Handbook for health care ethics committees:
Saved in:
| Main Authors: | , , |
|---|---|
| Format: | Book |
| Language: | English |
| Published: |
Baltimore, Md.
Johns Hopkins Univ. Press
2007
|
| Subjects: | |
| Online Access: | Table of contents only Inhaltsverzeichnis |
| Physical Description: | XIII, 327 S. |
| ISBN: | 9780801884481 0801884489 |
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Record in the Search Index
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| adam_text | CONTENTS
Preface xi
Introduction. The Nature and Functioning of Ethics Committees 1
TIA POWELL AND JEFFREY BLUSTEIN
I CURRICULUM FOR ETHICS COMMITTEES 9
1. Ethical Foundations of Clinical Practice 11
The Role of Ethics in Clinical Medicine, 12
Ethics Committees in the Health Care Setting, 12
Fundamental Ethical Principles, 15
The Role of Culture, Race, and Ethnicity in Health Care, 18
Conflicting Obligations and Ethical Dilemmas, 19
2. Decision Making and Decisional Capacity in Adults 23
Health Care Decisions and Decision Making, 24
Decision making Capacity, 24
Assessment and Determination of Capacity, 27
Deciding for Patients without Capacity, 30
3. Informed Consent and Refusal 37
Evolution of the Doctrine of Informed Consent, 38
Elements of Informed Consent and Refusal, 39
The Nature of Informed Consent, 43
Exceptions to the Consent Requirement, 45
CONTENTS
4. Truth Telling: Disclosure and Confidentiality 49
Justifications, 51
Disclosure, 51
Disclosure of Adverse Outcomes and Medical Error, 56
Confidentiality, 59
5. Special Decision making Concerns of Minors 6 7
Decisional Capacity and Minors, 67
Consent for Minors, 71
Confidentiality and Disclosure, 79
Special Problems of the Adolescent Alone, 80
6. End of life Issues 85
Decision Making at the End of Life, 86
Defining Death, 87
Advance Health Care Planning, 89
Goals of Care at the End of Life, 96
Forgoing Life sustaining Treatment, 99
Protecting Patients from Treatment, 101
Rejection of Recommended Treatment and Requests
to Do Everything, 102
Medical Futility, 103
7. Palliation 108
From Caring to Curing and Back Again, 108
The Experience of and Response to Pain, 109
The Moral Imperative to Relieve Pain, 113
Physician assisted Suicide, 115
8. Justice, Access to Care, and Organizational Ethics 120
Access to Health Care in the United States, 121
A Right to Health Care?, 124
Theories of Justice, 125
Rationing, 126
Health Care Organizational Ethics, 128
CONTENTS iX
II CLINICAL ETHICS CONSULTATION 137
9. Approaches to Ethics Consultation 139
KENNETH A. BERKOWITZ AND NANCY NEVELOFF DUBLER
Three Models of Ethics Consultation, 140
Critical Success Factors for Ethics Consultation Services, 142
Policy, 144
Two Approaches to Clinical Ethics Consultation, 144
10. Sample Clinical Cases 154
Advance Directives, 154
Autonomy in Tension with Best Interest, 158
Confidentiality, 162
Decisional Capacity, 165
Disclosure and Truth Telling, 168
End of life Care, 172
Forgoing Life sustaining Treatment, 176
Goals of Care, 177
Informed Consent and Refusal, 181
Medical Futility, 183
Parental Decision Making, 184
Surrogate Decision Making, 186
III WHITE PAPERS, MEMORANDA, GUIDELINES, AND PROTOCOLS 191
Allocating Critical Care Resources: Keeping the Teeth in ICU Triage 192
1ACK KILCULLEN
Justice and Access to Unreimbursed Therapies 199
Guidelines for Transferring Patients between Services 202
Decision making Protocol for the Patient Alone 205
IV SAMPLE POLICIES AND PROCEDURES 209
Access to Bioethics Consultation 210
Advance Directives 215
Determination of Brain Death 229
Do not intubate (DNI) Orders 239
Do not resuscitate (DNR) Orders 242
Forgoing Life extending Treatment 266
( CONTENTS
V INSTITUTIONAL CODE OF ETHICS 279
VI KEY LEGAL CASES IN BIOETHICS 285
Informed Consent 286
Health Care Decision Making 287
State Action to Protect Public Health 292
Confidentiality 293
Medical Decision Making for Minors 293
Reproductive Rights 295
Health Care Reimbursement 299
VII AN ETHICS COMMITTEE MEETING 301
Index 323
|
| adam_txt |
CONTENTS
Preface xi
Introduction. The Nature and Functioning of Ethics Committees 1
TIA POWELL AND JEFFREY BLUSTEIN
I CURRICULUM FOR ETHICS COMMITTEES 9
1. Ethical Foundations of Clinical Practice 11
The Role of Ethics in Clinical Medicine, 12
Ethics Committees in the Health Care Setting, 12
Fundamental Ethical Principles, 15
The Role of Culture, Race, and Ethnicity in Health Care, 18
Conflicting Obligations and Ethical Dilemmas, 19
2. Decision Making and Decisional Capacity in Adults 23
Health Care Decisions and Decision Making, 24
Decision making Capacity, 24
Assessment and Determination of Capacity, 27
Deciding for Patients without Capacity, 30
3. Informed Consent and Refusal 37
Evolution of the Doctrine of Informed Consent, 38
Elements of Informed Consent and Refusal, 39
The Nature of Informed Consent, 43
Exceptions to the Consent Requirement, 45
CONTENTS
4. Truth Telling: Disclosure and Confidentiality 49
Justifications, 51
Disclosure, 51
Disclosure of Adverse Outcomes and Medical Error, 56
