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Resolving Ethical Dilemmas: A Guide for Clinicians

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Resolving Ethical Dilemmas: A Guide for Clinicians

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作 者:Bernard Lo

出 版 社:

出版时间:2009年1月7日

I S B N:9780781793797

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内容简介

内容简介

Every day clinicians encounter ethical dilemmas that have a direct impact on patient care. This timely Fourth Edition gives you expert guidance in approaching a wide range of ethical dilemmas and developing an action plan even when competing points of view have equal merit. Most chapters include real-life sample cases that the author walks through, discussing the salient issues and how to approach them.

Highlights of this edition include:

  • A new chapter on ethical issues in cross-cultural medicine
  • New material addressing conscientious objection by physicians, with particular reference to reproductive health and caring for underserved populations
  • Revised sections on disclosure of errors to patients, gifts to physicians from drug companies, involuntary psychiatric treatment, genomic medicine, and ethical issues during public health emergencies such as pandemics
  • Updates on organ transplantation including increasing the donor pool and non-heart beating donors
  • Updated references throughout
  • A summary of key points at the end of each chapter

A companion Website includes instant fully searchable text. This useful resource is a must-read for medical students and practicing professionals at every level of experience.

作者简介

目录

Section I: FUNDAMENTALS OF CLINICAL ETHICS

  • Chapter 1: An Approach to Ethical Dilemmas in Patient Care
  • Chapter 2: Overview of Ethical Guidelines
  • Chapter 3: Informed Consent
  • Chapter 4: Promoting the Patient's Best Interests
  • Chapter 5: Confidentiality
  • Chapter 6: Avoiding Deception and Nondisclosure
  • Chapter 7: Keeping Promises
  • Section II: SHARED DECISION MAKING

  • Chapter 8: An Approach to Decisions about Clinical Interventions
  • Chapter 9: Futile Interventions
  • Chapter 10: Decision-making Capacity
  • Chapter 11: Refusal of Treatment by Competent, Informed Patients
  • Chapter 12: Standards for Decisions When Patients Lack Decision-making Capacity
  • Chapter 13: Surrogate Decision Making
  • Chapter 14: Persistent Disagreements over Care
  • Section III: DECISIONS ABOUT LIFE-SUSTAINING INTERVENTIONS

  • Chapter 15: Confusing Ethical Distinctions
  • Chapter 16: Ethics Consultations and Ethics Committees
  • Chapter 17: Do Not Attempt Resuscitation Orders
  • Chapter 18: Tube and Intravenous Feedings
  • Chapter 19: Physician-Assisted Suicide and Active Euthanasia
  • Chapter 20: The Persistent Vegetative State
  • Chapter 21: Determination of Death
  • Chapter 22: Legal Rulings on Life-Sustaining Interventions
  • Section IV: THE DOCTOR-PATIENT RELATIONSHIP

  • Chapter 23: Overview of the Doctor-Patient Relationship
  • Chapter 24: Refusal to Care for Patients
  • Chapter 25: Gifts from Patients to Physicians
  • Chapter 26: Sexual Contact between Physicians and Patients
  • Chapter 27: Secret Information about Patients
  • Chapter 28: Clinical Research
  • Section V: CONFLICTS OF INTEREST

  • Chapter 29: Overview of Conflicts of Interest
  • Chapter 30: Bedside Rationing of Health Care
  • Chapter 31: Incentives for Physicians to Increase Services
  • Chapter 32: Measures to Control Health Care Costs
  • Chapter 33: Gifts from Drug Companies
  • Chapter 34: Disclosing Errors
  • Chapter 35: Impaired Colleagues
  • Chapter 36: Ethical Dilemmas Students and House Staff Face
  • Section VI: ETHICAL ISSUES IN CLINICAL SUBSPECIALTIES

  • Chapter 37: Ethical Issues in Pediatrics
  • Chapter 38: Ethical Issues in Surgery
  • Chapter 39: Ethical Issues in Obstetrics and Gynecology
  • Chapter 40: Ethical Issues in Psychiatry
  • Chapter 41: Ethical Issues in Organ Transplantation
  • Chapter 42: Ethical issues in Genomic Medicine
  • Chapter 43: Ethical Issues in Public Health Emergencies
  • Chapter 44: Ethical Issues in Cross-Cultural Care

CASES FOR DISCUSSION

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