Drugs, Ethics, and Quality of Life: Cases and Materials on Ethical, Legal, and Public Policy Dilemmas in Medicine and Pharmacy Practice

by White; Bruce

• ISBN13: 9780789028563
• ISBN10: 0789028565
• Edition: 1st
• Format: Hardcover
• Copyright: 2007-11-05
• Publisher: CRC Press

Summary

Weigh pivotal healthcare ethics, law, and public policy issues that resulted in tipping-point legal actions Weighing the ethical considerations in healthcare and drug issues can be emotionally difficult and mentally challenging. Drugs, Ethics, and Quality of Life: Cases and Materials on Ethical, Legal, and Public Policy Dilemmas in Medicine and Pharmacy Practice is a fascinating casebook that clearly discusses the most contentious ethical conflicts that resulted in legal actions. This easy-to-read text provides all sides of controversial real-life cases that provoke spirited debate while teaching the fundamentals of pharmacy law and ethics. The book is a unique exploration into the basic principles of bioethics, end of life care, and drug research. Drugs, Ethics, and Quality of Life explains in detail the concepts of ethics, quality of life, beneficence, nonmaleficence, autonomy, and justice. Recent cases provide illuminating backdrops for the exploration of these concepts, making them easily understood. A special introduction includes important information about ethics and the pharmaceutical code of ethics. Two appendixes provide further opportunities for discussion and the examination of law and decisions, and resources about drug use decisions and situations. This thought-provoking textbook plainly shows the crucial role ethics plays in today's society. Ethical topics explored in Drugs, Ethics, and Quality of Life includes legal cases on: tobacco COX-2 inhibitors medical marijuana the morning after” pill and other emergency contraceptives pain medications and palliative care drugs physician-assisted suicide drug use in medically futile situations gene therapy Drugs, Ethics, and Quality of Life is valuable, insightful reading as well as a good adjunct text for pharmacy students, pharmacists, medical students, physicians, bioethicists, students interested in bioethics, institutional ethics committee members, and anyone interested in bioethics.

Table of Contents

Foreword	p. xiii
Preface	p. xv
Acknowledgments	p. xxi
Introduction: Pellegrino on Professionalism: A Human Values Basis for the Healing Arts	p. 1
Principles of Medical Ethics of the American Medical Association (2001)	p. 5
Special Additional Introduction: Ethics and a Code of Ethics in Pharmacy Practice	p. 7
Code of Ethics for Pharmacists of the American Pharmacists Association (1994)	p. 10
Foundational Basics
Tobacco and Choices: How Values and Definitions Impact Decision Making	p. 15
FDA's 1996 Tobacco Regulations and FDA v. Brown & Williamson	p. 15
Definitions	p. 20
Continuing Dilemmas with Tobacco	p. 33
COX-2 Inhibitors and Conflict: How Balancing Beneficence and Nonmaleficence Influences Decision Making	p. 37
COX-2 Inhibitors and Their Effects	p. 40
The FDA's Drug Approval Process and VIOXX	p. 40
A Balancing Act: Beneficience, Nonmaleficence, and Profit and Other Motives	p. 44
Cost-Benefit Analysis, Stakeholders, and Issues Management Analysis	p. 46
Continuing Dilemmas with COX-2 Inhibitors	p. 54
Marijuana, Individual Liberty, and Police Power: How Autonomy Drives Decision Making	p. 61
Marijuana	p. 63
Marijuana Control in the United States	p. 64
Personal Freedom, Autonomy, and the California Compassionate Use Act	p. 69
State Police Power and Federalism: Gonzales v. Raich	p. 73
Continuing Dilemmas with Medical Marijuana	p. 79
Examples of California's Criminal Statutes Controlling Marijuana Calif. Health & Safety Code [sect sect] 11357 and 11358	p. 83
The "Morning-After" Pill and Systematic Ethics and Public Policy Analysis: How Justice Tempers Decision Making	p. 85
Emergency Contraceptives and Rights	p. 88
Balancing "Rights": Ethics and Public Policy	p. 90
Justice and Conscientious Objection	p. 96
Conflict and Systematic Ethical Analysis	p. 98
Continuing Dilemmas with Emergency Contraceptives	p. 100
Pain Medicines and End-of-Life Drugs
Pain Medicines and Palliative Care Drugs	p. 113
Bergman v. Chin	p. 115
When Will Adequate Pain Control Be the Norm?	p. 118
Continuing Dilemmas with Pain Medicines and Palliative Care Drugs	p. 129
Drugs Used for Assisted Suicide	p. 133
The Debate about Physician-Assisted Suicide and Euthanasia	p. 136
The Oregon Death with Dignity Act	p. 144
Continuing Dilemmas with Assisted Suicide and Euthanasia	p. 152
Drug Use in "Dwindling" Patients and in Medically Futile Situations	p. 159
"Dwindling" Patients and Quality of Life	p. 161
Medical Futility	p. 168
Surrogate Medical Decision Making	p. 178
Continuing Dilemmas Involving Drug Use in "Dwindling" Patients and Medically Futile Situations	p. 184
Tennessee Health Care Decisions Act (2004)	p. 190
Drug Experimentation
Gene Therapy and Experimentation	p. 199
The Federal Drug Research and Patient Safety Framework	p. 203
Gelsinger v. University of Pennsylvania	p. 209
Continuing Dilemmas with Gene Therapy and Experimentation	p. 216
Afterword	p. 225
Law and Decisions	p. 227
Objectives	p. 227
What Does Law Mean?	p. 227
What Are the Four Primary Sources of Law in the United States?	p. 229
How Do the People (The Nation's Citizens) Create Law?	p. 231
How Do Legislative Bodies Create Law?	p. 234
How Do Federal and State Administrative Agencies Create Law?	p. 236
How Do Federal and State Judges Create Law?	p. 240
Continuing Dilemmas Involving Drugs, Ethics, and Quality of Life: An Outline for Further Discussion	p. 249
Topics Related to Drug Use	p. 251
Topics Related to Professional Virtues	p. 256
Notes	p. 259
Index	p. 299
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