Evidence-Based Medical Ethics:

Cases for Practice-Based Learning
1. Auflage 2008
ISBN: 978-1-60327-246-9
Verlag: Humana Press
Format: PDF
Kopierschutz: Adobe DRM (»Systemvoraussetzungen)

E-Book, Englisch, 240 Seiten

In the modern practice of medicine, new challenges complicate the ethical care of patients. Today’s times require a contemporary take on the concept of medical ethics. The idea for this textbook was born out of a need for a teaching resource that merges medical ethics theory with the practical needs of modern clinical medicine. In , the authors address what has been missing in existing text books and ethics courses to date – clear-cut ethical and legal guidelines that provide a method for the reader to learn how to systematically manage dilemmas seen in the everyday practice of medicine. The reader is guided through several "typical" patient scenarios and prompted by various questions that should be entertained by the treating health care provider. Then, relevant evidence-based medicine, legal precedent, and the ethical theory that applies to the situation are revealed. Often, finding the "best" ethical solution for each problem is automatic, as the solution often becomes self-evident during information-gathering. This general method is reinforced throughout the text with multiple different cases, using a practice-based approach by building on the reader’s developing skills. Additionally, we have sought to emphasize a culturally competent manner in resolving these dilemmas, respectfully addressing issues of age, gender, and culture whenever possible. The main goal of is to assist the reader in adapting a patient-centered and evidence-based approach to dilemmas faced in their future practice of medicine.

Autoren/Hrsg.

