Medical Ethics

Noted neurosurgeon and author Milton D. Heifetz has made the tough decisions in tragic, often anguishing situations. As a member of hospital ethics committees for many years, Dr. Heifetz found that discussions of complex issues -- many involving urgent matters of life and death -- were all too often clouded by tradition, dogma, and gut reactions. A comprehensive moral foundation with the flexibility to respond to often rapidly changing circumstances is desperately needed if health-care professionals are to confront head-on the daily questions of medical ethics. Dr. Heifetz offers this moral grounding to help all who must make difficult medical choices: physicians, nurses, patients, families, and policy makers struggling to develop substandve rules for medical conduct.

"It is valuable to have a distinguished physician share his candid judgments on key medical issues ..". -- Journal of the History of Medicine

Comprehensive and practical handbook on ethical and legal issues affecting Gps and other practitioners

This unique volume explores what ethics has to offer the practicing physician, nurse, and allied health care worker. The authors introduce the basic vocabulary of ethics and present and discuss the most commonly used ethical theories, using case studies to illustrate how ethics work within the context of health care. Newcomers to the field will learn what ethics is all about and how it relates to the pragmatic concerns of the health care professional. Those who already have a working knowledge of the field will find a new approach to ethical theory--personalism--which the authors believe can make the practical use of ethics more effective and reliable.

This book details the underlining philosophical approaches to ethical theories and how these can be used to structure an approach to day-to-day ethical issues, and thereby resolve them. It provides an understanding of the ethical theories which underpin decisions in health care by first laying the foundation with a philosophical framework and then going on to develop this into an examination of contemporary health care dilemmas and professional issues. Not available in the U.S

As a critical examination of the pervasive tension existing between defensive medicine and good, ethical patient care, this book investigates the impact of legalities on medical treatment. Physicians today are apprehensive about the threat of malpractice suits. Kapp explores the extent to which this fear is justified. He examines where physicians get their ideas about what the law requires and forbids, how physicians' perceptions of the law and medicine affect medical care, and whether these behavior manifestations benefit or hurt a physician's ability to practice ethically. Kapp then suggests ways medical professionals can resolve tension caused by conflicting demands and encourage more ethical care.

The current development of biomedical ethics is a source of radical critique not only in the clinic, but also in the classroom. This volume argues that today's moral education is too abstract to be effective and would benefit from the adoption of the practical approach which is typical of biomedical ethics--"thinking with cases." In presenting this approach, Radest explores various issues of moral epistemology and advocates the urgency of realism and decision in ethics. The use of a rich and complex literature drawn from biomedical ethics, pedagogy, and philosophy serves to stimulate the reader to think through the moral complexity and ambivalence of modern experience.

When his teenaged son Christopher, brain-damaged in a car accident, developed a 106-degree fever following weeks of unconsciousness, John Campbell asked the attending physician for help. The doctor refused. Why bother? The boy's life was effectively over. Campbell refused to accept this verdict. He demanded treatment and threatened legal action. The doctor finally relented. With treatment, Christopher's temperature subsided almost immediately. Soon afterwards he regained consciousness and today he is learning to walk again. This story is one of many Wesley Smith recounts in this groundbreaking. Smith believes that American medicine "is changing from a system based on the sanctity of human life into a starkly utilitarian model in which the medically defenceless are seen as having not just a 'right' but a 'duty' to die." Going behind the current scenes of our health care system, he shows how doctors withdraw desired care based on Futile Care Theory rather than provide it as required by the Hippocratic Oath. And how 'bioethicists' influence policy by considering questions such as whether organs may be harvested from the terminally ill and disabled.

How is the concept of patient care adapting in response to rapid changes in healthcare delivery and advances in medical technology? How are questions of ethical responsibility and social diversity shaping the definitions of healthcare?In this topical study, scholars in anthropology, nursing theory, law and ethics explore questions involving the changing relationship between patient care and medical ethics. Contributors address issues that challenge the boundaries of patient care, such as:· HIV-related care and research· the impact of new reproductive technologies· preventative healthcare· technological breakthroughs that are changing personal-caring relationships.Chapters range from a consideration of the practicalities of nursing and family healthcare to a debate about 'universal human needs' and patients' rights.This book is a provocative exploration of the ways in which healthcare models are socially constructed. It will be of interest to policy-makers, medical practitioners and administrators, as well as students of sociology, anthropology and social policy.

This collection of thirty-one cases and commentaries addresses ethical problems commonly encountered by the average health care professional, not just those working on such hightech specialties as organ transplants or genetic engineering. It deals with familiar issues that are rarely considered in ethics casebooks, including such fundamental matters as informed consent, patient decision-making capacity, the role of the family, and end-of-life decisions. It also provides resources for basic but neglected ethical issues involving placement decisions for elderly or technologically dependent patients, rehabilitation care, confidentiality regarding AIDS, professional responsibility, and organizational and institutional ethics.

The authors describe in detail the perspectives of each party to the case, the kind of language that ethicists use to discuss the issues, and the outcome of the case. A short bibliography suggests useful articles for further reading or curriculum development.

Easily understood by readers with no prior training in ethics, this book offers guidance on everyday problems from across the broad continuum of care. It will be valuable for health-care professionals, hospital ethics committees, and for students preparing for careers in health-care professions.

In 1985, philosopher Samuel Gorovitz spent seven weeks at Boston's Beth Israel, one of the nation's premier teaching hospitals, where he was given free run as "Authorized Snoop and Irritant-at-Large." In Drawing the Line, he provides an intense, disturbing, and insightful account of his observations during those seven weeks. Gorovitz guides us through an operating room and intensive care units, and takes us to meetings where surgeons discuss the mishaps of the preceding week, where internists map out their approaches to troublesome cases, where the administration discusses competition in the health care market. He follows as residents walk the ragged edge of physical exhaustion, as experienced physicians wrestle with the uncertainties of their demanding profession, as nurses struggle to care for perpetually declining patients. Most important, he examines the ethical questions that permeate their lives--deeply troubling questions such as who should be making life and death decisions--and how should they be made? How should scarce medical resources be allocated? What rules should govern the use of fetal tissue in research and treatment? Where should we draw the line, and how? When Samuel Gorovitz published Doctors' Dilemmas, a previous look at medical ethics, it was hailed by Norman Cousins as "stimulating and valuable...the product of a beautifully formed (and informed) mind." Studs Terkel called it "quite remarkable...a very exciting book indeed." In Drawing the Line, Gorovitz offers an unusual look at contemporary health care, combining a moving, hard-hitting glimpse of daily reality at a major hospital with the thoughtful, provocative reflections of a highly respected philosopher.