Medical Law, Ethics, and Bioethics for Ambulatory Care

by Lewis, Marcia A.

• ISBN13: 9780803609952
• ISBN10: 0803609957
• Format: Paperback
• Copyright: 2002-05-01
• Publisher: F a Davis Co

Summary

Educators will appreciate this jewel of a book that covers the basics of medical law, ethics, and bioethics in a small, easy-to-carry format. With its new redesigned look and easy-to-read text, this book prepares students for direct client contact by providing a thorough grounding in medical law, ethics, and bioethics. The book succeeds in making the concepts of medical law, ethics, and bioethics approachable and less intimidating for students. This edition includes integrated workbook exercises and communication tips in each chapter.

Table of Contents

Preface	v
Acknowledgments	vii
Have a Care	1	(5)
Medical Law, Ethics, and Bioethics	6	(10)
Law	7	(1)
Ethics	7	(1)
Bioethics	7	(1)
Ethical Issues in Modern Medicine	8	(1)
Comparing Law, Ethics, and Bioethics	9	(1)
The Importance of Medical Law, Ethics, and Bioethics	9	(2)
Codes of Ethics	11	(1)
An Ethics Check	12	(1)
Characteristics of a Professional Ambulatory Health Care Employee	13	(3)
Medical Practice Management	16	(19)
Sole Proprietors	18	(2)
Partnerships	20	(1)
Professional Service Corporations	21	(2)
Group Practices	23	(2)
Managed Care	25	(2)
Health Maintenance Organizations	27	(2)
Other Business Arrangements	29	(2)
A Word of Caution	31	(1)
General Liability	31	(2)
Employers' Responsibilities to Employees	33	(1)
Summary	33	(2)
The Employees in Ambulatory Health Care	35	(9)
Licensed Personnel (Nurses)	37	(2)
Nonlicensed Personnel	39	(2)
Other Employees	41	(1)
Considerations for Ambulatory Health Care Employees	42	(1)
Summary	43	(1)
Legal Guidelines for Ambulatory Health Care	44	(20)
Sources of Law	46	(1)
Types of Law	47	(5)
Controlled Substances Act and Regulations	52	(1)
Drug Schedules	53	(2)
Issuing Prescriptions	55	(1)
Types of Court	55	(4)
Subpoenas	59	(1)
The Trail Process	60	(2)
Expert Witness	62	(1)
Summary	63	(1)
Regulations and Professional Liability for the Health Care Professional	64	(20)
Medical Practice Acts	65	(2)
Professional Liability	67	(1)
Standard of Care	67	(1)
Confidentiality	68	(1)
Physician liability for Client Injury	69	(1)
Contracts	69	(4)
Torts	73	(4)
Doctrine of Respondent Superior	77	(1)
Statue of Limitations	78	(2)
Professional Liability or Malpractice Insurance	80	(1)
Alternatives to Litigation	81	(1)
Malpractice Prevention	81	(1)
Summary	82	(2)
Public Duties	84	(18)
Birth and Deaths	86	(6)
Communicable and Notifiable Diseases	92	(2)
Victims of Abuse	94	(1)
Elder Abuse	95	(1)
Child Abuse	95	(2)
Evidence	97	(1)
Drug Abuse	98	(1)
Good Samaritan Laws	99	(3)
Consent	102	(11)
Informed and Uninformed Consent	104	(1)
The Doctrine of informed Consent	104	(1)
Problems in Consent	105	(3)
Implementing Consent	108	(5)
Medical Records	113	(13)
Purposes	114	(1)
Problem-Oriented Medical Records	114	(1)
SOAP	115	(2)
Use of Records in Litigation	117	(3)
Computerized Medical Records	120	(1)
E-mail	121	(1)
Fax Machines	122	(1)
Ownership of Medical Records	123	(1)
Retention of Medical Records	124	(2)
Reimbursement and Collection Practices	126	(9)
Truth in lending Act	127	(1)
Collection Guidelines	128	(1)
Collection Do's	129	(2)
Collection Don'ts	131	(1)
Collection Problems	131	(1)
Collection Agencies	132	(1)
Reimbursement Attitudes	133	(2)
Employment Practices	135	(15)
Personnel Policies	136	(1)
Job Descriptions	136	(1)
Office Hours and Work Week	137	(1)
Benefits and Salaries	137	(1)
The Employment Process	137	(7)
Legal Implications	144	(4)
Summary	148	(2)
A Cultural Perspective for Ambulatory Health Care	150	(7)
Components of Cultural Diversity	151	(3)
Establishing a New Culture in Ambulatory Health Care	154	(2)
Summary	156	(1)
Allocation of Scarce Medical Resources	157	(8)
Macroallocation and Microallocation	159	(1)
The Influence of Politics, Economics, and Ethics on Health Care	160	(1)
Systems for Decision Making	161	(1)
How Would You Decide?	162	(3)
Genetic Engineering	165	(16)
Genetic Screening, Testing, and Counseling	167	(3)
Sterilization	170	(1)
Human Genome Project and Gene Therapy	171	(1)
Assisted Reproduction	172	(1)
Artificial Insemination	173	(1)
Legal and Ethical Implications of AIH and AID	173	(2)
In Vitro Fertilization and Other Forms of Assisted Reproduction	175	(1)
Surrogacy	176	(1)
Legal and Ethical Implications of Assisted Reproduction	176	(2)
Cord Blood and Stem Cell Research	178	(1)
Tissue and Organ Engineering	179	(1)
Reproductive Cloning	179	(1)
Considerations for Ambulatory Care Employees	180	(1)
Abortion	181	(14)
Fetal Development	182	(1)
When Does Life Begin?	182	(2)
Methods of Abortion	184	(2)
Legal Implications	186	(4)
Ethical Implications	190	(2)
Ambulatory Health Care Protocol	192	(3)
Life and Death	195	(17)
Choices in Life and Death	196	(3)
Choices in Dying	199	(1)
Living Wills, Advance Directives, and the Patient Self-Determination Act	200	(2)
Durable Power of Attorney for Health Care	202	(2)
Legal Definitions of Death	204	(2)
Legal Implications	206	(1)
Ethical Considerations	207	(2)
The Role of Health Professionals in Ambulatory Care	209	(3)
Dying and Death	212	(15)
Suffering in Dying	213	(1)
Use of Medications	214	(1)
Psychologic Aspects of Dying	215	(1)
Physiologic Aspects of Dying	215	(2)
Stages of Grief	217	(2)
Hospice	219	(1)
Assisted Suicide	220	(2)
Uniform Anatomical Gift Act	222	(1)
Autopsy	223	(1)
The Role of the Physician and Ambulatory Health Care Professionals	224	(3)
Appendix I: Code of Ethics	227	(12)
The Hippocratic Oath	227	(1)
The Geneva Convention of Medical Ethics	228	(1)
The Nuremberg Code	229	(2)
Declaration of Helsinki	231	(3)
American Association of Medical Assistants	234	(1)
Principles of Medical Ethics	235	(1)
A Patient's Bill of Rights	236	(3)
Appendix II: Sample Documents for Choices about Health Care, Life, and Death	239	(7)
Sample Advanced Directive	240	(2)
Sample Durable Power of Attorney for Health Care	242	(2)
Living Bank Uniform Anatomical Gift Act Donor Form	244	(1)
Uniform Donor Card	245	(1)
Bibliography	246	(7)
Index	253