Evidence-Based Medical Ethics Cases for Practice-Based Learning /
In the modern practice of medicine, new challenges complicate the ethical care of patients. Today’s times require a contemporary take on the concept of medical ethics. The idea for this textbook was born out of a need for a teaching resource that merges medical ethics theory with the practical needs...
| Κύριοι συγγραφείς: | , , |
|---|---|
| Συγγραφή απο Οργανισμό/Αρχή: | |
| Μορφή: | Ηλεκτρονική πηγή Ηλ. βιβλίο |
| Γλώσσα: | English |
| Έκδοση: |
Totowa, NJ :
Humana Press,
2008.
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| Θέματα: | |
| Διαθέσιμο Online: | Full Text via HEAL-Link |
Πίνακας περιεχομένων:
- A brief introduction to medical ethics in Internal Medicine
- The underlying principles of ethical patient care
- Putting ethics into practice – realities, limitations, and roadblocks
- Advanced Directives, Living Wills, and the Health Care Power of Attorney (HCPOA)
- Case-based ethical dilemmas
- Topic: Consent in the mentally ill or otherwise unfit (and ‘in between’ situations: delirium, psychiatric decompensation)
- Topic: When the HCPOA neglects their responsibility, or has other personal interests/potential gains
- Topic: When the patient/their family bullies practitioners into unnecessary diagnostics/therapeutics
- Topic: When an estranged family member or spouse suddenly appears to make decisions
- Topic: How to deal with an inpatient behaving badly (psych consults, behavioral contracts, room restriction etc.)
- Topic: When DSS consults are needed
- Topic: When a patient has ‘burned all bridges’ and no discharge planning is possible
- Topic: Can a practitioner refuse to admit a patient? To see a patient in the office (e.g. administrative discharge)?
- Topic: When a patient makes ‘bad’ decisions (e.g. will accept some therapies and not others, such as some blood products but not others, some procedures but not others, DNI but not DNR, etc.)
- Topic: When a patient’s same-sex partner has no legal rights and is excluded by a family
- Topic: When a patient has a contagious disease (e.g. HIV) and their partner is not aware
- Topic: When a family will not accept a terminal prognosis (i.e. futile ‘full codes’)
- Topic: When there is no one to make decisions for a patient (e.g. John/Jane Doe in ICU, wards of the state)
- Topic: When a mistake has been made by a practitioner (what/how to/how much to disclose)
- Topic: When what a patient needs cannot be obtained (e.g. financial/insurance limitations)
- Topic: When next-of-kin (NOK) disagree with each other
- Topic: When a toxicology screen is ordered without patient consent and comes back positive
- Topic: When a patient ‘signs out against medical advice’
- Topic: When a patient requests a clinical interaction be recorded
- Topic: When a family member requests patient information not be shared with the patient, or with other persons
- Topic: When a patient requests to not be seen by a (specific, or any) medical resident or student
- Topic: When a patient requires or demands large amounts of time from a practitioner
- Topic: How to prescribe medications to someone who has attempted suicide (e.g. with pills)
- When a colleague demonstrates suspicious behavior
- Topic: When a language translator is not available (or only a family member/hospital employee is)
- Topic: When a patient is repeatedly readmitted to the hospital due to non-adherence (e.g. with therapy, diet, etc.)
- Topic: When lawyers or law enforcement want to know patient information (HIPAA/confidentiality and the law)
- Topic: When a patient requests disability certification, handicap plates, etc. – or when they request renewal of a revoked driver’s license (e.g. can a practitioner-patient relationship be maintained when a patient doesn’t get what they want?)
- Topic: How much resources should be spent on a single patient’s case? (i.e. public health cost v. value of human life)
- Topic: How much information must a practitioner share with a patient?
- Topic: How to deal with a patient seeing two or more practitioners (same specialty, overlapping meds, etc.)
- Topic: How to manage chronic pain (e.g. are ‘pain contracts’ ethical?; how is pain objectively assessed?)
- Topic: At what age, if any, do you stop health maintenance disease screening?
- Topic: When can a practitioner withhold therapy from a patient based on their behavior?
- Topic: When a Jehovah’s witness needs a blood transfusion
- Topic: How far does screening go?
- Comprehensive Exam
- Suggested reading and internet resources
- Glossary of terms
- Index.
