Evidence-Based Medical Ethics: by Rosemarie Tong
Evidence-Based Medical Ethics:

Evidence-Based Medical Ethics:


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About the Book

Case-Based Medical Ethics in Practice

Preface by the authors

Foreword

Chapter 1: A brief introduction to medical ethics in Internal Medicine

  • Definitions of ethics and medical ethics
  • Why is medical ethics important? (teaching competency in ethics, teaching professionalism)

  • Evolution of medical ethics and its importance/role in modern medicine (from paternalism to informed consent)
  • Who determines ethical guidelines for medicine?

  • Difference/similarities between ethics and law

  • Purpose of the book (i.e. to stimulate thought and discussion, not cover all details of all ethical principles)

Chapter 2: The underlying principles of ethical patient care

  • Beneficence - a practitioner should act in the best interest of the patient. (Salus aegroti suprema lex.)
  • Non-maleficence - "first, do no harm" (Primum non nocere).
  • Autonomy - the patient has the right to refuse or choose their treatment (Voluntas aegroti suprema lex.)
  • Justice - concerns the distribution of scarce health resources, and the decision of who gets what treatment.
  • Dignity - the patient (and the person treating the patient) have the right to dignity.
  • Veracity - the patient should not be lied to, and deserves to know the whole truth about his/her illness and treatment.

Chapter 3: Putting ethics into practice - realities, limitations, and roadblocks

  • Practitioners and personal belief systems
  • Cultural competency and practice of ethical care
  • Statement about pharmaceutical company influence on education and practice
  • Medical oaths - Are they valid for medicine today? Are they fulfilled by practitioners?
  • The Patient Bill of Rights
  • Federal, state, local, and institutional regulations - how they intertwine and affect each other

Chapter 4: Advanced Directives, Living Wills, and the Health Care Power of Attorney (HCPOA)

Chapter 5: Case-based ethical dilemmas

  • How the reader should approach these cases
  • Where to find more information if needed

Case 1

    • Topic: Consent in the mentally ill or otherwise unfit (and 'in between' situations: delirium, psychiatric decompensation)
    • Subtopic: When does forcing an incompetent patient to undergo treatment limit their right to dignity and the principle of 'do-no-harm'?

- Narrative of clinical scenario with specific example of ethical dilemma

- Questions for thought/discussion

- Explanations of underlying ethical and legal principles

Case 2

    • Topic: When the HCPOA neglects their responsibility, or has other personal interests/potential gains

- Narrative of clinical scenario with specific example of ethical dilemma

- Questions for thought/discussion

- Explanations of underlying ethical and legal principles

Case 3

    • Topic: When the patient/their family bullies practitioners into unnecessary diagnostics/therapeutics
      • "C.Y.A." medicine

- Narrative of clinical scenario with specific example of ethical dilemma

- Questions for thought/discussion

- Explanations of underlying ethical and legal principles

Case 4

    • Topic: When an estranged family member or spouse suddenly appears to make decisions

- Narrative of c


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Product Details
  • ISBN-13: 9781617378829
  • Publisher: Humana Press
  • Publisher Imprint: Humana Press
  • Edition: 1st ed. Softcover of orig. ed. 2008
  • Language: English
  • Returnable: N
  • Spine Width: 14 mm
  • Weight: 412 gr
  • ISBN-10: 1617378828
  • Publisher Date: 05 Nov 2010
  • Binding: Paperback
  • Height: 234 mm
  • No of Pages: 240
  • Series Title: English
  • Sub Title: Cases for Practice-Based Learning
  • Width: 156 mm


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