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Ethical Dimensions in the Health Professions

ISBN: 9780721602431 | 0721602436
Edition: 4th
Format: Paperback
Publisher: Saunders
Pub. Date: 1/21/2005

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SummaryTable of Contents
Carefully written to ensure successful use by all health care professionals, Ethical Dimensions in the Health Professions is still the only cross-disciplinary ethics book available. The new 4th edition of this bestselling title helps readers think critically and thoughtfully about ethical decisions they face in practice. Utilizing a unique 6-step decision making process designed by the author, this text provides an expert framework for making for making effective decisions. Questions and answers are positioned throughout the text to encourage critical thinking and enforce the interactive approach. Presents Western and non-Western sources of ethical thought, and case studies reflect a diversity of practitioners, settings, and cultures Discusses traditional normative theories in additional to newer approaches Features in every chapter include: objectives, new terms and ideas presented in the chapter; a list of topics in the chapter that were introduced in earlier chapters; case stories with diverse practice settings and practitioner types to appeal to a broad audience; summary boxes that synthesize key ideas; reflection boxes with answer blanks to indicate important concepts and encourage students to think critically about the material presented; fill in the blank questions in the text to further knowledge acquisition and retention; a summary paragraph at the end of the chapter; and questions for thought and discussion Weaves the 6-step ethical decision-making process more consistently throughout the text Reflects recent changes in health care, society, and ethics, and provides information on ethical issues based on new medical and high-tech discoveries Features expanded and updated case studies, with several new cases presented, further enforcing the interactive and dynamic approach Provides new information on the law-ethics relationship, showing how ethics are interdependent with legal issues
Section One Introduction to Ethical Dimensions in the Health Professions
1(92)
Morality and Ethics: What Are They and Why Do They Matter?
3(26)
... MORE
Objectives
3(1)
The Story of the Harvey Family
4(4)
Morality and Moral Values
8(6)
Personal Morality
9(1)
Societal Morality
10(1)
Group Morality: The Health Professions and Their Institutions
11(3)
From the ``Moral'' to the ``Ethical''
14(1)
Ethics: Studying and Reflecting on Morality
15(5)
Ethical Issues and Ethical Problems
16(1)
The Moral and Ethical Thing to Do
17(1)
Using Ethics in Practical Situations Involving Morality
18(1)
Ethics Research
19(1)
Morality: Ethics and Following Your Own Conscience
20(4)
The Principle of Material Cooperation
21(1)
Protection Through Laws and Policies
22(1)
Limits of Protection
23(1)
Becoming a Part of the Ethics Conversation
24(2)
Deductive and Inductive Theories and Approaches
24(1)
To Do and to Be
24(1)
Individuals and Communities as Units of Concern
24(1)
Reason and Emotion for Reliable Moral Judgment
25(1)
Summary
26(1)
Questions for Thought and Discussion
27(2)
The Ethical Goal of Professional Practice and Prototypes of Ethical Problems
29(17)
Objectives
29(1)
The Story of Beulah Watson and Tiffany Bryant
30(2)
The Goal: A Caring Response
32(3)
Components of Ethical Problems
35(1)
The Moral Agent---A
35(1)
The Course of Action---C
35(1)
The Desired Outcome---O
36(1)
Prototypes of Ethical Problems
36(7)
Ethical Distress: Barriers to Agency
36(2)
Ethical Dilemma: Two Courses Diverging
38(3)
Locus of Authority Problem
41(2)
Summary
43(1)
Questions for Thought and Discussion
44(2)
Ethics Theories and Approaches: All You Need to Know
46(33)
Objectives
46(2)
The Story of Ronald Rachels, Pam Faden, and Metsui Hasagawa
48(2)
Parts of Ethical Study
50(3)
What Is Metaethics?
50(2)
What Is Normative Ethics?
