9780071441995

Clinical Ethics introduces the four-topics method of approaching ethical problems (i.e., medical indications, patient preferences, quality of life, and contextual features). Each of the four chapters represents one of the topics. In each chapter, the authors discuss cases and provide comments and recommendations. The four-topics method is an organizational process by which clinicians can begin to understand the complexities involved in ethical cases and can proceed to find a solution for each case.

Albert R. Jonsen, PhD: Professor Emeritus of Ethics in Medicine, School of Medicine, University of Washington. Seattle, WA

Mark Siegler, MD: Lindy Bergman Distinguished Service Professor of Medicine; and Director, MacLean Center for Clinical Medical Ethics, University of Chicago, IL

William J. Winslade, PhD, JD: University of Texas Medical Branch, Galveston; and Distinguished Visiting Professor of Law, University of Houston, Health, Law, and Policy Institute, TX

INTRODUCTION

1

(12)

The Four Topics: Case Analysis in Clinical Ethics

1

(9)

References

10

(1)

The Four Topics Chart

11

(2)

CHAPTER 1 Indications for Medical Intervention

13

(38)

1.1 Indicated and Nonindicated Interventions

24

(13)

1.2 Orders Not To Resuscitate (DNR)

37

(9)

1.3 Legal Implications of Forgoing Treatment

46

(1)

1.4 Determination of Death

47

(4)

CHAPTER 2 Preferences of Patients

51

(58)

2.1 Informed Consent

54

(6)

2.2 Decisional Capacity

60

(5)

2.3 Beliefs Due To Religious and Cultural Diversity

65

(1)

2.4 Truthful Communication

66

(7)

2.5 Competent Refusal of Treatment

73

(10)

2.6 Advance Planning

83

(5)

2.7 Decision Making for the Mentally Incapacitated Patient

88

(12)

2.8 The Limits of Patient Preferences

100

(1)

2.9 Failure To Cooperate With Medical Recommendations

101

(5)

2.10 Alternative Medicine

106

(3)

CHAPTER 3 Quality of Life

109

(50)

3.1 Enhancing Quality of Life

123

(8)

3.2 Compromised Quality of Life and Life-Sustaining Interventions

131

(15)

3.3 Euthanasia and Assisted Suicide

146

(8)

3.4 Care of the Dying Patient

154

(1)

3.5 Suicide

155

(4)

CHAPTER 4 Contextual Features

159

(64)

4.1 Role of Other Interested Parties

166

(5)

4.2 Confidentiality of Medical Information

171

(7)

4.3 The Economics of Clinical Care

178

(11)

4.4 Allocation of Scarce Health Resources

189

(9)

4.5 Influence of Religion on Clinical Decisions

198

(2)

4.6 The Role of the Law in Clinical Decisions

200

(3)

4.7 Clinical Research

203

(9)

4.8 Clinical Teaching

212

(3)

4.9 Occupational Medicine

215

(1)

4.10 Public Health

216

(2)

4.11 Ethics Committees

218

(2)

4.12 Ethics Consultation

220

(3)

Locator

223

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Clinical Ethics: A Practical Approach to Ethical Decisions in Clinical Medicine, Sixth Edition

Clinical Ethics: A Practical Approach to Ethical Decisions in Clinical Medicine, Sixth Edition

0071441999

Summary

Author Biography

Table of Contents

Supplemental Materials