Resolving Ethical Dilemmas

by Bernard Lo

Overview

Publisher's Note: Products purchased from 3rd Party sellers are not guaranteed by the Publisher for quality, authenticity, or access to any online entitlements included with the product. What are the ethical issues raised by the increasing use of big data and artificial intelligence in health care? How should physicians respond when they have a conscientious objection to an intervention requested by a patient? How should health care organizations respond to physician requests? How can physicians best help patients make informed decisions about end-of-life and life-sustaining care? How should interns and residents respond to ethical dilemmas created by duty hours restrictions?   Resolving Ethical Dilemmas: A Guide for Clinicians helps residents, students, and practitioners work through these and many more common and challenging ethical questions that affect patient care. The 6th Edition reflects important changes in medicine and healthcare policy and provides additional clarity to complex concepts. Offering practical, real-world advice, it helps you think through and resolve difficult cases, prompting thoughtful, well-reasoned answers to the question of “What do I do in this situation?”

Product Details

ISBN-13:	9781975142155
Publisher:	Wolters Kluwer Health
Publication date:	01/02/2019
Sold by:	Barnes & Noble
Format:	eBook
Pages:	384
File size:	1 MB

About the Author

Lo, Bernard, MD, FACP (UCSF)

Table of Contents

Preface to the First Edition v

Preface to the Fourth Edition vii

Section I Fundamentals of Clinical Ethics

1 An Approach to Ethical Dilemmas in Patient Care 3

2 Overview of Ethical Guidelines 11

3 Informed Consent 18

4 Promoting the Patient's Best Interests 31

5 Confidentiality 40

6 Avoiding Deception and Nondisclosure 50

7 Keeping Promises 61

Section II Shared Decision Making

8 An Approach to Decisions About Clinical Interventions 67

9 Futile Interventions 69

10 Decision-Making Capacity 75

11 Refusal of Treatment by Competent, Informed Patients 83

12 Standards for Decisions When Patients Lack Decision-Making Capacity 88

13 Surrogate Decision Making 101

14 Persistent Disagreements Over Care 107

Section III Decisions About Life-Sustaining Interventions

15 Confusing Ethical Distinctions 119

16 Ethics Consultations and Ethics Committees 129

17 Do Not Attempt Resuscitation Orders 136

18 Tube and Intravenous Feedings 145

19 Physician-Assisted Suicide and Active Euthanasia 151

20 The Persistent Vegetative State 162

21 Determination of Death 166

22 Legal Rulings on Life-Sustaining Interventions 170

Section IV The Doctor-Patient Relationship

23 Overview of the Doctor-Patient Relationship 179

24 Refusal to Care for Patients 182

25 Gifts from Patients to Physicians 190

26 Sexual Contact Between Physicians and Patients 195

27 Secret Information About Patients 201

28 Clinical Research 203

Section V Conflicts of Interest

29 Overview of Conflicts of Interest 213

30 Bedside Rationing of Health Care 219

31 Incentives for Physicians to Increase Services 227

32 Measures to Control Health Care Costs 230

33 Gifts from DrugCompanies 238

34 Disclosing Errors 243

35 Impaired Colleagues 251

36 Ethical Dilemmas Students and House Staff Face 256

Section VI Ethical Issues in Clinical Specialties

37 Ethical Issues in Pediatrics 267

38 Ethical Issues in Surgery 278

39 Ethical Issues in Obstetrics and Gynecology 285

40 Ethical Issues in Psychiatry 293

41 Ethical Issues in Organ Transplantation 301

42 Ethical Issues in Genomic Medicine 311

43 Ethical Isues in Public Health Emergencies 321

44 Ethical Issues in Cross-Cultural Care 330

Cases for Discussion 339

Index 351

Editorial Reviews

4 Stars! from Doody

This is a new source for resolving clinical problems in medical ethics. The purpose of the book is to serve as a guide for solving clinical problems in ethics whether they are mundane in nature or dramatic. These are appropriate goals and are met by this work. The principle audience of the work is the clinician and it is not directed at any particular specialty. This being the case, it is equally suited to the medical student and house officer. The author does an excellent job of reaching his stated audience and his credentials are well suited to his task. Technically, the references are appropriate in their currency and pertinence to the subject matter and the book is well indexed. The overall styling and layout of the book are appropriate. This book is an excellent addition to the medical ethics literature. It is a useful reference for any clinician, student, or resident that is not well conversant in the issues of medical ethics. Its goal is both to propose a way of problem solving and to get the reader to think through a problem. At the same time, the work offers definite suggestions on how to solve a problem using case histories. It is written in a style that is inviting, well organized, and that avoids much reference to formal philosophy. A slight problem with the book is the length. The book should be read in its entirety. Given its intended audience, it would probably not be read in its entirety, although this is not that serious as it is also an excellent reference. The book would be a logical purchase for a library, individual, or bookstore as it is a reference book as well as a rather complete primer on basic medical ethics.

Brian Lynch

Presents practical solutions to ethical dilemmas encountered in clinical practice. Discusses issues such as active euthanasia, notification of HIV test results, managed care, futile interventions, guidelines for clinical studies, the doctor-patient relationship, and organ transplantation. Includes case studies. Can be used as a reference in making decisions and for a more systematic reading on ethical issues. Annotation c. Book News, Inc., Portland, OR (booknews.com)

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