52(1)
The Caring Response: Five Theories and Approaches to Help You
53(1)
Varieties of Story or Case Approaches
54(7)
Narrative Approaches
55(1)
Approaches Emphasizing Relationships
56(1)
Approaches Emphasizing Deep Diversity and Social Structures
57(2)
Ethics of Care Approaches
59(1)
Story or Case Approaches and a Caring Response
60(1)
Virtue Theory
61(3)
Character Traits and Moral Character
61(2)
Character Traits and a Caring Response
63(1)
Principles as Guides
64(7)
Nonmaleficence and Beneficence
65(1)
Autonomy
66(2)
Fidelity
68(1)
Veracity
69(1)
Justice
70(1)
Principles and a Caring Response
70(1)
Deontologic and Teleologic Theories
71(3)
Taking Duties Seriously
71(1)
Absolute, Prima Facie, and Conditional Duties
72(1)
Paying Attention to Outcomes
73(1)
Duties, Consequences, and a Caring Response
74(1)
Summary
74(1)
Questions for Thought and Discussion
75(4)
A Six-Step Process of Ethical Decision Making in Arriving at a Caring Response
79(14)
Objectives
79(1)
The Story of Anthony Carnavello and Alexia Eliopoulos
80(1)
The Six-Step Process
81(9)
Step 1: Get the Story Straight---Gather Relevant Information
82(2)
Step 2: Identify the Type of Ethical Problem
84(2)
Step 3: Use Ethics Theories or Approaches to Analyze the Problem(s)
86(1)
Step 4: Explore the Practical Alternatives
87(2)
Step 5: Complete the Action
89(1)
Step 6: Evaluate the Process and Outcome
89(1)
Summary
90(1)
Questions for Thought and Discussion
91(2)
Section Two Ethical Dimensions of Professional Roles
93(76)
Surviving Student Life Ethically
95(17)
Objectives
95(1)
Special Challenges of Student Life
96(1)
The Story of Matt and the Botched Home Visit
96(2)
The Goal: A Caring Response
98(1)
The Six-Step Process as a Student
99(8)
Step 1: Gather Relevant Information
100(1)
Step 2: Identify the Type of Ethical Problem
100(3)
Step 3: Use Ethics Theories or Approaches to Analyze the Problem
103(1)
Step 4: Explore the Practical Alternatives
104(1)
Step 5: Complete the Action
105(1)
Step 6: Evaluate the Process and Outcome
106(1)
Strategies for Success as a Moral Agent
107(1)
Summary
108(1)
Questions for Thought and Discussion
108(4)
Surviving Professional Life Ethically
112(17)
Objectives
112(1)
The Story of Janice K. and the Policies of Her Workplace
113(1)
The Goal: A Caring Response
114(1)
You Owe It to Yourself
115(2)
The Responsibility to Maintain Personal Integrity
117(7)
Integrity and Personal Values Systems
118(1)
Opportunities to Strengthen Your Personal Integrity
119(3)
Societal Safeguards Revisited
122(1)
Personal Integrity and Personal Vigilance
123(1)
The Responsibility to Improve Yourself
124(2)
The Charge to Remain Competent Professionally
124(1)
The Charge to Improve Yourself Personally
124(1)
Challenges Regarding Personal Integrity: Vigilance Revisited
125(1)
Summary
126(1)
Questions for Thought and Discussion
126(3)
Living Ethically within Health Care Organizations
129(17)
Objectives
129(2)
The Story of Angelica Gomez and the Management Discussion Group
131(1)
The Goal: A Caring Response
132(1)
The Six-Step Process in Organizational Matters
133(9)
Step 1: Gather Relevant Information
133(2)
Step 2: Identify the Type of Ethical Problem
135(1)
Step 3: Use Ethics Theories or Approaches to Analyze the Problem
136(4)
Step 4: Explore the Practical Alternatives
140(1)
Steps 5 and 6: Complete the Action and Evaluate the Process and Outcome
141(1)
Living with the Business Aspects of Health Care
142(1)
Summary
143(1)
Questions for Thought and Discussion
143(3)
Living Ethically as a Member of the Health Care Team
146(23)
Objectives
146(1)
The Story of Maureen Sitler and Daniela Green
147(2)
The Goal: A Caring Response
149(2)
The Six-Step Process and Team Decisions
151(6)
Step 1: Gather Relevant Information for the Team Situation
152(1)
Steps 2 and 3: Identify the Type of Ethical Problem and the Ethics Approach to Analyze It
153(1)
Step 4: Explore the Practical Alternatives
154(3)
Step 5: Complete the Action
157(1)
Step 6: Evaluate the Process and Outcome
157(1)
Peer Evaluation Issues
157(3)
Blowing the Whistle on Unethical or Incompetent Colleagues
160(5)
Summary
165(1)
Questions for Thought and Discussion
165(4)
Section Three Ethical Dimensions of the Professional-Patient Relationship
169(64)
Why Honor Confidentiality?
171(17)
Objectives
171(1)
The Story of Chaanda Jiwani and Damian Doucet
172(2)
The Goal: A Caring Response
174(4)
Keeping Confidences
176(1)
Breaking Confidences
177(1)
The Six-Step Process in Confidentiality Situations
178(3)
Step 1: Gather Relevant Information
178(1)
Steps 2 and 3: Identify the Type of Ethical Problem and the Ethics Approach to Analyze It
179(1)
Step 4: Explore the Practical Alternatives
179(1)
Step 5: Complete the Action
180(1)
Step 6: Evaluate the Process and Outcome
181(1)
Confidentiality, Records, and Patient Care Information Systems
181(2)
Patient Privacy: Health Insurance Portability and Accountability Act of 1996
183(2)
Summary
185(1)
Questions for Thought and Discussion
185(3)
Why So Much Emphasis on Truth Telling?
188(20)
Objectives
188(1)
The Story of Maria Priley and Kim Segard
189(2)
The Goal: A Caring Response
191(3)
Arguments Against Disclosure
191(1)
Arguments Favoring Disclosure
192(2)
The Six-Step Process Regarding Truthful Disclosures
194(5)
Step 1: Gather Relevant Information
194(1)
Step 2: Identify the Type of Ethical Problem
195(1)
Step 3: Use Ethics Theories or Approaches to Analyze the Problem
196(1)
Step 4: Explore the Practical Alternatives
197(1)
Step 5: Complete the Action
198(1)
Step 6: Evaluate the Process and Outcome
199(1)
Truth, Truth Telling, and Deceit
199(2)
Placebos: A Special Case of Information Disclosure
201(2)
Disclosure of Genetic Information
203(2)
The Right Not to Know
205(1)
Summary
205(1)
Questions for Thought and Discussion
206(2)
Why Care about Informed Consent?
