Cover Image

Resolving ethical dilemmas : a guide for clinicians /

Show other versions (5)
Bibliographic Details
Main Author: Lo, Bernard
Format: Book
Language:English
Published: Philadelphia : Lippincott Williams & Wilkins, [2000]
Edition:Second edition.
Subjects:
Ethics, Medical.
Decision Making.
Life Support Care.
Physician-Patient Relations.
Table of Contents:
  • I. Fundamentals of clinical ethics
  • An approach to ethical dilemmas in patient care
  • Overview of ethical guidelines
  • Informed consent
  • Promoting the patient's best interests: responding to patient's refusals of beneficial interventions
  • Confidentiality
  • Avoiding deception and nondisclosure
  • Keeping promises
  • II. Shared decision-making
  • An approach to decisions about clinical interventions
  • Futile interventions
  • Decision-making capacity
  • Refusal of treatment by competent, informed patients
  • Standards for decisions when patients lack decision-making capacity
  • Surrogate decision-making
  • III. Decisions about life-sustaining interventions
  • Confusing ethical distinctions
  • Patient or surrogate insistence on life-sustaining interventions
  • Physician insistence on life-sustaining interventions
  • Ethics committees and case consultations
  • Do not resuscitate orders
  • Physician-assisted suicide and active euthanasia
  • Tube and intravenous feedings
  • The persistent vegetative state
  • Determination of death
  • Legal rulings on life-sustaining interventions
  • Myths about the law on life-sustaining interventions
  • IV. The doctor-patient relationship
  • Overview of the doctor-patient relationship
  • Refusal to care for patients
  • Gifts from patients to physicians
  • Sexual contact between physicians and patients
  • Secret information about patients
  • Clinical research
  • V. Conflicts of interest
  • Overview of conflicts of interest
  • Bedside rationing of health care
  • Incentives for physicians to increase services
  • Incentives for physicians to decrease services
  • Gifts from drug companies
  • Disclosing mistakes
  • Impaired colleagues
  • Ethical dilemmas facing students and house staff
  • VI. Ethical issues in clinical specialties
  • Ethical issues in pediatrics
  • Ethical issues in surgery
  • Ethical issues in obstetrics and gynecology
  • Ethical issues in psychiatry
  • VII. Current controversies
  • Transmission of HIV infection in health care settings
  • Ethical issues in organ transplantation
  • Testing for genetic conditions
  • Cases for discussion.