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This is the 4th edition with a publication date of 1/7/2009.
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This timely Fourth Edition offers clinicians expert guidance in approaching a wide range of ethical dilemmas and developing an action plan. Most chapters include real-life sample cases that the author walks through, discussing the salient issues and how to approach them. This edition includes a new chapter on ethical issues in cross-cultural medicine and new material on conscientious objection by physicians in reproductive health and other areas. Other topics addressed include 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. The updated discussion of organ transplantation includes increasing the donor pool and non-heart beating donors.
Bernard Lo, MD, FACP, Professor of Medicine, Director, Program in Medical Ethics, University of California, San Francisco, Attending Physician, Moffitt-Long Hospital, San Francisco, California
Table of Contents
|Preface to the First Edition||p. v|
|Preface to the Fourth Edition||p. vii|
|Fundamentals of Clinical Ethics|
|An Approach to Ethical Dilemmas in Patient Care||p. 3|
|Overview of Ethical Guidelines||p. 11|
|Informed Consent||p. 18|
|Promoting the Patient's Best Interests||p. 31|
|Avoiding Deception and Nondisclosure||p. 50|
|Keeping Promises||p. 61|
|Shared Decision Making|
|An Approach to Decisions About Clinical Interventions||p. 67|
|Futile Interventions||p. 69|
|Decision-Making Capacity||p. 75|
|Refusal of Treatment by Competent, Informed Patients||p. 83|
|Standards for Decisions When Patients Lack Decision-Making Capacity||p. 88|
|Surrogate Decision Making||p. 101|
|Persistent Disagreements Over Care||p. 107|
|Decisions About Life-Sustaining Interventions|
|Confusing Ethical Distinctions||p. 119|
|Ethics Consultations and Ethics Committees||p. 129|
|Do Not Attempt Resuscitation Orders||p. 136|
|Tube and Intravenous Feedings||p. 145|
|Physician-Assisted Suicide and Active Euthanasia||p. 151|
|The Persistent Vegetative State||p. 162|
|Determination of Death||p. 166|
|Legal Rulings on Life-Sustaining Interventions||p. 170|
|The Doctor-Patient Relationship|
|Overview of the Doctor-Patient Relationship||p. 179|
|Refusal to Care for Patients||p. 182|
|Gifts from Patients to Physicians||p. 190|
|Sexual Contact Between Physicians and Patients||p. 195|
|Secret Information About Patients||p. 201|
|Clinical Research||p. 203|
|Conflicts of Interest|
|Overview of Conflicts of Interest||p. 213|
|Bedside Rationing of Health Care||p. 219|
|Incentives for Physicians to Increase Services||p. 227|
|Measures to Control Health Care Costs||p. 230|
|Gifts from Drug Companies||p. 238|
|Disclosing Errors||p. 243|
|Impaired Colleagues||p. 251|
|Ethical Dilemmas Students and House Staff Face||p. 256|
|Ethical Issues in Clinical Specialties|
|Ethical Issues in Pediatrics||p. 267|
|Ethical Issues in Surgery||p. 278|
|Ethical Issues in Obstetrics and Gynecology||p. 285|
|Ethical Issues in Psychiatry||p. 293|
|Ethical Issues in Organ Transplantation||p. 301|
|Ethical Issues in Genomic Medicine||p. 311|
|Ethical Isues in Public Health Emergencies||p. 321|
|Ethical Issues in Cross-Cultural Care||p. 330|
|Cases for Discussion||p. 339|
|Table of Contents provided by Ingram. All Rights Reserved.|