization ethics, and the business environment of current arrangements for healthcare financing and delivery. Predominant ethical theories and concepts that underlie clinical ethics are presented with a critique of those theories and how perspectives from causistry, caring, and feminist ethics further inform the practice ofclinical ethics. Discussions of informed consent/decision making, assessing decisional capacity, futility, and uncertainty are informative for both individuals who are new to clinical ethics and for experienced practitioners. Five broad questions, presented as a "protocol" for clinical ethics interventions, provide a bridge from the more theoretical chapters to the cases. Legal and ethical perspectives are provided on major questions raised by the cases -- this is an outstanding feature of this book. A weakness is that the authors purport that this book is for all healthcare professionals, but they fail to draw reference material from the several health professions involved in the practice of clinical ethics. Great strengths include interdisciplinary authorship, excellent overviews of the main features of clinical ethics, ethical and legal discussion of questions that arise in cases from across the life span in a variety of settings, a wealth of references including internet references, and attention to newer ethical dilemmas spawned by advances in medical genetics, HIV medicine, and managed care. This book is highly recommended reading for anyone involved or interested in ethical issues in patient care and decision making.
From The Critics
Reviewer: Mila Ann Aroskar, EdD (University of Minnesota)
Description: This second edition book, a foundation in the history and theory of clinical biomedical ethics, is a presentation of 31 cases. The authors define clinical ethics as "the systematic identification, analysis, and resolution of ethical problems associated with care of specific patients" to distinguish their work from research ethics or more philosophical approaches to professional ethics. Using the cases, the authors pose ethical and legal questions from across the lifespan with responses that integrate and expand on materials from the earlier chapters on history and theory.
Purpose: The purpose is to help clinicians and others, including those in management and administrative positions, respond in a reflective way to ethical issues in a variety of clinical settings. This is a resource for education in clinical ethics.
Audience: The intended audience is all healthcare professionals who grapple with ethical issues in patient care.
Features: In the chapters on history and theory of clinical ethics there is a concise discussion of the context for the practice of clinical ethics and its emergence as an interdisciplinary field within bioethics. The authors give brief attention to questions and concerns in the field. They include who counts as a practitioner in the field, the role of religion and religious beliefs, the role of law, ethics, and cultural competence, the role of public policy, organization ethics, and the business environment of current arrangements for healthcare financing and delivery. Predominant ethical theories and concepts that underlie clinical ethics are presented with a critique of those theories and how perspectives from causistry, caring, and feminist ethics further inform the practice of clinical ethics. Discussions of informed consent/decision making, assessing decisional capacity, futility, and uncertainty are informative for both individuals who are new to clinical ethics and for experienced practitioners. Five broad questions, presented as a "protocol" for clinical ethics interventions, provide a bridge from the more theoretical chapters to the cases. Legal and ethical perspectives are provided on major questions raised by the cases:this is an outstanding feature of this book. A weakness is that the authors purport that this book is for all healthcare professionals, but they fail to draw reference material from the several health professions involved in the practice of clinical ethics. Great strengths include interdisciplinary authorship, excellent overviews of the main features of clinical ethics, ethical and legal discussion of questions that arise in cases from across the life span in a variety of settings, a wealth of references including internet references, and attention to newer ethical dilemmas spawned by advances in medical genetics, HIV medicine, and managed care.
Assessment: This book is highly recommended reading for anyone involved or interested in ethical issues in patient care and decision making.
Booknews
Helps professionals in all health care disciplines grapple with ethical issues throughout the life span. Early chapters provide a foundation in history and theory of clinical ethics. The bulk of the book is devoted to 31 case studies analyzed from medical, ethical, and legal perspectives. Cases analyses contain extensive discussion of medical, ethical, and legal issues; more philosophical concerns are discussed at greater length earlier in the text. Material is prepared by a physician, a philosopher, and an attorney. Ahronheim is affiliated with Saint Vincents Hospital and Medical Center, and with New York Medical College. Annotation c. Book News, Inc., Portland, OR (booknews.com)

4 Stars! from Doody
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Product Details

  • ISBN-13: 9780763729455
  • Publisher: Jones & Bartlett Learning
  • Publication date: 7/11/2004
  • Edition description: 2E
  • Edition number: 2
  • Pages: 508
  • Product dimensions: 6.00 (w) x 8.90 (h) x 1.10 (d)

Table of Contents

Preface
Acknowledgments
Ch. 1 About Clinical Ethics 1
Ch. 2 A Theory of Clinical Ethics 17
Ch. 3 Evaluating Common Distinctions 51
Ch. 4 Clinical Ethics throughout the Life Span 57
Ch. 5 Assessing the Standard Theory 79
Ch. 6 Strategy for a Clinical Ethics Assessment 91
Ch. 7 Cases 99
App. A Internet References, Suggested Readings, and Other Sources 483
Index 493
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