Palliative care ethics: a companion for all specialities
Gespeichert in:
| Hauptverfasser: | , |
|---|---|
| Format: | Buch |
| Sprache: | English |
| Veröffentlicht: |
Oxford [u.a.]
Oxford Univ. Press
1999
|
| Ausgabe: | 2. ed. |
| Schriftenreihe: | Oxford medical publications
|
| Schlagworte: | |
| Online-Zugang: | Inhaltsverzeichnis |
| Beschreibung: | XX, 312 S. |
| ISBN: | 0192630687 |
Internformat
MARC
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| 100 | 1 | |a Randall, Fiona |e Verfasser |4 aut | |
| 245 | 1 | 0 | |a Palliative care ethics |b a companion for all specialities |c Fiona Randall and R. S. Downie |
| 250 | |a 2. ed. | ||
| 264 | 1 | |a Oxford [u.a.] |b Oxford Univ. Press |c 1999 | |
| 300 | |a XX, 312 S. | ||
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| 338 | |b nc |2 rdacarrier | ||
| 490 | 0 | |a Oxford medical publications | |
| 650 | 7 | |a Ethische aspecten |2 gtt | |
| 650 | 4 | |a Medical ethics | |
| 650 | 7 | |a Palliatieve behandeling |2 gtt | |
| 650 | 4 | |a Physician and patient | |
| 650 | 4 | |a Soins en phase terminale - Aspect moral | |
| 650 | 4 | |a Soins en phase terminale - Prise de décision | |
| 650 | 4 | |a Soins palliatifs - Aspect moral | |
| 650 | 4 | |a Soins palliatifs - Prise de décision | |
| 650 | 7 | |a Stervensbegeleiding |2 gtt | |
| 650 | 4 | |a Ethik | |
| 650 | 4 | |a Confidentiality | |
| 650 | 4 | |a Decision Making | |
| 650 | 4 | |a Ethics, Medical | |
| 650 | 4 | |a Palliative Care | |
| 650 | 4 | |a Palliative treatment |x Decision making | |
| 650 | 4 | |a Palliative treatment |x Moral and ethical aspects | |
| 650 | 4 | |a Physician-Patient Relations | |
| 650 | 4 | |a Terminal care |x Decision making | |
| 650 | 4 | |a Terminal care |x Moral and ethical aspects | |
| 650 | 0 | 7 | |a Medizinische Ethik |0 (DE-588)4074672-0 |2 gnd |9 rswk-swf |
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| 999 | |a oai:aleph.bib-bvb.de:BVB01-009057583 | ||
Datensatz im Suchindex
| _version_ | 1804128053115224064 |
|---|---|
| adam_text | Contents
1 Ethics and aims in palliative care 1
1.1 The senses of ethics 1
1.2 The main tradition 3
1.3 Teams and the nursing profession 5
1.4 Patients rights and autonomy 6
1.5 Utility and justice 11
1.6 Compassion, the virtues, and self development 13
1.7 The aims of palliative care: personal, intrinsic,
and extrinsic 16
1.8 Whole person care 21
1.9 Relatives 25
1.10 Ethics and aims 25
1.11 Conclusions 28
2 The patient carer relationship 30
2.1 The patient s aims in the relationship 31
2.2 The carer s aim in the relationship 32
2.3 Relativity in the carer—patient encounter 34
2.4 Models of the carer patient relationship 39
2.5 Consent 47
2.6 Conclusions 50
3 The relative—professional relationship 51
3.1 The relatives as co carers 52
3.2 The relatives as decision makers 58
3.3 The relatives as beneficiaries of professional care 66
3.4 Attitudes in the relative professional relationship 77
3.5 Conclusions 77
4 Teamwork 79
4.1 Why do we work in teams? 79
4.2 Common problems in specialist palliative care teams 82
4.3 Patient centred or management centred teams 87
4.4 Working in a patient centred team 90
4.5 Collective responsibility 92
4.6 Moral conflict in the team 93
4.7 Moral deficiency 99
xviii Contents
4.8 Caring for each other 100
4.9 Conclusions 1°2
5 Process of clinical decision making 103
5.1 Responsibility and outcome 104
5.2 Responsibility and process 107
5.3 Three logical distinctions in decision making 118
5.4 Formal guides to clinical decision making 124
5.5 Conclusions 127
6 Giving information 128
6.1 The professional responsibility 129
6.2 Whom do we tell? 132
6.3 The influence of relatives 134
6.4 How the truth is told 140
6.5 Standards of disclosure 141
6.6 Moral difficulties in giving information 143
6.7 Conclusions 148
7 Confidentiality 150
7.1 The moral basis for rules of confidentiality in
palliative care 150
7.2 What constitutes confidential information? 151
7.3 Sharing confidential information 152
7.4 Disclosure of information to third parties 155
7.5 Confidentiality and the non autonomous patient 158
7.6 Justifications for infringements of confidentiality 159
7.7 Conclusions 163
8 Clinical treatment decisions 164
8.1 Distinctions between medical treatment and care 164
8.2 Benefits to burdens/risks calculus 166
8.3 Obligations and options in treatment decisions 168
8.4 Life prolonging treatments 170
8.5 Treatments to alleviate suffering 182
8.6 The role of relatives 186
8.7 Conflicts of interest between patients 189
8.8 Reassessment of treatment decisions 190
8.9 Autonomous to non autonomous conditions 190
8.10 Advance statements and proxy decision makers 191
8.11 Conclusions 197
Contents xix
9 Other management decisions 199
9.1 Problems of autonomy and competence 199
9.2 Alternative therapy 203
9.3 Place of care 205
9.4 Quality of care 209
9.5 Conclusions 215
10 Emotional care 216
10.1 Consent to psychosocial and spiritual care 219
10.2 Communication of thoughts and emotions 221
10.3 Assessment of psychosocial and spiritual status 225
10.4 Assessment of psychosocial needs 227
10.5 Interventions in psychosocial and spiritual care 230
10.6 Counselling and counselling skills 232