Inhaltsverzeichnis

1;Disclaimer;5
2;About the Cover;6
3;Foreword;7
4;Preface;8
5;Contents;9
6;An Introduction to Modern, Evidence- Based Medical Ethics;11
6.1;The Definition and Evolution of Medical Ethics;11
6.2;On Medical Oaths, Codes of Ethics, and the Lessons of History;11
6.3;Medicine and the Law;14
6.4;Ethics in Medical Education Today;15
6.5;Cultural Competency, Personal Belief Systems, and the Practice of Ethical Care;16
6.6;Health Care Providers and Conflicts of Interest;17
6.7;Ethics and Evidence-Based Medicine;18
6.8;References;19
7;The Underlying Principles of Ethical Patient Care;21
7.1;The Principle of Beneficence;21
7.2;The Principle of Non-Maleficence;22
7.3;The Principle of Respect for Autonomy;23
7.4;The Principle of Respect for Dignity;23
7.5;The Principle of Veracity;25
7.6;The Principle of Distributive Justice;25
7.7;Annotated References/Further Information;26
8;Advance Directives:;27
8.1;Annotated References/Further Information;30
9;Case-Based Ethical Dilemmas;31
9.1;Learning Through Case-Based Teaching;31
9.2;How to Approach the Cases;31
9.3;The Patient;32
9.4;The Ethical Dilemma;32
9.5;The Medicine;32
9.6;The Law;32
9.7;The Ethics;32
9.8;The Formulation;33
9.9;Afterthoughts;33
9.10;Annotated References/Further Information;33
9.11;Annotated References/Further Information;33
10;When Consent and Capacity Collide;34
10.1;The Patient;34
10.2;The Ethical Dilemma;35
10.3;The Medicine;35
10.4;The Law;36
10.5;The Ethics;37
10.6;The Formulation;38
10.7;Afterthoughts;39
10.8;Annotated References/Further Information;39
11;When a Patient’s Health Care Agent Does Not;40
11.1;The Patient;40
12;Fulfill Her Obligations;40
12.1;The Ethical Dilemma;41
12.2;The Medicine;42
12.3;The Law;42
12.4;The Ethics;43
12.5;The Formulation;45
12.6;Afterthoughts;45
12.7;Annotated References/Further Information;45
13;When Coercion Dictates Care;47
13.1;The Patient;47
13.2;The Ethical Dilemma;47
13.3;The Medicine;49
13.4;The Law;49
13.5;The Ethics;50
13.6;The Formulation;52
13.7;Afterthoughts;52
13.8;Annotated References/Further Information;53
14;When a Spouse Is Estranged;54
14.1;The Patient;54
14.2;The Ethical Dilemma;54
14.3;The Medicine;55
14.4;The Law;55
14.5;The Ethics;56
14.6;The Formulation;57
14.7;Afterthoughts;58
14.8;Annotated References/Further Information;58
15;When a Patient Is Behaving Badly;59
15.1;The Patient;59
15.2;The Ethical Dilemma;59
15.3;The Medicine;60
15.4;The Law;61
15.5;The Ethics;61
15.6;The Formulation;63
15.7;Afterthoughts;63
15.8;Annotated References/Further Information;64
16;When a Patient Becomes Agitated;65
16.1;The Patient;65
16.2;The Ethical Dilemma;65
16.3;The Medicine;66
16.4;The Law;67
16.5;The Ethics;67
16.6;The Formulation;69
16.7;Afterthoughts;69
16.8;Annotated References/Further Information;69
17;When Patient Behavior Constitutes Abuse or Neglect;71
17.1;The Patient;71
17.2;The Ethical Dilemma;71
17.3;The Medicine;72
17.4;The Law;73
17.5;The Ethics;76
17.6;The Formulation;78
17.7;Afterthoughts;78
17.8;Annotated References/Further Information;79
17.9;The Patient;81
18;When a Patient Has “Burned His Bridges”;81
18.1;The Ethical Dilemma;82
18.2;The Medicine;82
18.3;The Law;83
18.4;The Ethics;84
18.5;The Formulation;85
18.6;Afterthoughts;85
18.7;Annotated References/Further Information;85
19;When a Patient Is Administratively Discharged;87
19.1;The Patient;87
19.2;The Ethical Dilemma;87
19.3;The Medicine;88
19.4;The Law;89
19.5;The Ethics;90
19.6;The Formulation;91
19.7;Afterthoughts;91
19.8;Annotated References/Further Information;91
20;When a Patient Makes Questionable Decisions;93
20.1;The Patient;93
20.2;The Ethical Dilemma;93
20.3;The Medicine;94
20.4;The Law;95
20.5;The Ethics;96
20.6;The Formulation;97
20.7;Afterthoughts;97
20.8;Annotated References/Further Information;97
21;When a Partner Is Excluded;99
21.1;The Patient;99
21.2;The Ethical Dilemma;100
21.3;The Medicine;101
21.4;The Law;102
21.5;The Ethics;104
21.6;The Formulation;106
21.7;Afterthoughts;107
21.8;Annotated References/Further Information;107
22;When a Diagnosis Is Reportable;109
22.1;The Patient;109
22.2;The Ethical Dilemma;109
22.3;The Medicine;110
22.4;The Law;111
22.5;The Ethics;114
22.6;The Formulation;115
22.7;Afterthoughts;115
22.8;Annotated References/Further Information;116
23;When Care Becomes Futile;117
23.1;The Patient;117
23.2;The Ethical Dilemma;118
23.3;The Medicine;119
23.4;The Law;119
23.5;The Ethics;121
23.6;The Formulation;123
23.7;Afterthoughts;124
23.8;Annotated References/Further Information;124
24;When Age Is a Factor in Health Care Decisions;125
24.1;The Patient;125
24.2;The Ethical Dilemma;125
24.3;The Medicine;126
24.4;The Law;126
24.5;The Ethics;127
24.6;The Formulation;128
24.7;Afterthoughts;129
24.8;Annotated References/Further Information;129
25;When a Patient Is Unidentifiable;131
25.1;The Patient;131
25.2;The Ethical Dilemma;131
25.3;The Medicine;132
25.4;The Law;132
25.5;The Ethics;133
25.6;The Formulation;134
25.7;Afterthoughts;135
25.8;Annotated References/Further Information;135
26;When Next-of-Kin Disagree;136
26.1;The Patient;136
26.2;The Ethical Dilemma;137
26.3;The Medicine;138
26.4;The Law;138
26.5;The Ethics;139
26.6;The Formulation;142
26.7;Afterthoughts;142
26.8;Annotated References/Further Information;142
27;When a Mistake Has Been Made;144
27.1;The Patient;144
27.2;The Ethical Dilemma;145
27.3;The Medicine;145
27.4;The Law;146
27.5;The Ethics;147
27.6;The Formulation;148
27.7;Afterthoughts;148
27.8;Annotated References/Further Information;148
28;When a Patient Codes;150
28.1;The Patient;150
28.2;The Ethical Dilemma;150
28.3;The Medicine;151
28.4;The Law;151
28.5;The Ethics;151
28.6;The Formulation;153
28.7;Afterthoughts;153
28.8;Annotated References/Further Information;154
29;When a Patient Places a Practitioner at Risk;155
29.1;The Patient;155
29.2;The Ethical Dilemma;155
29.3;The Medicine;156
29.4;The Law;157
29.5;The Ethics;161
29.6;The Formulation;162
29.7;Afterthoughts;162
30;When Patient Non-Adherence Dictates Therapeutic Options;163
30.1;The Patient;163
30.2;The Ethical Dilemma;163
30.3;The Medicine;164
30.4;The Law;165
30.5;The Ethics;165
30.6;The Formulation;166
30.7;Afterthoughts;167
30.8;Annotated References/Further Information;167
30.9;The Patient;169
31;When Family Members Limit Caregiver–Patient Communication;169
31.1;The Ethical Dilemma;170
31.2;The Medicine;170
31.3;The Law;171
31.4;The Ethics;172
31.5;The Formulation;173
31.6;Afterthoughts;174
31.7;Annotated References/Further Information;174
31.8;Annotated References/Further Information;175
32;When a Patient Requires Significant Medical Resources;176
32.1;The Patient;176
32.2;The Ethical Dilemma;177
32.3;The Medicine;177
32.4;The Law;178
32.5;The Ethics;179
32.6;The Formulation;181
32.7;Afterthoughts;181
32.8;Annotated References/Further Information;181
33;When a Patient’s Belief System;183
33.1;The Patient;183
33.2;The Ethical Dilemma;183
34;Affects His Care;183
34.1;The Medicine;184
34.2;The Law;185
34.3;The Ethics;185
34.4;The Formulation;187
34.5;Afterthoughts;188
34.6;Annotated References/Further Information;188
35;When a Minor Requires Confidential Medical Care;189
35.1;The Patient;189
35.2;The Ethical Dilemma;189
35.3;The Medicine;190
35.4;The Law;191
35.5;The Ethics;192
35.6;The Formulation;193
35.7;Afterthoughts;194
35.8;Annotated References/Further Information;194
36;When a Patient’s Condition Is Terminal;196
36.1;The Patient;196
36.2;The Ethical Dilemma;197
36.3;The Medicine;197
36.4;The Law;198
36.5;The Ethics;199
36.6;The Formulation;200
36.7;Afterthoughts;201
36.8;Annotated References/Further Information;201
37;Comprehensive Exam;202
38;Comprehensive Exam –– Answer Key;219
39;Glossary of Terms in Medical Ethics;232
40;Index;234
41;Comprehensive Exam;240
42;Comprehensive Exam –– Answer Key;257
43;Glossary of Terms in Medical Ethics;270
44;Index;272