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Handbook for Health Care Ethics Committees /
| Autor principal: | |
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| Otros Autores: | , |
| Formato: | Electrónico eBook |
| Idioma: | Inglés |
| Publicado: |
Baltimore :
Johns Hopkins University Press,
2007.
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| Colección: | Book collections on Project MUSE.
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| Temas: | |
| Acceso en línea: | Texto completo |
Tabla de Contenidos:
- Preface
- Introduction : The nature and functioning of ethics committees
- [pt]. 1. Curriculum for ethics committees
- 1. Ethical foundations of clinical practice
- The role of ethics in clinical medicine
- Ethics committees in the health care setting
- Fundamental ethical principles
- The role of culture, race, and ethnicity in health care
- Conflicting obligations and ethical dilemmas
- 2. Decision making and decisional capacity in adults
- Health care decisions and decision making
- Decision-making capacity
- Assessment and determination of capacity
- Deciding for patients without capacity
- 3. Informed consent and refusal
- Evolution of the doctrine of informed consent
- Elements of informed consent and refusal
- The nature of informed consent
- Exceptions to the consent requirement
- 4. Truth telling : disclosure and confidentiality
- Justifications
- Disclosure
- Disclosure of adverse outcomes and medical error
- Confidentiality.
- 5. Special decision-making concerns of minors
- Decisional capacity and minors
- Consent for minors
- Confidentiality and disclosure
- Special problems of the adolescent alone
- 6. End-of-life issues
- Decision making at the end of life
- Defining death
- Advance health care planning
- Goals of care at the end of life
- Forgoing life-sustaining treatment
- Protecting patients from treatment
- Rejection of recommended treatment and requests to "do everything"
- Medical futility
- 7. Palliation
- From caring to curing and back again
- The experience of and response to pain
- The moral imperative to relieve pain
- Physician-assisted suicide
- 8. Justice, access to care, and organizational ethics
- Access to health care in the United States
- A right to health care?
- Theories of justice
- Rationing
- Health care organization ethics
- [pt]. 2. Clinical ethics consultation
- 9. Approaches to ethics consultation / Kenneth A. Berkowitz and Nancy Neveloff Dubler
- Three models of ethics consultation
- Critical success factors for ethics consultation services
- Policy
- Two approaches to clinical ethics consultation
- 10. Sample clinical cases
- Advance directives
- Autonomy in tension with best interest
- Confidentiality
- Decisional capacity
- Disclosure and truth telling
- End-of-life care
- Forgoing life-sustaining treatment
- Goals of care
- Informed consent and refusal
- Medical futility
- Parental decision making
- Surrogate decision making.
- [pt.] 3. White papers, memoranda, guidelines, and protocols
- Allocating critical care resources : keeping the teeth in ICU triage / Jack Kilcullen
- Justice and access to unreimbursed therapies
- Guidelines for transferring patients between services
- Decision-making protocol for the patient alone
- [pt]. 4. Sample policies and procedures
- Access to bioethics consultation
- Advance directives
- Determination of brain death
- Do-not-resuscitate (DNR) orders
- Forgoing life-extending treatment
- [pt]. 5. Institutional code of ethics
- [pt]. 6. Key legal cases in bioethics
- Informed consent
- Health care decision making
- State action to protect public health
- Confidentiality
- Medical decision making for minors
- Reproductive rights
- Health care reimbursement
- [pt]. 7. An ethics committee meeting
- Index.