208(25)
Objectives
208(1)
The Story of Jason Fruhling and Faye Nesbitt
209(1)
The Goal: A Caring Response
210(2)
The Six-Step Process in Informed Consent Situations
212(10)
Step 1: Gather Relevant Information
212(5)
Step 2: Identify the Type of Ethical Problem
217(2)
Step 3: Use Ethical Theories or Approaches to Analyze the Problem
219(1)
Step 4: Explore the Practical Alternatives
220(1)
Steps 5 and 6: Complete the Action and Evaluate the Process and Outcome
221(1)
The Special Challenge of Incompetence or Incapacity
222(2)
Informed Consent in Research
224(4)
Sensitivity to Cultural and Other Differences
228(1)
Summary
229(1)
Questions for Thought and Discussion
230(3)
Section Four Ethical Dimensions of Chronic and End-of-Life Care
233(52)
The Growing Ethical Challenges of Chronic and Long-Term Care
235(20)
Objectives
235(2)
The Story of the McDonalds, the Experimental Drug, and the Doubters
237(3)
The Goal: A Caring Response
240(2)
The Six-Step Process in Chronic and Long-Term Care Situations
242(10)
Step 1: Gather Relevant Information
242(3)
Step 2: Identify the Type of Ethical Problem
245(2)
Step 3: Use Ethics Theories or Approaches to Analyze the Problem
247(2)
Step 4: Explore the Practical Alternatives
249(1)
Step 5: Complete the Action
250(1)
Step 6: Evaluate the Process and Outcome
251(1)
Summary
252(1)
Questions for Thought and Discussion
252(3)
Ethical Issues in End-of-Life Care
255(30)
Objectives
255(2)
The Story of Almena Lykes, Jarda Roubal, and Roy Moser
257(1)
The Goal: A Caring Response
258(4)
Palliative Care
259(3)
The Six-Step Process in End-of-Life Situations
262(14)
Step 1: Gather Relevant Information
263(2)
Step 2: Identify the Type of Ethical Problem
265(1)
Step 3: Use Ethics Theories or Approaches to Analyze the Problem
266(2)
Step 4: Explore the Practical Alternatives
268(7)
Steps 5 and 6: Complete the Action and Evaluate the Process and Outcome
275(1)
Advance Directives in End-of-Life Care
276(1)
Clinically Assisted Suicide and Medical Euthanasia
277(3)
Summary
280(1)
Questions for Thought and Discussion
280(5)
Section Five Ethical Dimensions of the Social Context of Health Care
285(56)
Distributive Justice: Clinical Sources of Claims for Health Care
287(19)
Objectives
287(2)
The Story of Christopher Lacey and Other Contenders for His Bed
289(2)
The Goal: A Caring Response
291(1)
The Six-Step Process in Allocation Decisions
291(8)
Step 1: Gather Relevant Information
292(3)
Step 2: Identify the Type of Ethical Problem
295(1)
Step 3: Use Ethics Theories or Approaches to Analyze the Problem
296(2)
Steps 4 and 5: Explore the Practical Alternatives and Complete the Action
298(1)
Step 6: Evaluate the Process and Outcome
299(1)
Rationing: Allocation and Dire Scarcity
299(3)
Criteria for a Morally Acceptable Approach to Rationing of Health Care Resources
300(2)
Summary
302(1)
Questions for Thought and Discussion
303(3)
Compensatory Justice: Social Sources of Claims for Health Care
306(21)
Objectives
306(1)
The Story of the Maki Brothers
307(3)
The Goal: A Caring Response
310(1)
The Six-Step Process in Compensation Decisions
310(10)
Step 1: Gather Relevant Information
310(1)
Step 2: Identify the Type of Ethical Problem
311(1)
Step 3: Use Ethics Theories or Approaches to Analyze the Problem
312(2)
Step 4: Explore the Practical Alternatives
314(3)
Step 5: Complete the Action
317(1)
Step 6: Evaluate the Process and Outcome
317(3)
The Patient's Responsibility for Health Maintenance
320(1)
The Story of Jane Tyler and Sam Puryo
321(3)
Summary
324(1)
Questions for Thought and Discussion
324(3)
Good Citizenship and Your Professional Role: Life as Opportunity
327(14)
Objectives
327(1)
The Story of Michael Merrick and ExRad Corporation
328(2)
The Goal: A Caring Response
330(1)
The Six-Step Process in Public Life
330(8)
Steps 1 and 2: Gather Relevant Information and Identify the Type of Ethical Problem
331(1)
Step 3: Use Ethics Theories or Approaches to Analyze the Problem
332(3)
Step 4: Explore the Practical Alternatives
335(1)
Steps 5 and 6: Complete the Action and Evaluate the Process and Outcome
336(2)
Summary
338(1)
Questions for Thought and Discussion
338(3)
Index341

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