10.7 Conclusions 234
11 Research 236
11.1 Codes of ethics 236
11.2 Randomized double blind controlled trials 237
11.3 Local research ethics committees 239
11.4 Consent 241
11.5 Special ethical problems of research in palliative care 242
11.6 Conclusions 247
12 Resource allocation 248
12.1 The concept of need in palliative care 248
12.2 Macroallocation of resources 252
12.3 Microallocation of resources 260
12.4 Conclusions 267
13 Reply to critics 269
13.1 The moral distinction between killing and letting die 270
13.2 The problems of supremacy of patient autonomy 278
13.3 Emotional care 286
14 Quality and value of life 288
14.1 Values and valuing 288
14.2 Quality of life 291
14.3 Sisyphus 292
14.4 Choice 295
14.5 Happiness or well being 296
14.6 Society and material needs 298
xx Contents
14.7 Society and culture 299
14.8 Incommensurability and scales 300
14.9 The value of life 302
References 306
Index 309
|
| any_adam_object | 1 |
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| discipline | Soziologie Medizin |
| edition | 2. ed. |
| format | Book |
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| isbn | 0192630687 |
| language | English |
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| physical | XX, 312 S. |
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| spelling | Randall, Fiona Verfasser aut Palliative care ethics a companion for all specialities Fiona Randall and R. S. Downie 2. ed. Oxford [u.a.] Oxford Univ. Press 1999 XX, 312 S. txt rdacontent n rdamedia nc rdacarrier Oxford medical publications Ethische aspecten gtt Medical ethics Palliatieve behandeling gtt Physician and patient Soins en phase terminale - Aspect moral Soins en phase terminale - Prise de décision Soins palliatifs - Aspect moral Soins palliatifs - Prise de décision Stervensbegeleiding gtt Ethik Confidentiality Decision Making Ethics, Medical Palliative Care Palliative treatment Decision making Palliative treatment Moral and ethical aspects Physician-Patient Relations Terminal care Decision making Terminal care Moral and ethical aspects Medizinische Ethik (DE-588)4074672-0 gnd rswk-swf Palliativtherapie (DE-588)4115490-3 gnd rswk-swf Palliativtherapie (DE-588)4115490-3 s Medizinische Ethik (DE-588)4074672-0 s DE-604 Downie, Robert S. Verfasser aut HBZ Datenaustausch application/pdf http://bvbr.bib-bvb.de:8991/F?func=service&doc_library=BVB01&local_base=BVB01&doc_number=009057583&sequence=000002&line_number=0001&func_code=DB_RECORDS&service_type=MEDIA Inhaltsverzeichnis |
| spellingShingle | Randall, Fiona Downie, Robert S. Palliative care ethics a companion for all specialities Ethische aspecten gtt Medical ethics Palliatieve behandeling gtt Physician and patient Soins en phase terminale - Aspect moral Soins en phase terminale - Prise de décision Soins palliatifs - Aspect moral Soins palliatifs - Prise de décision Stervensbegeleiding gtt Ethik Confidentiality Decision Making Ethics, Medical Palliative Care Palliative treatment Decision making Palliative treatment Moral and ethical aspects Physician-Patient Relations Terminal care Decision making Terminal care Moral and ethical aspects Medizinische Ethik (DE-588)4074672-0 gnd Palliativtherapie (DE-588)4115490-3 gnd |
| subject_GND | (DE-588)4074672-0 (DE-588)4115490-3 |
| title | Palliative care ethics a companion for all specialities |
| title_auth | Palliative care ethics a companion for all specialities |
| title_exact_search | Palliative care ethics a companion for all specialities |
| title_full | Palliative care ethics a companion for all specialities Fiona Randall and R. S. Downie |
| title_fullStr | Palliative care ethics a companion for all specialities Fiona Randall and R. S. Downie |
| title_full_unstemmed | Palliative care ethics a companion for all specialities Fiona Randall and R. S. Downie |
| title_short | Palliative care ethics |
| title_sort | palliative care ethics a companion for all specialities |
| title_sub | a companion for all specialities |
| topic | Ethische aspecten gtt Medical ethics Palliatieve behandeling gtt Physician and patient Soins en phase terminale - Aspect moral Soins en phase terminale - Prise de décision Soins palliatifs - Aspect moral Soins palliatifs - Prise de décision Stervensbegeleiding gtt Ethik Confidentiality Decision Making Ethics, Medical Palliative Care Palliative treatment Decision making Palliative treatment Moral and ethical aspects Physician-Patient Relations Terminal care Decision making Terminal care Moral and ethical aspects Medizinische Ethik (DE-588)4074672-0 gnd Palliativtherapie (DE-588)4115490-3 gnd |
| topic_facet | Ethische aspecten Medical ethics Palliatieve behandeling Physician and patient Soins en phase terminale - Aspect moral Soins en phase terminale - Prise de décision Soins palliatifs - Aspect moral Soins palliatifs - Prise de décision Stervensbegeleiding Ethik Confidentiality Decision Making Ethics, Medical Palliative Care Palliative treatment Decision making Palliative treatment Moral and ethical aspects Physician-Patient Relations Terminal care Decision making Terminal care Moral and ethical aspects Medizinische Ethik Palliativtherapie |
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