Case Studies in Biomedical Ethics: Decision-Making, Principles, and Cases

Synopsis

The Most Comprehensive And Up-to-date Collection Of Its Kind, Case Studies In Biomedical Ethics: Decision-making, Principles, And Cases, Second Edition, Explores Fundamental Ethical Questions Arising From Real Situations Faced By Health Professionals, Patients, And Others. Featuring A Wide Range Of More Than 100 Case Studies Drawn From Current Events, Court Cases, And Physicians' Experiences, The Book Is Divided Into Three Parts. Part 1 Presents A Basic Framework For Ethical Decision-making In Healthcare, While Part 2 Explains The Relevant Ethical Principles: Beneficence And Nonmaleficence, Justice, Respect For Autonomy, Veracity, Fidelity, And Avoidance Of Killing. Parts 1 And 2 Provide Students With The Background To Analyze The Ethical Dilemmas Presented In Part 3, Which Features Cases On A Broad Spectrum Of Issues Including Abortion, Mental Health, Experimentation On Humans, The Right To Refuse Treatment, And Much More. The Volume Is Enhanced By Opening Text Boxes In Each Chapter That Cross-reference Relevant Cases In Other Chapters, An Appendix Of Important Ethical Codes, And A Glossary Of Key Terms. -- Provided By Publisher. Machine Generated Contents Note: What Are The Source, Meaning, And Justification Of Ethical Claims? -- Distinguish Between Evaluative Statements And Statements Presenting Nonevaluative Facts -- Distinguish Between Ethical And Nonethical Evaluations -- Determine Who Ought To Decide -- What Kinds Of Acts Are Right? -- Consequentialism -- Deontological Or Duty-based Ethics -- Other Issues Of Normative Ethics -- Virtues: Praiseworthy Traits Of Character -- Values: Positively Evaluated Consequences -- How Do Rules Apply To Specific Situations? -- What Ought To Be Done In Specific Cases? -- Notes -- Pt. 1 Ethics And Values In Medical Cases -- Ch. 1 A Model For Ethical Problem-solving -- The Five -- Step Model -- Application Of The Model -- Notes -- Ch. 2 Values In Health And Illness -- Identifying Value Judgments In Medicine -- Separating Ethical And Other Evaluations -- Notes -- Ch. 3 What Is The Source Of Moral Judgments? -- Grounding Ethics In The Professional Code --^ Grounding Ethics In The Physician's Orders -- Grounding Ethics In Institutional Policy -- Grounding Ethics In The Patient's Values -- Grounding Ethics In Religious Or Philosophical Perspectives -- Notes -- Pt. 2 Ethical Principles In Medical Ethics -- Ch. 4 Benefiting The Patient And Others: The Duty To Do Good And Avoid Harm -- Benefiting The Patient -- Health In Conflict With Other Goods -- Relating Benefits And Harms -- Benefits Of Rules And Benefits In Specific Cases -- Benefiting Society And Individuals Who Are Not Patients -- Benefits To Society -- Benefits To Specific Nonpatients -- Benefit To The Profession -- Benefit To The Health Professional And The Health Professional's Family -- Notes -- Ch. 5 Justice: The Allocation Of Health Resources -- Justice Among Patients -- Justice Between Patients And Others -- Justice In Public Policy -- Justice And Other Ethical Principles -- Notes -- Ch. 6 Autonomy -- Determining Whether A Patient Is Autonomous --^ External Constraints On Autonomy -- Overriding The Choices Of Autonomous Persons -- Notes -- Ch. 7 Veracity: Honesty With Patients -- The Condition Of Doubt -- Lying In Order To Benefit -- Protecting The Patient By Lying -- Protecting The Welfare Of Others -- Special Cases Of Truth-telling -- Patients Who Do Not Want To Be Told -- Family Members Who Insist The Patient Not Be Told -- The Right Of Access To Medical Records -- Notes -- Ch. 8 Fidelity: Promise-keeping, Loyalty To Patients, And Impaired Professionals -- The Ethics Of Promises: Explicit And Implicit -- Fidelity And Conflicts Of Interest -- Incompetent And Dishonest Colleagues -- Notes -- Ch. 9 Avoidance Of Killing -- Active Killing Versus Letting Die -- Withholding Versus Withdrawing Treatment -- Direct Versus Indirect Killing -- Justifiable Omissions: The Problem Of Nutrition And Hydration -- Voluntary And Involuntary Killing -- Killing As Punishment -- Notes -- Pt. 3 Special Problem Areas --^ Ch. 10 Abortion, Sterilization, And Contraception -- Abortion -- Abortion For Medical Problems Of The Fetus -- Abortion Following Sexual Assault -- Abortion To Save The Life Of The Pregnant Woman -- Abortion And The Mentally Incapacitated Woman -- Abortion For Socioeconomic Reasons -- Sterilization -- Contraception -- Notes -- Ch. 11 Genetics, Birth, And The Biological Revolution -- Genetic Counseling -- Genetic Screening -- In Vitro Fertilization And Surrogate Motherhood -- Preimplantation Diagnosis -- Gene Therapy -- Notes -- Ch. 12 Mental Health And Behavior Control -- The Concept Of Mental Health -- Mental Illness And Autonomous Behavior -- Mental Illness And Third -- Party Interests -- Other Behavior-controlling Therapies -- Notes -- Ch. 13 Confidentiality: Ethical Disclosure Of Medical Information -- Breaking Confidence To Benefit The Patient -- Breaking Confidence To Benefit Others -- Breaking Confidence As Required By Law -- Notes -- Ch. 14 Organ Transplants --^ Procuring Organs -- Donation Versus Salvaging -- The Grounds For Pronouncing Death -- Diseased And Poor-quality Organs -- Preserving The Organs Of The Dying -- Socially Directed Organ Donation -- Living Donor/deceased Donor Organ Swaps -- Children And Incompetent Persons As Living Organ Sources -- Transplanting Faces And Hands: Vascular Composite Allografts -- Allocating Organs -- Maximizing Benefits And Distributing Organs Fairly -- When Voluntary Risks Cause A Need For Organs -- Age And The Allocation Of Organs -- Multiple Organs And Special Priority For Special People -- Notes -- Ch. 15 Health Insurance, Health System Planning, And Rationing -- The Problem Of Small, Incremental Benefits -- Limits On Unproved Therapies -- Marginally Beneficial, Expensive Therapy -- Funding Care That Patients Have Refused -- Pharmaceutical Manufacturers Versus Insurers -- Insurance And The Uninsured -- The Affordable Care Act -- Notes -- Ch. 16 Experimentation On Human Subjects --^ Calculating Risks And Benefits -- Privacy And Confidentiality -- Equity In Research -- Conflicts Of Interest In Research -- Informed Consent In Research -- Notes -- Ch. 17 Consent And The Right To Refuse Treatment -- The Elements Of A Consent -- The Standards For Consent -- Comprehension And Voluntariness -- Notes -- Ch. 18 Death And Dying -- The Definition Of Death -- Competent And Formerly Competent Patients -- Never-competent Patients -- Never-competent Persons Without Available Family -- Never-competent Persons With Available Family -- Futile Care And Limits Based On The Interests Of Others -- Notes. Robert M. Veatch, The Kennedy Institute Of Ethics, Georgetown University, Amy M. Haddad, Center For Health Policy And Ethics, Creighton University, Dan C. English, Formerly Of The Center For Clinical Bioethics, Georgetown University. Includes Index. Includes Bibliographical References And Index.