Patient Self-Determination Act: Meeting the Challenges in Patient Care

Patient Self-Determination Act: Meeting the Challenges in Patient Care

by Lawrence P. Ulrich

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Product Details

ISBN-13: 9780878407484
Publisher: Georgetown University Press
Publication date: 07/28/2001
Series: Clinical Medical Ethics Series
Edition description: Reprint
Pages: 364
Product dimensions: 6.14(w) x 9.00(h) x 1.05(d)
Age Range: 18 Years

About the Author

Lawrence P. Ulrich, a professor of philosophy at the University of Dayton, serves as an ethics consultant for a number of medical institutions. His extensive writings about health care ethics include several training programs for health care professionals.

Table of Contents

Introduction

1. The Requirements of the Patient Self-Determination ActThe Explicit Demands of the LawThe Spirit of the Law

2. The Legal Background of the Patient Self-Determination ActEthics and the LawThe Case of Karen Ann QuinlanThe Case of William BartlingThe Case of Paul BrophyTHe Case of Nancy CruzanGeneral Implications

3. The Social and Technological Background for the Patient Self-Determination ActThe Expectations of HealthcareThe Physician-Patient RelationshipThe Technological Pressures on Healthcare DeliveryThe Difficulty of Limiting Technology in HealthcareHealthcare Costs and the Demands of Justice

4. The Human Context of the Patient Self-Determination ActThe Recognition of Human FinitudeThe Asseriotn of Personal DignityThe Role of the Virtues in Conducting the Moral Life

5. The Institutional Context of the Patient Self-Determination ActThe Social Obligations of InstitutionsThe Mission of the InstitutionHealthcare Institutions as Center of Education

6. The Ethical Foundations of the Patient Self-Determination ActThe Supporting Principles of BioethicsThe Role of the Virtues in Clinical DecisionsInformed ConsentDecisional CapacityThe Right to Refuse TreatmentDemands for TreatmentClinical FutilityAn Integration of Ethical Issues

7. Advance DirectivesThe Nature of Advance DirectivesThe Social Justification for Advance DirectivesGeneral Problems with Advance DirectivesAdvantages and Disadvantages of Advance DirectivesWriting an Advance DirectiveContent of Advance DirectivesAssistance in Writing Advance Directives

8. The Roles of Healthcare ProfessionalsPreparing the ProfessionalThe Role of the PhysicianThe Role of Social Services and ChaplaincyThe Role of NursingPerspective

9. The Role of the Responsible PatientSetting the StageThe Moral Responsibility for Making DecisionsDeveloping a Life of VirtueEssential Virtues of the Responsible PatientSummary

Conclusion

Index

What People are Saying About This

Edmund D. Pellegrino

This very complete analysis of the legal and ethical foundations of the [Patient Self-Determination] Act is a valuable guide for health care professionals, lawyers, and policy makers as well as the educated public.
—(Edmund D. Pellegrino, John Carroll Professor of Medicine and Medical Ethics and Director of the Center for Clinical Bioethics at Georgetown University Medical School)

Richard A. McCormick

Ulrich’s treatment of the Self-Determination Act is by far the best available. I am particularly impressed by the full and very rich analysis he provides for understanding the Act.

From the Publisher

"This very complete analysis of the legal and ethical foundations of the [Patient Self-Determination] Act is a valuable guide for health care professionals, lawyers, and policy makers as well as the educated public."—Edmund D. Pellegrino, MD, chair, President's Council on Bioethics, 2005-2009, and professor emeritus of medicine and medical ethics, Center for Clinical Bioethics, Georgetown University Medical Center

"This book is a portrait of the strengths and weaknesses of the ethics of advance directives and legislation supporting it. It would be hard to image any other work matching it for comprehensiveness and insight."—David C. Thomasma, Stritch School of Medicine, Loyola University Chicago

"This timely book should be read and used by all health care professionals responsible for the care of critically ill patients, every member of institutional ethics committees, ethics consultants, senior institutional managers, and patients and their families."—Laurence B. McCullough, Center for Medical Ethics and Health Policy, Baylor College of Medicine

"Ulrich's treatment of the Self-Determination Act is by far the best available. I am particularly impressed by the full and very rich analysis he provides for understanding the Act."—Richard A. McCormick, SJ, University of Notre Dame

Laurence B. McCullough

This timely book should be read and used by all health care professionals responsible for the care of critically ill patients, every member of institutional ethics committees, ethics consultants, senior institutional managers, and patients and their families.—(Laurence B. McCullough, Center for Medical Ethics and Health Policy, Baylor College of Medicine)

David C. Thomasma

This book is a portrait of the strengths and weaknesses of the ethics of advance directives and legislation supporting it. It would be hard to image any other work matching it for comprehensiveness and insight.—(David C. Thomasma, Stritch School of Medicine, Loyola University Chicago )

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