Confidentiality, 59
5. Special Decision making Concerns of Minors 6 7
Decisional Capacity and Minors, 67
Consent for Minors, 71
Confidentiality and Disclosure, 79
Special Problems of the Adolescent Alone, 80
6. End of life Issues 85
Decision Making at the End of Life, 86
Defining Death, 87
Advance Health Care Planning, 89
Goals of Care at the End of Life, 96
Forgoing Life sustaining Treatment, 99
Protecting Patients from Treatment, 101
Rejection of Recommended Treatment and Requests
to "Do Everything," 102
Medical Futility, 103
7. Palliation 108
From Caring to Curing and Back Again, 108
The Experience of and Response to Pain, 109
The Moral Imperative to Relieve Pain, 113
Physician assisted Suicide, 115
8. Justice, Access to Care, and Organizational Ethics 120
Access to Health Care in the United States, 121
A Right to Health Care?, 124
Theories of Justice, 125
Rationing, 126
Health Care Organizational Ethics, 128
CONTENTS iX
II CLINICAL ETHICS CONSULTATION 137
9. Approaches to Ethics Consultation 139
KENNETH A. BERKOWITZ AND NANCY NEVELOFF DUBLER
Three Models of Ethics Consultation, 140
Critical Success Factors for Ethics Consultation Services, 142
Policy, 144
Two Approaches to Clinical Ethics Consultation, 144
10. Sample Clinical Cases 154
Advance Directives, 154
Autonomy in Tension with Best Interest, 158
Confidentiality, 162
Decisional Capacity, 165
Disclosure and Truth Telling, 168
End of life Care, 172
Forgoing Life sustaining Treatment, 176
Goals of Care, 177
Informed Consent and Refusal, 181
Medical Futility, 183
Parental Decision Making, 184
Surrogate Decision Making, 186
III WHITE PAPERS, MEMORANDA, GUIDELINES, AND PROTOCOLS 191
Allocating Critical Care Resources: Keeping the Teeth in ICU Triage 192
1ACK KILCULLEN
Justice and Access to Unreimbursed Therapies 199
Guidelines for Transferring Patients between Services 202
Decision making Protocol for the Patient Alone 205
IV SAMPLE POLICIES AND PROCEDURES 209
Access to Bioethics Consultation 210
Advance Directives 215
Determination of Brain Death 229
Do not intubate (DNI) Orders 239
Do not resuscitate (DNR) Orders 242
Forgoing Life extending Treatment 266
( CONTENTS
V INSTITUTIONAL CODE OF ETHICS 279
VI KEY LEGAL CASES IN BIOETHICS 285
Informed Consent 286
Health Care Decision Making 287
State Action to Protect Public Health 292
Confidentiality 293
Medical Decision Making for Minors 293
Reproductive Rights 295
Health Care Reimbursement 299
VII AN ETHICS COMMITTEE MEETING 301
Index 323 |
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| language | English |
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| spelling | Post, Linda Farber Verfasser aut Handbook for health care ethics committees Linda Farber Post ; Jeffrey Blustein ; Nancy Neveloff Dubler Baltimore, Md. Johns Hopkins Univ. Press 2007 XIII, 327 S. txt rdacontent n rdamedia nc rdacarrier Medisch-ethische commissies gtt Medical ethics committees Handbooks, manuals, etc Ethics Committees, Clinical ethics Bioethical Issues Ethics, Clinical Ethik-Kommission (DE-588)4193366-7 gnd rswk-swf Ethik-Kommission (DE-588)4193366-7 s b DE-604 Blustein, Jeffrey Verfasser aut Dubler, Nancy N. Verfasser aut http://www.loc.gov/catdir/toc/ecip0612/2006012324.html Table of contents only HBZ Datenaustausch application/pdf http://bvbr.bib-bvb.de:8991/F?func=service&doc_library=BVB01&local_base=BVB01&doc_number=014973471&sequence=000004&line_number=0001&func_code=DB_RECORDS&service_type=MEDIA Inhaltsverzeichnis |
| spellingShingle | Post, Linda Farber Blustein, Jeffrey Dubler, Nancy N. Handbook for health care ethics committees Medisch-ethische commissies gtt Medical ethics committees Handbooks, manuals, etc Ethics Committees, Clinical ethics Bioethical Issues Ethics, Clinical Ethik-Kommission (DE-588)4193366-7 gnd |
| subject_GND | (DE-588)4193366-7 |
| title | Handbook for health care ethics committees |
| title_auth | Handbook for health care ethics committees |
| title_exact_search | Handbook for health care ethics committees |
| title_exact_search_txtP | Handbook for health care ethics committees |
| title_full | Handbook for health care ethics committees Linda Farber Post ; Jeffrey Blustein ; Nancy Neveloff Dubler |
| title_fullStr | Handbook for health care ethics committees Linda Farber Post ; Jeffrey Blustein ; Nancy Neveloff Dubler |
| title_full_unstemmed | Handbook for health care ethics committees Linda Farber Post ; Jeffrey Blustein ; Nancy Neveloff Dubler |
| title_short | Handbook for health care ethics committees |
| title_sort | handbook for health care ethics committees |
| topic | Medisch-ethische commissies gtt Medical ethics committees Handbooks, manuals, etc Ethics Committees, Clinical ethics Bioethical Issues Ethics, Clinical Ethik-Kommission (DE-588)4193366-7 gnd |
| topic_facet | Medisch-ethische commissies Medical ethics committees Handbooks, manuals, etc Ethics Committees, Clinical ethics Bioethical Issues Ethics, Clinical Ethik-Kommission |
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