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Clinical Ethics : A Practical Approach to Ethical Decisions in Clinical Medicine

by: Jonsen, Albert R.; Siegler, Mark; Winslade, William J.

ISBN: 9780071387637 | 0071387633

Edition: 5th
Format: Paperback
Publisher: McGraw-Hill Medical
Pub. Date: 5/22/2002

Newer Edition Available

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Summary Table of Contents

Market and Publishing Strategy: For CLINICAL ETHICS to be able to keep pace with advances in medical science and changes in health care policy, it will be published on a three-year revision cycle. The present edition has sold over 14,000 copies to date. The fifth edition will retain the qualities that have made the book so popular (its succinctness of style and content) while weaving in new topics and illustrative cases. This complete revision will not only bring the text up to date, but will also make it more attractive to a wider audience. Po... MOREsitioning Statement: CLINICAL ETHICS teaches health care professionals how to effectively identify, analyze, and resolve ethical issues in clinical medicine. Book Description: Using the four-box method of approaching ethical problems (i.e., medical indications, patient preferences, quality of life, and contextual features), this brief, relevant, and practical book assists students and practitioners in identifying, analyzing, and resolving ethical problems arising in clinical medicine. CLINICAL ETHICS is also an excellent reference that provides abundant clinical cases and concise summaries of current opinion on the ethics of typical cases. Revision Highlights: * Emphasis on Evidence Based Medicine * Expansion of the discussion on palliative care * Introduction of many new issues that have raised unique ethical questions such as -- Molecular genetics testing and screening -- Risk, consent, and innovation regarding organ transplantation, bone-marrow and stem-cell transplantation -- Ethics of research (e.g., expansion of clinical trials from the academic setting to private practice [under sponsorship of the pharmaceutical industry]) -- Major changes in the ethical and legal concepts of physician assisted death -- Changes in the practice of resuscitation orders (DNR) (e.g., portable DNR, telephonic and Internet communication of orders) -- New problems in medical confidentiality due to electronic records and to the organization of managed care -- The emerging field of Organizational Ethics -- New features of managed care, particularly the implication of the proposed Patient's Bill of Rights. -- Recent concerns and public policy regarding the definition, causes, and management of medical error Key Features: * "Four-Box Method:" An easy-to-follow analytic method by which the reader organizes the facts of a case in order to resolve the ethical problem * A succinct and handy reference * Short clinical cases presented throughout the text to illustrate ethical and legal issues

Shows health care professionals how to identify, analyze, and resolve ethical issues in clinical medicine, using the Four-Box Method ( medical indications, patient preferences, quality of life, and contextual features). The Fifth Edition emphasizes evidence-based medicine, and explores new issues in treatment and research.

INTRODUCTION

The Four Topics: Case Analysis in Clinical Ethics

References

The Four Topics Chart

CHAPTER 1. Indications for Medical Intervention

1.1 Inappropriate Interventions

1.2 Orders not to Attempt Resuscitation

1.3 Care of the Dying Patient

1.4 Legal Implications of Forgoing Treatment

1.5 Determination of Death

CHAPTER 2. Preferences of Patients

RENT TEXTBOOKS

Clinical Ethics : A Practical Approach to Ethical Decisions in Clinical Medicine

Why Rent from Knetbooks?

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INTRODUCTION

The Four Topics: Case Analysis in Clinical Ethics

References

The Four Topics Chart

CHAPTER 1. Indications for Medical Intervention

1.1 Inappropriate Interventions

1.2 Orders not to Attempt Resuscitation

1.3 Care of the Dying Patient

1.4 Legal Implications of Forgoing Treatment

1.5 Determination of Death

CHAPTER 2. Preferences of Patients

2.1 Informed Consent

2.2 Decisional Capacity

2.3 Beliefs due to Religious and Cultural Di... MOREversity

2.4 Truthful Communication

2.5 Competent Refusal of Treatment

2.6 Advance Planning

2.7 Decision-Making for the Mentally Incapacitated Patient

2.8 The Limits of Patient Preferences

2.9 Failure to Cooperate with Medical Recommendation

2.10 Alternative Medicine

CHAPTER 3. Quality of Life

3.1 Enhancing Quality of Life

3.2 Objective Criteria for Quality of Life

3.3 Euthanasia and Assisted Suicide

3.4 Suicide

CHAPTER 4. Contextual Features

4.1 Role of Interested Parties

4.2 Physician Confidentiality

4.3 The Economics of Health Care

4.4 Allocation of Scarce Health Resources

4.5 Religion

4.6 The Role of the Law in Clinical Ethics

4.7 Clinical Research

4.8 Clinical Teaching

4.9 Occupational Medicine

4.10 Public Health

4.11 Ethics Committees

4.12 Ethics Consultation

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