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| Preface to the First Edition | |
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| Preface to the Fourth Edition | |
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| Fundamentals of Clinical Ethics | |
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| An Approach to Ethical Dilemmas in Patient Care | |
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| Overview of Ethical Guidelines | |
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| Informed Consent | |
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| Promoting the Patient's Best Interests | |
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| Confidentiality | |
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| Avoiding Deception and Nondisclosure | |
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| Keeping Promises | |
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| Shared Decision Making | |
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| An Approach to Decisions About Clinical Interventions | |
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| Futile Interventions | |
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| Decision-Making Capacity | |
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| Refusal of Treatment by Competent, Informed Patients | |
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| Standards for Decisions When Patients Lack Decision-Making Capacity | |
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| Surrogate Decision Making | |
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| Persistent Disagreements Over Care | |
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| Decisions About Life-Sustaining Interventions | |
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| Confusing Ethical Distinctions | |
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| Ethics Consultations and Ethics Committees | |
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| Do Not Attempt Resuscitation Orders | |
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| Tube and Intravenous Feedings | |
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| Physician-Assisted Suicide and Active Euthanasia | |
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| The Persistent Vegetative State | |
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| Determination of Death | |
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| Legal Rulings on Life-Sustaining Interventions | |
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| The Doctor-Patient Relationship | |
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| Overview of the Doctor-Patient Relationship | |
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| Refusal to Care for Patients | |
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| Gifts from Patients to Physicians | |
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| Sexual Contact Between Physicians and Patients | |
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| Secret Information About Patients | |
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| Clinical Research | |
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| Conflicts of Interest | |
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| Overview of Conflicts of Interest | |
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| Bedside Rationing of Health Care | |
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| Incentives for Physicians to Increase Services | |
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| Measures to Control Health Care Costs | |
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| Gifts from Drug Companies | |
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| Disclosing Errors | |
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| Impaired Colleagues | |
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| Ethical Dilemmas Students and House Staff Face | |
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| Ethical Issues in Clinical Specialties | |
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| Ethical Issues in Pediatrics | |
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| Ethical Issues in Surgery | |
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| Ethical Issues in Obstetrics and Gynecology | |
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| Ethical Issues in Psychiatry | |
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| Ethical Issues in Organ Transplantation | |
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| Ethical Issues in Genomic Medicine | |
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| Ethical Isues in Public Health Emergencies | |
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| Ethical Issues in Cross-Cultural Care | |
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| Cases for Discussion | |
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| Index | |