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The Patient Self Determination Act

Author: Lawrence P. Ulrich
Publisher: Georgetown University Press
ISBN: 9781589014534
Size: 38.43 MB
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The Patient Self-Determination Act of 1990 required medical facilities to provide patients with written notification of their right to refuse or consent to medical treatment. Using this Act as an important vehicle for improving the health care decisionmaking process, Lawrence P. Ulrich explains the social, legal, and ethical background to the Act by focusing on well-known cases such as those of Karen Quinlan and Nancy Cruzan, and he explores ways in which physicians and other caregivers can help patients face the complex issues in contemporary health care practices. According to Ulrich, health care facilities often address the letter of the law in a merely perfunctory way, even though the Act integrates all the major ethical issues in health care today. Ulrich argues that well-designed conversations between clinicians and patients or their surrogates will not only assist in preserving patient dignity — which is at the heart of the Act—but will also help institutions to manage the liability issues that the Act may have introduced. He particularly emphasizes developing effective advance directives. Ulrich examines related issues, such as the negative effect of managed care on patient self-determination, and concludes with a seldom-discussed issue: the importance of being a responsible patient. Showing how the Patient Self-Determination Act can be a linchpin of more meaningful and effective communication between patient and caregiver, this book provides concrete guidance to health care professionals, medical ethicists, and patient-rights advocates.

Allocating Scarce Medical Resources

Author: H. Tristram Engelhardt Jr. MD, PhD
Publisher: Georgetown University Press
ISBN: 9781589012349
Size: 17.22 MB
Format: PDF, ePub, Mobi
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Roman Catholic moral theology is the point of departure for this multifaceted exploration of the challenge of allocating scarce medical resources. The volume begins its exploration of discerning moral limits to modern high-technology medicine with a consensus statement born of the conversations among its contributors. The seventeen essays use the example of critical care, because it offers one of the few areas in medicine where there are good clinical predictive measures regarding the likelihood of survival. As a result, the health care industry can with increasing accuracy predict the probability of saving lives—and at what cost. Because critical care involves hard choices in the face of finitude, it invites profound questions about the meaning of life, the nature of a good death, and distributive justice. For those who identify the prize of human life as immortality, the question arises as to how much effort should be invested in marginally postponing death. In a secular culture that presumes that individuals live only once, and briefly, there is an often-unacknowledged moral imperative to employ any means necessary to postpone death. The conflict between the free choice of individuals and various aspirations to equality compounds the challenge of controlling medical costs while also offering high-tech care to those who want its possible benefits. It forces society to confront anew notions of ordinary versus extraordinary, and proportionate versus disproportionate, treatment in a highly technologically structured social context. This cluster of discussions is enriched by five essays from Jewish, Orthodox Christian, and Protestant perspectives. Written by premier scholars from the United States and abroad, these essays will be valuable reading for students and scholars of bioethics and Christian moral theology.

Practical Decision Making In Health Care Ethics

Author: Raymond J. Devettere
Publisher: Georgetown University Press
ISBN: 162616276X
Size: 70.93 MB
Format: PDF
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This is a new edition of a classic textbook in health care ethics, one that offers an alternative to the principle-based approach from Beauchamp and Childress (Principles of Biomedical Ethics, now in its seventh edition from OUP) and traditional Catholic approaches of Ashley and O'Rourke. In the early chapters Devettere spells out the meaning of ethics and the importance of prudential reasoning in seeking the good life. The rest of the book deals with issues and cases, including determinations of life and death, reproduction and research and genetics, and the distribution of health care. In this fourth edition Devettere updates all chapters and adds new cases and new sections on the following: neuroscience, social psychology, overriding advance directives, studies on the fetus, the palliative care movement, cardiopulmonary resuscitation, pharmacists and reproductive issues, prenatal life and abortion, neonatal testing and mandatory vaccinations, the US governments' STD research in Guatemala, the emergence of biobanks, facial transplantations, genetic testing, legal issues around the Affordable Care Act, and more. This is an accessible and comprehensive textbook covering all aspects of the field.

Biomedicine And Beatitude

Author: Nicanor Pier Giorgio Austriaco
Publisher: CUA Press
ISBN: 0813218829
Size: 70.49 MB
Format: PDF
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Besides ethical questions raised at the beginning and the end of life, Nicanor Austriaco, O.P., discusses the ethics of the clinical encounter, human procreation, organ donation and transplantation, and biomedical research.

The Many Ways We Talk About Death In Contemporary Society

Author: Margaret Souza
Publisher:
ISBN:
Size: 47.27 MB
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The theme of this collection of essays is the perception and experience of death and dying in American in the early 21st century. The authors touch on the most salient current issues surrounding these matters and move the discourse forward into the second decade of this century. The essays are based on papers presented at an interdisciplinary conference, "The Pulse of Death Now", at Columbia University in March 2008.

Surgical Palliative Care And Pain Management An Issue Of Anesthesiology Clinics E Book

Author: Geoffrey Dunn
Publisher: Elsevier Health Sciences
ISBN: 145574266X
Size: 74.96 MB
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This issue of Anesthesiology Clinics brings the reader up to date on the most important advances in surgical palliative care for anesthesiology intensivists. Topics covered include recent trends and developments, palliative care of patients on high doses of narcotics, trauma in the surgical ICU, care of family in the surgical ICU, communication skills in palliative surgery, surgical palliative care in Haiti, and much more.

Community Health Nursing

Author: Patricia L. Carroll
Publisher: Cengage Learning
ISBN: 9780766841390
Size: 28.88 MB
Format: PDF, Docs
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Covering critical points, and providing ample opportunities for review, this self-paced text provides a concise, yet complete survey of community health nursing concepts.

Encyclopedia Of Bioethics N S

Author: Stephen Garrard Post
Publisher: MacMillan Reference Library
ISBN: 9780028657783
Size: 31.84 MB
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This volume, covering entries N-S, presents informative articles on the moral and ethical dimension of modern medicine, science, and technology.