Legal And Ethical Perspectives In Healthcare An Integrated Approach

by Edge, Raymond S.; Krieger, John

• ISBN13: 9780827376847
• ISBN10: 0827376847
• Format: Paperback
• Copyright: 1997-08-12
• Publisher: Cengage Learning

Summary

This new book integrates the legal and ethical ascpects of healthcare practice. It presents a clear and comprehensive overview of topics relevant to a variety of allied health disciplines.

Table of Contents

PREFACE	xi	(2)
ACKNOWLEDGMENTS	xiii	(2)
INTRODUCTION	xv
CHAPTER 1 HUMAN VALUE DEVELOPMENT AND THE FOUNDATION OF LAW	1	(20)
Needs and Values	2	(3)
Value Development	5	(3)
Basic Principles of Health Care	8	(4)
The Foundations of Law	12	(1)
The System of Law	12	(3)
Fundamental Principles of Law and Legal Misperceptions	15	(1)
Conclusion	16	(1)
Legal Case Study	17	(1)
Review Exercises	18	(1)
References	19	(2)
CHAPTER 2 REASONING IN THE WORLD OF VALUES	21	(18)
Value Confrontations	22	(2)
Ethical Assessment	24	(2)
Teleological (Consequence-Oriented) Theories	26	(3)
Deontological (Duty-Oriented) Theories	29	(4)
Virtue Ethics	33	(3)
Conclusion	36	(1)
Legal Case Study	37	(1)
Review Exercises	37	(1)
References	38	(1)
CHAPTER 3 THE NATURE OF RIGHTS IN ETHICAL AND LEGAL DISCOURSE	39	(18)
The Problem of Rights	40	(3)
The Nature of Rights	43	(1)
Historical Background of Rights Reasoning	44	(3)
Contractarian and Consequentialist Rights Theory	47	(2)
Legal Rights	49	(2)
Moral and Legal Rights	51	(1)
Conclusion	52	(1)
Legal Case Studies	53	(1)
Review Exercises	54	(1)
References	55	(2)
CHAPTER 4 AUTONOMY VERSUS PATERNALISM: A CONTEST BETWEEN VIRTUES	57	(22)
Value Preference as the Basis of Health Care Decisions	58	(1)
Autonomy versus Beneficence	59	(3)
Informed Consent	62	(1)
Standards of Disclosure	63	(3)
False Imprisonment	66	(1)
Competency Determination	67	(2)
Competency Determination and Religious Freedom	69	(2)
Informed Demand for Futile Treatment	71	(2)
Institutional Ethics Committee	73	(1)
Conclusion	74	(1)
Legal Case Studies	75	(1)
Review Exercises	75	(2)
References	77	(2)
CHAPTER 5 CONFIDENTIALITY AND VERACITY	79	(20)
Ethical Basis for Confidentiality	80	(3)
The Harm Principle	83	(1)
Modern Medicine and Confidentiality	83	(2)
Ethical Basis for the Principle of Veracity	85	(1)
The Placebo Problem	86	(1)
Defamation of Character	87	(1)
Legal Foundation of Privacy	88	(1)
Invasion of Privacy Categories	89	(1)
Common Errors in Clinical Practice	90	(1)
Legal Perspective to Medical Record Access	90	(1)
Legitimate Interest	91	(2)
Qualified Privacy for the Newsworthy	93	(1)
Conclusion	93	(2)
Legal Case Study	95	(1)
Exercises	96	(2)
References	98	(1)
CHAPTER 6 ROLE FIDELITY	99	(14)
Professional Codes of Ethics	99	(2)
Gatekeeping	101	(2)
Impaired Colleagues	103	(1)
Sexual Misconduct in Health Care Practice	104	(1)
Scope of Practice	105	(1)
Respondiat Superior	106	(1)
Conflicts of Interest	107	(1)
Conclusion	108	(1)
Legal Case Studies	108	(2)
Review Exercises	110	(1)
References	111	(2)
CHAPTER 7 AIDS AND HEALTH CARE PRACTICE	113	(26)
The Nature of the Disease	114	(2)
Infection Control Methods	116	(2)
Occupational Risk	118	(3)
Ethical and Legal Issues and the AIDS Epidemic	121	(5)
Confidentiality in an Age of AIDS	126	(1)
The Infected Health Care Provider	127	(4)
Experimental Treatment	131	(1)
Conclusion	132	(2)
Legal Case Study	134	(1)
Review Exercises	135	(1)
References	136	(3)
CHAPTER 8 ABORTION	139	(16)
The Abortion Issue	140	(1)
Roe v. Wade	141	(1)
The Legal Struggle Following Roe v. Wade	141	(4)
Sanctity of Life Argument	145	(3)
Human or Person?	148	(1)
The Argument Regarding the Liberty of Women	149	(1)
The Environmental Perspective	150	(1)
Conclusion	150	(1)
Legal Case Study	151	(1)
Review Exercises	152	(1)
References	153	(2)
CHAPTER 9 DECISIONS AT THE END OF LIFE	155	(32)
Redefining the Concept of Death	156	(3)
Persistent Vegetative State	159	(2)
Forgoing Life-Sustaining Treatment	161	(5)
Advanced Directives	166	(2)
Advanced Directives in a Diverse Society	168	(1)
Informed Non-Consent	169	(3)
Do-Not-Resuscitate Orders	172	(2)
Baby Doe	174	(3)
Personhood	177	(1)
Euthanasia and Assisted Suicide	178	(4)
Conclusion	182	(1)
Legal Case Study	183	(1)
Review Exercises	184	(1)
References	185	(2)
CHAPTER 10 THE AMERICAN HEALTH CARE DELIVERY SYSTEM	187	(24)
American Health Care Today	188	(3)
Government Intervention	191	(3)
Positions on Macroallocation of Health Care	194	(10)
Standard of Care	204	(1)
The Process of Microallocation	205	(2)
Conclusion	207	(1)
Legal Case Study	207	(1)
Review Exercises	208	(2)
References	210	(1)
APPENDIX A LIST OF CASES USED IN TEXT	211	(2)
APPENDIX B THE LAWSUIT	213	(3)
APPENDIX C DOING LEGAL RESEARCH	216	(3)
APPENDIX D REGIONAL CENTERS FOR ETHICAL STUDY	219	(5)
APPENDIX E SAMPLE CODES OF PROFESSIONAL ETHICS	224	(27)
GLOSSARY	251	(12)
INDEX	263