Ethical Foundations of Health Care: Responsibilities in Decision Making

By Jane Singleton; Susan McLaren | Go to book overview

abortion 23, 42, 90-1, 161
conservative view 86-7
person (interest) view 89
'above all, do no harm' 41, 119
access, randomization of 132
accountability 161
exercising 195
acts and omissions doctrine 57-60
consequentialist view 57-8
deontological view 60
senile dementia example 58-9
Acts of Parliament (UK)
Abortion Act 106
Children's Act 1989 31
Family Law Reform Act 1969 31
Mental Health Act 1983 109, 141
Misuse of Drugs Act 106
Police and Criminal Evidence Act 106
Prevention of Terrorism Act 106
Road Traffic Act 106
advocacy 138-40, 161
justifications 139-40
objections 139-40
staff nurse example 138
AIDS 112, 114, 137, 161
allocation of medical resources 50-3
macroallocation 50
microallocation 50
amniocentesis 161
anencephalic 161
antibiotics 58-9
artificial hip example 48, 51
autonomy 29-30, 120-1, 161
meaning 29-30
multiple sclerosis example 29
principle see Principles of Autonomy
'bad news' withholding 147
beneficence, principle of 161
biographical life 77, 80
biological life 77
bodily integration 78
Bolam test 108, 141
bone marrow test 42
brain birth 80, 81
brain death (Rachel) 77, 79
brain functioning, higher, loss of 78
brain injury at birth of patient 77
brainstem death 80
brainstem dysfunction 80
British Medical Association
exceptions to confidentiality 104
guidelines 198-200
British Paediatric Association guidelines 122
Buddhism, Tibetan 79
caesarean section 161
criteria informing decision making 129
telling patient 112, 105
cancerous uterus example 61-2
categorical imperative test (Kant) 16, 17, 161
Chartered Society of Physiotherapists, Rules of Conduct 6
chemotherapy 161
decision to donate kidney to mother 31
law relating to 31
Mill's view 31
chimpanzees 26-7
Clough, A.H. quoted 59
code of professional conduct 135-44
accountability 136-8
collaboration/cooperation in care 137-8
consent 37
definition 136
effectiveness 138
limitations 136-8
objection to participation in care and
treatment 137
scope 136-8
truth 137
violation 138
code of ethics 135
temporal changes 136
Code of Professional Conduct for the Nurse, Midwife, and Health Visitor 1992 170-1
Code of Professional Conduct for Occupational Therapists 176-86
Code of Professional Conduct for Physiotherapists 172-5
cognitivism 162
vs non-cognitivism 22
Committee on Safety of Medicine 119
confidentiality 103-6, 194
justification 105
exceptions 105-6
court orders 106
in individual's interest 105-6
statutory requirements 106
with individual's request 105
consciousness 70, 77, 78
consequentialism 12-15, 162
act 12-13, 162
evaluation 18-19
hedonistic (utilitarianism) 14-15, 162
interest 15, 162
interpretation of justice 48-9
preference 15, 162
rule 13, 162
consumerism 146
contraception 91
conservative view 87
person (interest) view 89
coronary artery bypass grafting 162
coronary heart disease decline in morbidity/mortality (US) 148
craniotomy 162
critical ethical approach 7-9
analysis of basic principles 7-8
law 8-9
outcome 9
secular approach 9
specific questions 8
criteria confirming choice 129-30
Danish Council of Ethics, concept of death 79, 80
death 75-84
at the end of life 76-9
cardiac-oriented criteria 79
definition 76-80
foreseen consequences 71
spiritual concepts 79, 80
Declaration of Helsinki (1975) 118, 167-9
deontological ethical theories 15-19
Kant's 16-17
Ross' 18
diabetes mellitus 162
doctor-patient interactions 146
Doctrine of double effect 60-2, 162
implications for:
consequentialist theories 61
deontological theories 61-2
Down's syndrome 23, 53, 91, 162
drug intoxication 78
egg obtaining 92
embryo 80-1, 162
member of class of 'persons' 89-92
embryo donation 88. 89, 92
conservative view 88
person (interest) view 89
embryo research 24-5, 91-2
conservative view 88
person (related) interest 89
environments of care 136-7
epilepsy 162
ethical codes 5-7
acceptability 7
conflicting requirements 6
meaning of key terms 5
no justification 6
not exhaustive 6
ethical committees 123, 124
ethical decision making 151-60
caring 156-7
consumers' rights 155
definitions 152
factors influencing 154-5
patient's views 155-6
religious views 154-5
rights 154-5
moral deliberation 152-3
purpose 152
scope 152
ethical experts 4
ethical frameworks 133-4
ethical issues 3-4
ethical issues at beginning of life 85-94
conservative view 86-8
abortion 86-7
contraception 87
embryo donation 88
embryo research 88
fetal tissue use 88
surrogacy 88
person (interest) view 88-9
abortion 89
contraception 89
embryo donation 89
embryo research 89
fetal tissue use 89
surrogacy 89
ethical issues at the end of life 95-101
individuals with decision-making capac-
ity/left advance directives 96-8
decision to forgo treatment 94
request for euthanasia 97-8
request for life-prolonging treatment 96-7
individuals who have lost decision-mak-
ing capacity 98-100
euthanasia 99-100
forgo treatment 98
institute life-prolonging treatment 99
individuals who have never achieved
decision-making capacity 100-1
euthanasia 101
forgo treatment 100
institute life-prolonging treatment 100-1
premature baby 95, 100-1
ethical issues in health care research 117-25
beneficence 118-19
non-maleficence 119
vulnerable groups 122
ethical issues in information exchange 103-16
confidentiality see confidentiality
informed consent see informed consent
truth-telling see truth-telling
European Convention of Human Rights 140
euthanasia 4, 8, 65-6, 68-72m 162


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