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 |
Confidentiality | p. 40 |
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 |
Index | p. 351 |
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