http://www.loc.gov/mods/v3 http://www.loc.gov/standards/mods/v3/mods-3-2.xsd
Ch. 1. Ethics and aims in palliative care -- The senses of 'ethics' -- The main tradition -- Teams and the nursing profession -- Patients' rights and autonomy -- Utility and justice -- Compassion, the virtues, and self-development -- The aims of palliative care: personal, intrinsic, and extrinsic -- Whole person care -- Relatives -- Ethics and aims -- Conclusions -- Ch. 2. The patient-carer relationship -- The patient's aims in the relationship -- The carer's aim in the relationship -- 'Relativity' in the carer-patient encounter -- Models of the carer-patient relationship -- Consent -- Conclusions -- Ch. 3. The relative-professional relationship -- The relatives as co-carers -- The relatives as decision makers -- The relatives as beneficiaries of professional care -- Attitudes in the relative-professional relationship -- Conclusions -- Ch. 4. Teamwork -- Why do we work in teams? -- Common problems in specialist palliative care teams -- Patient-centred or management-centred teams -- Working in a patient-centred team -- Collective responsibility -- Moral conflict in the team -- Moral deficiency -- Caring for each other -- Conclusions -- Ch. 5. Process of clinical decision making -- Responsibility and outcome -- Responsiblity and process -- Three logical distinctions in decision making -- Formal guides to clinical decision making -- Conclusions -- Ch. 6. Giving information -- The professional responsibility -- Whom do we tell? -- The influence of relatives -- How the truth is told -- Standards of disclosure -- Moral difficulties in giving information -- Conclusions -- Ch. 7. Confidentiality -- The moral basis for rules of confidentiality in palliative care -- What constitutes confidential information? -- Sharing confidential information -- Disclosure of information to third parties -- Confidentiality and the non-autonomous patient -- Justifications for infringements of confidentiality -- Conclusions -- Ch. 8. Clinical treatment decisions -- Distinctions between medical treatment and care -- Benefits to burdens/risks calculus -- Obligations and options in treatment decisions -- Life-prolonging treatments -- Treatments to alleviate suffering -- The role of relatives -- Conflicts of interest between patients -- Reassessment of treatment decisions -- Autonomous to non-autonomous conditions -- Advance statements and proxy decision makers -- Conclusions -- Ch. 9. Other management decisions -- Problems of autonomy and competence -- Alternative therapy -- Place of care -- Quality of care -- Conclusions -- Ch. 10. Emotional care -- Consent to psychosocial and spiritual care -- Communication of thoughts and emotions -- Assessment of psychosocial and spiritual status -- Assessment of psychosocial needs -- Interventions in psychosocial and spiritual care -- Counselling and counselling skills -- Conclusions -- Ch. 11. Research -- Codes of ethics -- Randomized double-blind controlled trials -- Local research ethics committees -- Consent -- Special ethical problems of research in palliative care -- Conclusions -- Ch. 12. Resource allocation -- The concept of need in palliative care -- Macroallocation of resources -- Microallocation of resources -- Conclusions -- Ch. 13. Reply to critics -- The moral distinction between killing and letting die -- The problems of supremacy of patient autonomy -- Emotional care -- Ch. 14. Quality and value of life -- Values and valuing -- Quality of life -- Sisyphus -- Choice -- Happiness or well-being -- Society and material needs -- Society and culture -- Incommensurability and scales -- The value of life.
Includes bibliographical references (pages 306-307) and index.