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Case Studies in Nursing Ethics

by: Fry, Sara T.; Veatch, Robert M.

Case Studies in Nursing Ethics

by: Fry, Sara T.; Veatch, Robert M.

ISBN 13:
9780763730376
ISBN 10:
0763730378
Edition: 3rd
Format: Paperback
Copyright: 08/15/2005
Publisher: Jones & Bartlett
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Summary

Case Studies in Nursing Ethics presents basic ethical principles and specific guidance for applying these principles in nursing practice through analysis of over 150 actual ethical case study conflicts that have occurred in the practice of nursing. Each case study allows readers to develop their own approaches to the resolution of ethical conflict and to reflect on how the traditions of ethical thought and professional guidelines apply to the situation.

Preface

vii

List of Cases

Introduction

xiii

Four Questions of Ethics

xiii

What Makes Right Acts Right?

xiv

Distinguishing between Evaluative Statements and Statements Presenting Nonevaluative Facts

xiv

Distinguishing between Moral and Nonmoral Evaluations

Determining Who Ought to Decide

xvi

What Kinds of Acts Are Right?

xviii

Consequentialism

xix

Nonconsequentialism

How Do Rules Apply to Specific Situations?

xxii

What Ought to Be Done in Specific Cases?

xxii

Endnotes

xxiv

Part I Ethics and Values in Nursing

Values in Health and Illness

(30)

Identifying Evaluations in Nursing

(12)

Identifying Ethical Conflicts

(15)

Benefit to the Patient vs Benefit to Others

(3)

The Rights of the Patient vs the Welfare of the Patient

(5)

Moral Rules and the Nurse's Conscience

(4)

Limits on Rights and Rules

(3)

Endnotes

(2)

The Nurse and Moral Authority

(32)

The Authority of the Profession

(6)

The Authority of the Physician

(4)

The Authority of the Institution

(3)

The Authority of the Health Insurer

(2)

The Authority of Society

(5)

The Authority of the Patient

(3)

Endnotes

(7)

Part II Ethical Issues in Nursing

Benefiting the Patient and Others: The Duty to Produce Good and Avoid Harm

(29)

Benefit to the Patient

(10)

Health Benefits vs Overall Benefits

(5)

Benefiting vs Avoiding Harm

(2)

Act vs Rule Consequentialism

(3)

Benefit to the Institution

(3)

Benefit to Society

(3)

Benefit to Identified Nonclients

(3)

Benefit to the Profession

(3)

Benefit to Oneself and One's Family

(2)

Endnotes

(2)

Justice: The Allocation of Health Resources

(25)

The Ethics of Allocating Resources

(3)

Two Meanings of the Word Justice

(1)

Three Ways to Allocate Resources

(3)

Justice Among the Nurse's Patients

(9)

Justice Between Patients and Others

107

(4)

Justice in Public Policy

111

(4)

Justice and Other Ethical Principles

115

(2)

Endnotes

117

(2)

The Principle of Autonomy

119

(23)

Internal Constraints on Autonomy

120

(7)

External Constraints on Autonomy

127

(6)

Overriding Autonomy

133

(7)

Endnotes

140

(2)

Veracity

142

(25)

The Condition of Doubt

143

(4)

Duties and Consequences in Truth-Telling

147

(10)

Lying and Patient Well-Being

147

(6)

Lying and the Well-Being of Others

153

(4)

Complications in Truth-Telling

157

(7)

When the Patient Asks Not to Tell

157

(2)

When the Family Asks Not to Tell

159

(5)

The Right to Health Records

164

(2)

Endnotes

166

(1)

Fidelity

167

(25)

Promise-Keeping

168

(4)

Confidentiality

172

(19)

When the Patient May Be Harmed

176

(6)

When Others May Be Harmed

182

(7)

When Required by Law

189

(2)

Endnotes

191

(1)

The Sanctity of Human Life

192

(35)

Actions and Omissions

194

(4)

Criteria for Justifiable Omission

198

(3)

Withholding and Withdrawing

201

(6)

Direct and Indirect Killing

207

(3)

Voluntary and Involuntary Killing

210

(4)

Is Withholding Food and Water Killing?

214

(6)

Endnotes

220

(7)

Part III Special Problem Areas in Nursing Practice

Abortion, Contraception, and Sterilization

227

(19)

Abortion

228

(9)

Contraception

237

(5)

Sterilization

242

(2)

Endnotes

244

(2)

Genetics, Birth, and the Biological Revolution

246

(35)

Genetic Counseling

248

(9)

Genetic Screening

257

(5)

InVitro Fertilization and Artificial Insemination

262

(11)

Genetic Engineering

273

(4)

Endnotes

277

(4)

Psychiatry and the Control of Human Behavior

281

(18)

Psychotherapy

284

(1)

The Concept of Mental Health

284

(11)

Mental Illness and Autonomous Behavior

287

(3)

Mental Illness and Third-Party Interests

290

(5)

Other Behavior-Controlling Therapies

295

(2)

Endnotes

297

(2)

HIV/AIDS Care

299

(31)

Conflict Between Rights and Duties

300

(15)

Screening/Testing for HIV

301

(4)

Balancing Confidentiality Protection and the Duty to Warn

305

(5)

The Rights of HIV-Infected Individuals

310

(5)

Conflicts Involving the Cost of Treatment and Allocation of Resources

315

(8)

Research on HIV

323

(5)

Endnotes

328

(2)

Experimentation on Human Beings

330

(34)

Calculating Risks and Benefits

335

(7)

Protecting Privacy

342

(3)

Equity in Research

345

(3)

Informed Consent in Research

348

(13)

Endnotes

361

(3)

Consent and the Right to Refuse Treatment

364

(28)

The Right to Refuse Treatment

367

(4)

The Elements and Standards of Consent

371

(9)

Comprehension and Voluntariness

380

(5)

Consent for Incompetents

385

(5)

Endnotes

390

(2)

Death and Dying

392

(45)

The Definition of Death

394

(3)

Competent and Formerly Competent Patients

397

(9)

Treating against the Wishes of the Patient

398

(3)

The Patient in Conflict with the Physician and the Family

401

(2)

The Problem of the Ambivalent Patient

403

(3)

Never-Competent Patients and Those Who Have Never Expressed Their Wishes

406

(18)

How Much Discretion Should Family Have?

407

(5)

Nonfamily Surrogates

412

(12)

Futile Care

424

(9)

Limits Based on the Interests of Other Patients

431

(2)

Endnotes

433

(4)

Glossary

437

(8)

Index

445

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Case Studies in Nursing Ethics

Case Studies in Nursing Ethics

9780763730376

0763730378

Summary

Table of Contents

Supplemental Materials

Write a Review

Amazon no longer offers textbook rentals. We do!

Case Studies in Nursing Ethics

Case Studies in Nursing Ethics

9780763730376

0763730378

Summary

Table of Contents

Supplemental Materials

Write a Review

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