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Complex Ethics Consultations Cases That Haunt Us

ISBN-10: 0521697158
ISBN-13: 9780521697156
Edition: 2008
List price: $84.00 Buy it from $32.30
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Description: Clinical ethicists encounter the most emotionally eviscerating medical cases possible. They struggle to facilitate resolutions founded on good reasoning embedded in compassionate care. This book fills the considerable gap between current texts and  More...

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Book details

List price: $84.00
Copyright year: 2008
Publisher: Cambridge University Press
Publication date: 6/26/2008
Binding: Paperback
Pages: 274
Size: 6.00" wide x 9.00" long x 0.50" tall
Weight: 0.990
Language: English

Clinical ethicists encounter the most emotionally eviscerating medical cases possible. They struggle to facilitate resolutions founded on good reasoning embedded in compassionate care. This book fills the considerable gap between current texts and the continuing educational needs of those actually facing complex ethics consultations in hospital settings. 28 richly detailed cases explore the ethical reasoning, professional issues, and the emotional aspects of these impossibly difficult consultations. The cases are grouped together by theme to aid teaching, discussion and professional growth. The cases inform any reader who has a keen interest in the choices made in real-life medical dilemmas as well as the emotional cost to those who work to improve the situations. On a more advanced level, this book should be read by ethics committee members who participate in ethics consultations, individual ethics consultants, clinicians who seek education about complex clinical ethics cases, and bioethics students.

List of contributors
Foreword
Acknowledgments
Introduction: Live and learn: courage, honesty, and vulnerability
Starting at the beginning: prenatal and neonatal issues
Quality of life - and of ethics consultation - in the NICU
When a baby dies in pain
But how can we choose?
Maternal-fetal surgery and the "profoundest question in ethics"
The most vulnerable of us: pediatrics
She was the life of the party
The sound of chains
Susie's voice
Access to an infant's family: lingering effects of not talking with parents
Diversity of desires and limits of liberty: psychiatric and psychological issues
Helping staff help a "hateful" patient: the case of TJ
Ulysses contract
Misjudging needs: a messy spiral of complexity
When the patient refuses to eat
Withholding therapy with a twist
Listening to the husband
You're the ethicist; I'm just the surgeon
Haunted by a good outcome: the case of Sister Jane
Is a broken jaw a terminal condition?
The unspeakable/unassailable: religious and cultural beliefs
Adolescent pregnancy, confidentiality, and culture
"Tanya, the one with Jonathan's kidney": a living unrelated donor case of church associates
Futility, Islam, and death
Suffering as God's will
Human guinea pigs and miracles: clinical innovations and unorthodox treatment
Amputate my arm, please. I don't want it anymore
Feuding surrogates, herbal therapies, and a dying patient
One way out: destination therapy by default
Altruistic organ donation: Credible? Acceptable?
The big picture: organizational issues
It's not my responsibility
Intra-operative exposure to sporadic Creutzfeldt-Jakob disease: to disclose or not to disclose
Why do we have to discharge this patient?
Who's that sleeping in my bed? An institutional response to an organizational ethics problem
Conclusions, educational activities, and references
Index

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