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9780521568777

Medical Futility: And the Evaluation of Life-Sustaining Interventions

by
  • ISBN13:

    9780521568777

  • ISBN10:

    0521568773

  • Format: Paperback
  • Copyright: 1997-03-13
  • Publisher: Cambridge University Press

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Summary

This book surveys the clinical, ethical, religious, legal, economic and personal dimensions of decision making in situations when the choice is between extending costly medical treatment of uncertain effectiveness, or terminating treatment thereby ending the patient's life. Contributors from a wide range of disciplines offer perspectives on issues ranging from the definition of medical futility to the implications for care in various clinical settings, including intensive care, neonatal and paediatric practice and nursing homes. An important contribution towards the more humane and consistent handling of these situations, Medical Futility will be obligatory reading for health care professionals, students and scholars concerned with ethical standards in medical care.

Table of Contents

Preface vii
Foreword ix
Alexander Morgan Capron
Contributors xiv
Medical futility: a useful concept?
1(14)
Howard Brody
Death with dignity?
15(9)
Patricia Brophy
Physicians and medical futility: experience in the critical care setting
24(12)
Harry S. Rafkin
Thomas Rainey
Physicians and medical futility: experience in the setting of general medical care
36(12)
Norton Spritz
Futility issues in pediatrics
48(10)
Joel E. Frader
Jon Watchko
Medical futility: a nursing home perspective
58(7)
Ellen Knapik Bartoldus
Alternative medicine and medical futility
65(6)
Joseph J. Jacobs
How culture and religion affect attitudes toward medical futility
71(14)
Mary F. Morrison
Sarah Gelbach DeMichele
When religious beliefs and medical judgments conflict: civic polity and the social good
85(13)
John J. Paris
Mark Poorman
Conflict resolution: experience of consultation-liaison psychiatrists
98(12)
James J. Strain
Stephen L. Snyder
Martin Drooker
Ethics committees and end-of-life decision making
110(13)
Alice Herb
Eliot J. Lazar
The economics of futile interventions
123(13)
Donald J. Murphy
Medical futility: a legal perspective
136(19)
William Prip
Anna Moretti
Professional and public community projects for developing medical futility guidelines
155(13)
Linda Johnson
Robert Lyman Potter
Community futility policies: the illusion of consensus?
168(11)
Bethany Spielman
Not quite the last word: scenarios and solutions
179(14)
Karen Orloff Kaplan
Index of cited authors, cases, and statutes 193(5)
Subject index 198

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